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Providing Basic Needs and Encouragement as Strategies in Managing Aggression in Dementia Clients Lestari, Retno; Cross, Wendy
Nurse Media Journal of Nursing Vol 3, No 2 (2013): NURSE MEDIA JOURNAL OF NURSING VOL. 3 NO. 2 YEAR 2013
Publisher : School of Nursing, Medical Faculty, Diponegoro University

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Abstract

Purpose: The experiences of caregivers in managing dementia clients with aggressive behaviour have been an issue in nursing homes. This study utilized the fact that there is no significant strategy for managing aggression effectively. The aim of the study is to explore the experiences of caregivers in managing dementia clients with aggressive behaviour in nursing home in Jakarta, Indonesia.Method: This study employed a hermeneutic phenomenological approach so that caregivers were able to explore the phenomenon of aggression by dementia residents in the nursing home. Six experienced caregivers were interviewed in this study to uncover caregivers’ strategies they use in managing aggression in dementia residents.Result: The findings in this study were several strategies that have been used by caregivers to manage aggressive behaviour among dementia residents in the nursing home: providing basic needs and encouragement.Conclusion: The findings suggested caregivers to implement the strategies for managing aggression in dementia residents. Due to a limited number of related studies in Indonesia, this study recommended for further research to other nursing homes in Indonesia to determine if other strategies to manage aggression exist.
Effects of self-help groups intervention on coping strategies of parents of children with autism spectrum disorder (ASD) Hidayah, Ridhoyanti; Lestari, Retno
International Journal of Public Health Science (IJPHS) Vol 8, No 1: March, 2019
Publisher : Institute of Advanced Engineering and Science

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Abstract

Coping strategies were significant predictors of psychosocial adaptation in parents of children with autism spectrum disorder (ASD). Self-help groups could be effective resources for parents in dealing with problems wile caring for children with ASD. The purpose of this study was to analyze the effects of self-help groups on coping strategies in parents of children with ASD. This study used pre and post quasi-experimental tests without a control group using self-help group interventions. There were thirty-three participants taken from the Malang City Autism Service Center using purposive sampling. Coping strategies based on cognitive and psychomotor abilities were measured using a questionnaire. The results showed paired t-test in all groups, at 5% significance level, statistically significant difference between mean score before and after self-help group interventions. Coping strategies in groups that received two supervised sessions and four times independently reached higher score compared to other groups. It can be concluded that it is important to implement self-help groups for parents who care for children with special needs.
Developing Primary Liaison Psychiatric Services for HIV/AIDS Patients in Community Ahsan, Ahsan; Lestari, Retno
International Journal of Public Health Science (IJPHS) Vol 6, No 3: September 2017
Publisher : Institute of Advanced Engineering and Science

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Abstract

In Indonesia, the number of HIV/AIDS patients has grown at significant level. HIV can be a source of major stress which can lead to changes in mental health, such as persistent sadness, feeling empty and anxiety. The ability of liaison officer could help patients reduce their psychiatric problems and at the same time it can greatly affect patients' risks for transmission of HIV to others. This study aimed to analyze the effect of developing primary liaison psychiatric services for HIV/AIDS patients on the abilities of health care workers to provide treatments. This study used a quasi experimental design with one group pretest-posttest which included 64 health care workers aged between 20 and 50 years from the Community-Integrated Health Care in East Java. The inclusion criteria were nurses and physician in Community-Integrated Health Care. The respondents were assessed using the Abilities of Health Care Workers Checklist pre-treatment and post-treatment. The outcomes were analyzed using the Wilcoxon signed rank test. There was a significant increased in the abilities of health care workers to provide psychiatric services after treatment (p<0.05). The liaison psychiatric services were considered to be effective in increasing the abilities of health care workers in improving the treatment of HIV/AIDS.
The influence of medical staff services quality on patients satisfaction based on SERVQUAL dimensions Budi Setyawan, Febri Endra; Supriyanto, Stefanus; Tunjungsari, Feny; Nurlaily Hanifaty, Wa Ode; Lestari, Retno
International Journal of Public Health Science (IJPHS) Vol 8, No 1: March, 2019
Publisher : Institute of Advanced Engineering and Science

