Rheumatoid arthritis adalah peradangan sendi akibat sistem kekebalan tubuh yang menyerang jaringannya sendiri. Radang sendi ini menimbulkan keluhan bengkak dan nyeri sendi, serta sendi terasa kaku. Nyeri merupakan masalah utama pada penderita Rematoid Arthritis, sehingga penatalaksanaan penyakit ini berfokus pada upaya mengatasi rasa nyeri. Senam yoga kombinasi open kinetik chain exercise menggunakan music keroncong merupakan salah satu alternatif intervensi untuk menurunkan nyeri Rematoid Arthritis. Tujuan dari pengabdian kepada masyarakat ini untuk meningkatkan pengetahuan warga desa Mekar Sari tentang penyakit Rematoid Arthritis dan dapat menerapkan secara mandiri senam yoga untuk menurunkan rasa nyeri. Pengabdian ini dilakukan di Desa Mekar Sari, dimana didapatkan data sebagian besar warga memiliki keluhan nyeri pada persendian tangan dan kaki, warga tidak mengetahui tentang penyakit Rematoid Arthritis serta tidak mengetahui penatalaksanaan nonfarmakologi untuk menurunkan nyeri yang dirasakan. Metode pengabdian kepada masyarakat ini dilakukan dengan ceramah penyampaian materi, selanjutnya bersama-sama melakukan senam yoga dan evaluasi. Hasil pengabdian menunjukkan setelah diberikan penyuluhan adanya peningkatan pengetahuan tentang Rhematoid Arthritis pada warga Desa Mekar Sari, terjadi penurunan tekanan darah baik sistolik maupun diastolik dan penurunan skala nyeri Rhematoid Arthritis setelah dilakukan senam yoga. Berdasarkan hasil pengabdian diharapkan kegiatan senam yoga ini dapat diterapkan secara mandiri 2 kali seminggu dibalai desa Mekar Sari.
Background: An earthquake has an impact on mental health problems. Lombok earthquake victims undergo an anxiety, neurotic, psychotic symptoms, and Post Traumatic Syndrome Disease. Anxiety have an impact on the mind, body and it cause of physical illness. One of the nursing interventions that can be given to deal with anxiety includes spiritual counseling, which is given so that disaster victims accept their conditions, it is not making disaster a burden and reducing anxiety.Purpose: To determine the effect of Spiritual counseling on anxiety level in (Lombok) Indonesian earthquake victims.Methods: Quantitative study with a pre-experimental approach using one group pre-post-test design on 25 earthquake victims in Lombok. The instrument was used the Hamilton Anxiety Rating Scale questionnaire and the standard operational procedures for spiritual counseling. Data were analyzed using univariate analysis and t dependent test.Results: The anxiety score before spiritual counseling was 19.60 ± 3.26, while the anxiety score after spiritual counseling was 10.04 ± 4.13. Statistical tests showed a significant difference between anxiety levels before and after spiritual counseling for earthquake victims in Lombok (p <0.05).Conclusion: Earthquake victims in order to improve their spiritual quality by joining religious activities routinely to calm the mind and reduce anxiety or trauma, it is caused by earthquakes.
ABSTRAKGempa bumi secara konsisten terbukti berhubungan dengan masalah kesehatan mental seperti cemas, depresi dan gangguan stres pasca-trauma segera setelah bencana. Kondisi tersebut akan semakin memburuk bila tidak dideteksi sejak dini dan ditangani dengan baik, sehingga membutuhkan pelayanan kesehatan mental (trauma healing). Kecemasan yang berlebihan dapat mempunyai dampak yang merugikan pada pikiran serta tubuh bahkan dapat menimbulkan penyakit fisik. Tujuan: Penelitian ini bertujuan untuk mengetahui tingkat kecemasan korban Gempa Lombok. Metode: Penelitian ini merupakan penelitian yang bersifat deskriptif dengan pendekatan cross sectional. Tehnik pengambilan sampel yang digunakan yakni dengan Purposive Sampling dengan jumlah sampel 40 orang. Instrumen yang digunakan dalam penelitian ini adalah kuesioner Hamilton Anxiety Rating Scale (HARS). Analisis data yang digunakan adalah univariat dengan data disajikan dalam bentuk narasi, tabel distribusi frekuensi dan persentase. Hasil: Hasil penelitian menunjukkan bahwa 15 responden mengalami kecemasan ringan (37,5%) dan 25 responden mengalami kecemasan sedang (62,5%). Diskusi: Selain dampak fisik, kejadian gempa juga menimbulkan masalah kesehatan jiwa, salah satunya rasa cemas yang masih dirasakan responden meskipun 8 bulan setelah gempa. Sebagian responden mengelaman kecemasan dalam berbagai kategori sedang dengan skor berbeda. Hal tersebut terjadi dipengaruhi oleh jenis kelamin, usia, tingkat pendidikan dan pengalaman saat terjadi gempa. Kesimpulan: Sebagian besar responden pada penelitian ini masih mengalami kecemasan sedang.Kata Kunci: Gempa bumi, kecemasanThe Level of Anxiety of Lombok Earthquake Survivors ABSTRACTEarthquakes are consistently proven to be related to mental health