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Articles

Gamelan Music and Physiological Responses in Patients with Ventilator Support Suhartini, Suhartini; Kritpacha, Charuwan; Thaniwattananon, Ploenpit
MEDIA MEDIKA INDONESIANA 2012:MMI VOLUME 46 ISSUE 3 YEAR 2012
Publisher : MEDIA MEDIKA INDONESIANA

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Abstract

Background: Music is a non-pharmacological nursing intervention that can be used complementarily in the care of patients receiving ventilator support. The study aim was to explore the effects of music intervention on physiological responses for patients receiving ventilator support in intensive care units in Indonesia.Methods: It was a quasi experimental study using a non-equivalent control group and pre-test/post-test design. Forty subjects were assigned into either a control or experimental group (20 subjects/group). The outcome measures were physiologic responses, including systolic and diastolic blood pressure, heart rate, and respiratory rate obtained every 10 minutes for 20 minutes of music intervention. Data analysis used Chi-square test, Fisher-exact test, independent t-test, and paired sample t-test.Result: The findings showed that the subjects who received music intervention demonstrated statistically significant reductions in sympathetic physiological responses (p<0.05). Specifically, there was a significant difference in systolic blood pressure, but there was no significant difference in diastolic blood pressure, heart rates, and respiratory rate between the two groups. In the between groups comparison, it was only diastolic blood pressure that showed the reduction of mean score from pretest to posttest in the experimental group and in the control group.Conclusion: Gamelan intervention gives positive impact to patients with ventilator.Keywords: Music intervention, ventilator support, physiological responses ABSTRAK Musik gamelan dan responfisiologi pada pasien dengan ventilatorLatar belakang: Musik adalah intervensi keperawatan secara non farmakologikal yang dapat digunakan secara komplementari dalam merawat pasien yang menggunakan ventilator. Riset ini bertujuan untuk mengeksplorasi efek intervensi musik dalam menurunkan respon fisiologis pasien dengan ventilator di ruang perawatan intensif di Indonesia.Metode: Penelitian adalah penelitian semu dengan rancangan grup kontrol non-equivalen, pre dan post pengukuran. Ada 40 subyek penelitian yang dikelompokkan dalam grup kontrol dan grup eksperimen. Hasil yang diukur adalah tekanan darah sistolik dan diastolik, denyut jantung, dan frekuensi pernafasan, yang didapatkan dari pengukuran setiap 10 menit dalam 20 menit pemberian intervensi musik. Data diukur dengan menggunakan uji Chi-square, uji Fisher-exact, uji t-independen, dan uji t-berpasangan.Hasil: Hasil menunjukkan bahwa subyek yang menerima intervensi musik secara signifikan menurunkan respon simpatetik fisiologis (p<0,05). Secara spesifik, ada perbedaan yang bermakna dalam tekanan darah sistolik, tetapi tidak ada perbedaan yang signifikan dalam tekanan darah diastolik, denyut jantung, dan frekuensi pernafasan diantara kedua grup. Pada kelompok kontrol, hanya tekanan darah diastolik yang menunjukkan menurunkan skor rerata dari pretes ke postes dalam grup eksperimen dan grup kontrol.Simpulan: Intervensi gamelan memberi dampak positif pada pasien dengan ventilator
MENINGKATKAN PERKEMBANGAN KEMAMPUAN BERBAHASA DENGAN METODE BERCERITA DENGAN PANGGUNG BONEKA ANAK USIA DINI KELOMPOK A TK BINA BUNGA BANGSA RUNGKUT SURABAYA Suhartini, Suhartini
PAUD Teratai Volume 2, Nomor 1, Januari 2013
Publisher : PAUD Teratai

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Pendekatan, strategi, metode, dan teknik pembelajaran pada hakikatnya dapat dibedakan tetapi tidak dapat dipisahkan. Keempat istilah tersebut merupakan satu kesatuan dalam pembelajaran. Pendekatan, strategi, metode, dan teknik pembelajaran yang akan dan/atau sedang digunakan dapat diketahui dari langkah-langkah pembelajaran yang telah tersusun dan/atau sedang terjadi. Pendekatan pembelajaran adalah cara umum dalam memandang pembelajaran. Sedangkan strategi pembelajaran adalah ilmu dan kiat di dalam memanfaatkan segala sumber belajar yang dimiliki dan/atau yang dapat dikerahkan untuk mencapai tujuan pembelajaran yang telah ditetapkan. Metode mengajar adalah berbagai cara kerja yang bersifat relatif umum yang sesuai untuk mencapai tujuan pembelajaran tertentu dan teknik pembelajaran adalah ragam khas penerapan suatu metode sesuai dengan latar penerapan tertentu. Teknik pembelajaran mengambarkan langkah-langkah penggunaan metode mengajar yang sifatnya lebih operasional. Faktor-faktor yang perlu diperhatikan dalam penentuan teknik pembelajaran di antaranya adalah kemampuan dan kebiasaan guru, ketersedian sarana dan waktu, serta kesiapan siswa. Faktor-faktor yang perlu dipertimbangkan dalam memilih strategi pembelajaran ialah tujuan pembelajaran, jenis dan tingkat kesulitan materi pelajaran, sarana, waktu yang tersedia, siswa, dan guru.
PENGETAHUAN DAN KETERAMPILAN PERAWAT DALAM PELAYANAN KEPERAWATAN HOLISTIK DI INDONESIAN HOLISTIC TOURIST HOSPITAL Azizatunnisa, Nurul; Suhartini, Suhartini
Journal of Nursing Vol 1, No 1 (2012): Diponegoro Journal of Nursing
Publisher : Journal of Nursing