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Abstract

Hospital service quality was a degree of discrepancy between patients’ perceptions and their expectations about hospitals services. Service quality which was provided by medical staff emphasizes the actual hospital service process.  In the hospital, patients’ satisfaction could be widely used to determine hospital service quality. The purpose of this study was to analyze the influence of medical staff services quality on patients satisfaction based on SERVQUAL dimensions. This study used an analytic observational design with cross-sectional approach. There were 314 respondents taken from inpatients hospital admission using simple random sampling. Based on regression analysis results, five dimensions of health services quality affect patients’ level of satisfaction and obtained the equation of Y = 0.026 + 0.226X1 + 0.332X2 + 0.1X3 + 0.075X4 + 0.235X5, this explained  that patients’ satisfaction was affected by all dimensions of health service quality (RATER) simultaneously. However, different values will be obtained if all dimensions were measured separately, range from 10% to 33.2%.  It could be concluded that patients’ satisfaction were influenced by the quality of medical staff services through its five components: reliability, assurance, tangible, empathy and responsiveness.
Pengaruh Irama Musik Tradisional Jawa Terhadap Penurunan Skor Depresi pada Lanjut Usia Lestari, Retno; Setyohadi, Setyohadi; Kumboyono, Kumboyono; S, Rita Purwo
Jurnal Ilmu Keperawatan Vol 4, No 3 (2009)
Publisher : School of Nursing Faculty of Medicine Universitas Gadjah Mada

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Abstract

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EFFECT OF SOCIO-ART WORKING GROUP THERAPY IN REDUCING THE SYMPTOMS OF HALLUCINATIONS IN COMMUNITY HEALTH CENTER Lestari, Retno; Ahsan, Ahsan
Public Health of Indonesia Vol 3, No 3 (2017): July-September 2017
Publisher : Public Health of Indonesia

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Abstract

Background: Schizophrenia is a chronic illness with considerable impact on individuals and their families. One of the symptoms of schizophrenia is hallucination. The treatment goals are reducing the symptoms and maintaining the recovery from the effects of illness.Objective: This study aimed to analyze the effect of socialization and art-working group therapy in reducing the symptoms of hallucinations.Methods: This study used a pre-experimental design with one-group pretest-posttest involved 60 patients aged between 12 and 55 years diagnosed with schizophrenia in the Community-Integrated Health Care in East Java. The Symptoms of Hallucinations Checklist was used to assess the hallucination symptoms. Data were analyzed using Wilcoxon signed rank test.Results: Findings showed that there was a statistically significance difference between pretest and posttest score after the socialization and art-working group therapy with p-value 0.000 (p<0.05).Conclusion: Socialization and art-working group therapy had a significant effect in reducing the symptoms of hallucinations in patients with schizophrenia.
HUBUNGAN TINGKAT KECEMASAN DENGAN TINGKAT KEMANDIRIAN ACTIVITIES OF DAILY LIVING (ADL) PADA LANJUT USIA DI PANTI WERDHA Lestari, Retno; Wihastuti, Titin Andri; Rahayu, Berty Febrianti
Jurnal Ilmu Keperawatan Vol 1, No 2 (2013)
Publisher : Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya

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Abstract

Kecemasan merupakan masalah kejiwaan yang seringkali menyerang Lansia. Kondisi lain yang sering dialami pada Lansia yaitu kemandirian dalam activities of daily living (ADL) yang menurun. Lansia yang mengalami kecemasan cenderung mengalami penurunan dalam kemandiriannya. Penelitian ini bertujuan untuk mengetahui hubungan tingkat kecemasan dengan tingkat kemandirian activities of daily living (ADL) pada lanjut usia yang tinggal di panti werdha. Penelitian ini menggunakan desain penelitian deskripsi analitik korelasi dengan pendekatan “Cross Sectional” dengan variabel ganda yaitu variabel independen (tingkat kecemasan) dan variabel dependen (tingkat kemandirian). Pengambilan sampel dilakukan dengan Purposive Sampling dengan jumlah sampel 84 responden. Analisis data menggunakan uji statistik bivariat non-parametrik, yaitu uji hipotesis Spearman Rho dan Uji Gamma pada taraf signifikansi 0,05. Berdasarkan uji Spearman Rho dan uji Gamma didapatkan data P value < 0,05 yakni 0,000. Hasil analisis data tersebut dapat diambil kesimpulan bahwa hipotesis penelitian (H1) diterima, artinya terdapat hubungan yang signifikan antara tingkat kecemasan dan tingkat kemandirian pada Lansia. Perlu dilakukan penelitian lanjutan dengan menambahkan variabel dependen yaitu tidak hanya meneliti kemandirian dalam activities of daily living (ADL) tetapi juga dalam instrument activities of daily living (IADL) dan menggunakan pendekatan lainnya seperti Case Control Study Design.   Kata Kunci : Kecemasan, Kemandirian, activities of daily living (ADL), Lansia.
EFFECTS OF BRAIN AGE TO INCREASE COGNITIVE FUNCTION IN ELDERLY Agoes, Achdiat; Lestari, Retno; Alfaruqi, Saifullah
Malang Neurology Journal Vol 2, No 2 (2016): July
Publisher : Malang Neurology Journal