issues such as anxiety, depression and post-traumatic stress disorders immediately after disaster. This condition will deteriorate if not detected early and well handled, so it requires mental health services (trauma healing). Excessive anxiety can have a detrimental impact on the mind as well as the body can even cause physical illness. Objectives: The study aims to determine the level of anxiety of Lombok earthquake survivors. Methods: This research is a descriptive study with a cross sectional approach. Sampling techniques used by purposive Sampling with a sample number of 40 people. The instruments used in this study are the Hamilton Anxiety Rating Scale (HARS) questionnaire. Data analysis used is univariate with data presented in narrative form, frequency distribution table and percentage. Results: The results showed that 15 respondents experienced mild anxiety (37.5%) and 25 respondents experienced moderate anxiety (62.5%). Discussion: In addition to physical impact, earthquake incidence also raises mental health problem, one of which is anxiety that was felt by respondents even 8 months after the earthquake. Respondents partly experienced anxiety in the medium category with different score. This can be influenced by gender, age, level of education and experience in the event of an earthquake. Conclusion: most of the respondents in this study is still experiencing moderate anxiety.Keywords: Earthquakes; anxiety
THE EFFECTS OF WARM-WATER FOOTBATH ON INSOMNIA AMONG ELDERLYBackground: Insomnia is often considered normal when it is allowed to cause disease and even death, especially in the elderly with a percentage of 50% of elderly experiencing insomnia. At the Tresna Werdha Social Home of 10 elderly, there were about 4 elderly who had experienced on mild to severe insomnia.Purpose: This study was to determine the effect of warm-water footbath on insomnia among elderly at the Tresna Werdha Natar Social Home.Methods: The design of the study used a quasi-experimental with the one group pretest-posttest design method. The population of this study was 17 elderly who were experiencing a mild and severe insomnia with a sampling technique by total sampling.Results: Statistical tests using paired t test. Clinical results obtained a mean score before 25.76 meaning mild insomnia and an average score after 17.18 means with a decrease of 8,588 . The statistical test results obtained a significant value of 0.000 (p-Value <0.05) which means Ha is acceptedConclusion: There is the effect of of warm-water footbath on insomnia among elderly. It is recommended that this study can be a safe therapy for the elderly who has suffered on insomnia, especially in nursing homes.Keywords: Warm-water footbath, insomnia, elderly Pendahuluan: Insomnia sering dianggap hal yang biasa padahal bila dibiarkan dapat menimbulkan penyakit bahkan kematian terutama pada lansia dengan persentasi 50% lansia mengalami insomnia. Di Panti Sosial Tresna Werdha dari 10 lansia terdapat 4 lansia yang mengalami insomnia di usia 65 tahun sampai 74 tahun dari insomnia ringan sampai berat.Tujuan : Penelitian ini untuk mengetahui pengaruh rendam kaki dengan air hangat terhadap penurunan insomnia lansia di Panti Sosial Tresna Werdha Natar.Metode : Desain penelitian menggunakan quasi eksperimen dengan metode pendekatan one group pretest-posttest design. Populasi penelitian ini adalah 17 lansia yang mengalami insomnia ringan dan berat dengan teknik pengambilan sampel dengan cara total samplingHasil : Uji statistik menggunakan paired t test.Hasil klinis didapat skor rerata sebelum 25.76 artinya insomnia ringan dan skor rerata sesudah 17.18 artinya tidak insomnia dengan penurunan 8.588. Hasil uji statistik didapat nilai signifikan 0.000 (P-Value < 0,05) yang berarti Ha diterimaSimpulan : ada pengaruh rendam kaki dengan air hangat terhadap penurunan insomnia pada lansia. Penurunan dari insomnia ringan menjadi tidak insomnia.Diharapkan penelitian ini dapat menjadi terapi yang aman digunakan oleh penderita insomnia terutama pada lansia di panti werda.
Background: Elderly is who’s over 60 years old with decline in biological, psychological, social, and economic changes. Method: The design of this research is Pre-Experimental with One-Group Pretest-Posttest design with 30 respondents. Results: of this study used the chi square test with p value 0.002 <0.005, which means that there is an effect of cilokaq music therapy on the level of anxiety in the elderly. Conclution: Cilokaq music therapy can be used as an alternative to professional nursing actions for the elderly who experience anxiety and can be applied institutionally in the form of establishing permanent work procedures.
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