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Abstract

Background. The concept of cognitive (from Latin cognosere, to know or to recognize) refers to the ability to process information, applying knowledge, and change the trend. cognitive function of the elderly can be optimized through a variety of ways, one of that way is the brain training game (Brain Age). The game was created specifically to train the cognitive function of elderly.Objective. To determine the effect of Brain Ag) to the improvement of cognitive function in the elderly in Malang. Methods. Quasi-experimental pretest-posttest approach, the treatment and control groups, and the sampling is done with purposive sampling to obtain the 20 respondents. Data collection instrument in this study are in general cognitive tests by using a measuring instrument MMSE. Then the data were analyzed by Mann-Whitney test showed p value 0.000 <α 0.05. Results. There is the effect of therapy brain training game (Brain Age) on increasing cognitive function of elderly in Malang.Conclusion. Therapy of brain training game (Brain Age) can be used as an alternative method of nursing actions that can be implemented in nursing geriatric and to consider inter-community cooperation between the elderly or nursing home.
Pengaruh Relaksasi Otot Progresif dengan Musik terhadap Kualitas Tidur Lansia di Posyandu Lansia “Anjasmoro” Kelurahan Sukorame Kediri Setyoadi, Setyoadi; Lestari, Retno; Kusuma, Nirmala
Majalah Kesehatan FKUB Vol 3, No 1 (2016)
Publisher : Faculty of Medicine Universitas Brawijaya

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Abstract

Kualitas tidur merupakan kepuasan tidur yaitu suatu keadaan istirahat badan dan pikiran (tidur nyenyak atau pulas) yang ditandai dengan badan terasa segar ketika bangun tidur. Kualitas tidur buruk akan mengakibatkan badan terasa lelah, tanda-tanda vital tidak stabil meskipun tidur dalam waktu yang lama. Tujuan penelitian ini adalah untuk menganalisis pengaruh relaksasi otot progresif dengan musik terhadap kualitas tidur lansia di Posyandu Lansia “Anjasmoro” Kelurahan Sukorame Kota Kediri. Penelitian ini menggunakan desain penelitian pre-experimental. Sampel penelitian adalah 17 orang lansia. Variabel bebas dalam penelitian ini adalah relaksasi otot progresif dengan musik. Variabel tergantung adalah kualitas tidur. Pengumpulan data dilakukan dengan cara observasi dan  dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan adanya pengaruh yang signifikan dari relaksasi otot progresif dengan musik terhadap kualitas tidur pada lansia di Posyandu Lansia Kelurahan Sukorame Kota Kediri (p = 0,000) Kesimpulan penelitian ini  adalah relaksasi otot progresif dengan musik dapat meningkatkan kualitas tidur lansia. Kata kunci: Kediri, Kelurahan Sukorame, kualitas tidur, Lansia, Musik, Relaksasi otot.
STUDI FENOMENOLOGI: PENGALAMAN KELUARGA DALAM MENDAMPINGI PASIEN SAAT PROSES RESUSITASI DI INSTALASI GAWAT DARURAT RSUD Dr. SAIFUL ANWAR MALANG Pae, Kristina; Andarini, Sri; Lestari, Retno
WIRARAJA MEDIKA Vol 5 No 2 (2015): Wiraraja Medika - Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan

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Abstract

The services for critically ill patient in emergency department focus to save the life of patient with resuscitation, stabilization, and monitoring of the patient's condition. Family who have family members in critical condition have a need to be close to patient. Family needs to be able to see the patient, to take a care for patient and providing support to patient who are in critical condition. This study is a qualitative research with phenomenological approach. The aim of this study was to explore the family experience when they presence during resuscitation. The study was conducted at ED of Dr. Saiful Anwar Hospital Malang. There are 6 participants were selected based on inclusion criteria that have been set. Data were collected through in-depth interviews method. The data saturation of the participants obtained if nothing else is bring new themes via the data submitted. Results were analyzed using data analysis Braun and Clark. Transcripts of the interviews were analyzed using qualitative analysis. This research identified five themes, they are (1) anxiety when FPDR, (2) familybecomesstronger, (3) familywishtocontinue the FPDR process, (4) loveandroleas a motivation to do FPDR, (5) the complexity ofadversityin FPDR. Based on the results of this study, author expected that direction of hospital can began to consider the development of FPDR service so family able to prepare themselves with the grieving process that will occur and patients canpassedin peace. Keywords: Family, Presence, Resucitation