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Health care nowadays provides holistic concept, which is focus on client’s healing as the overall objectives including bio-psycho-socio-cultural-spiritual. This concept should be understood and applied by health practitioner, including nurses. Therefore, study about holistic nursing should be done, especially in  Indonesian Holistic Tourist Hospital (IHTH) Purwakarta West Java as the first of health provider in Indonesia that used holistic approach. The objective of this research is to describe nurses’ knowledge and skills in holistic nursing care in IHTH. The method of this reseach is decriptive with survey approach. The instrument of the research was using questionnaires with Guttman and Likert’s scale. There were 13 respondents as the samples of the research by using the total sampling. The data were analyzed using univariat to know the level of knowledge and skills to provide holistic nursing care by nurses in IHTH. The result of the research showed that nurses’ knowledge about holistic nursing is divide into three categories: 23,1% high, 69,2% sufficient and 23,1% low. The nurses’ skill to provide holistic environment also divided into three categories: 7,7% well, 76,9% fair dan 15,4% less. The result of observation showed that 13 skill had done by mostly nurses, 12 skill had done by less nurses and 8 skill had done by no nurse. The conclusion of the research showed that the level of nurses’ knowledge and skills in holistic nursing care in IHTH is moderate. Nurses of IHTH should improve their knowledge and skill in holictic nursing care by training or recite about holistic nursing
MEDITATION IN SCHOOL ADOLESCENTS WHO SIT IN OLYMPIC AND ACCELERATION CLASS Andriyani, Riska Titis; Suhartini, Suhartini
Journal of Nursing Vol 1, No 1 (2012): Diponegoro Journal of Nursing
Publisher : Journal of Nursing

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Background:.Meditation is a state of consciousness in which the individual eliminates environmental stimuli from awareness so that the mind has single focus, producing a state of relaxation and relief from stress. Stress that happen in school environment or education is called academic stress. The purpose of this research was to analize the influence of meditation to academic stress in school adolescents who sit in olympic and acceleration class. Method: The researcher used a experimental quantitative with one-group pre-test and post test design without control group. This research had done to 27 respondents, such as first and second grade of olimpiade class and last grade of acceleration class in SMA N 3 Semarang. The tool that used in this research was Academic Expectations Stress Inventory (AESI) that indicated academic stress from expectations of self and expectations of parents and teacher Data analysis used Paired Sample t-Test. Result and Suggestion: This research showed that 25 respondents (92,59%) had depreciation score of academic stress, 1 respondent (3,70%) had permanent score and 1 respondent (3,70%) increase score of academic stress. Significant score from Paired Sample t-Test showed that 0,000 < α (0,05) so that H0 was aversed and H1 was accepted. This research resulted there was influence of meditation to academic stress in school adolescents who sit in olympic and acceleration class,it is expected in nursing practice and some resorts to use meditation as a self supporting intervention
DESCRIPTION OF FORMER DRUGS AND ALCOHOL ABUSERS IN TETIRAH DHIKIR REHABILITATION CENTER YOGYAKARTA Agnia, Idha Arfianti Wira; Suhartini, Suhartini; Widagdo, Hendro
Indonesian Journal of Legal and Forensic Sciences (IJLFS) Vol 2 (2012): Indonesian Journal of Legal and Forensic Sciences
Publisher : Penerbit, sejak 2012 : Asosiasi Ilmu Forensik Indonesia dan UPT Lab. Forensik Sain dan Kriminilogi - Universitas Udayana

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Drugs and alcohol abuse is a major public health problem in worldwide. Prevalence of drug use in Yogyakarta, 2.72 percent of ages 10-59 (2.5371 million). Negative effect of drugs and alcohol abuse can produce crime behavior, even can cause death. The prevention, treatment, and rehabilitation in Indonesia have been done, but the basic characteristics of patients in rehabilitation centers have not been studied yet. The aim of the study was to determine the basic characteristics of former drugs and alcohol abusers in Tetirah Dhikir rehabilitation center Yogyakarta. This study was observational study, with total sampling methods. Observations, interview, and examination were performed on all patients. Case description was analyzed by descriptive statistics. All patients were men and productive age (34,4+1,35 years old). Mostly subjects unemployment (80%), totally recovered (60%), senior high school student (60%), outside Yogyakarta resident (60%), and up to 1 year followed therapy (60%). They preferred to choose multiple combination of alcohol (80%) and single kind of drug (60%). SGOT (25,2+8,2 U/L), SGPT (28,4+1,98 U/L), BUN (22,18+1,27 mg/dL), and creatinine (0,7+0,06 mg/dL) were within normal limit. The patients were mostly male, productive age, senior high school student, and unemployment, from outside Yogyakarta, totally recovered, and up to 1 year followed therapy. Mostly patients preferred to choose multiple combination alcohol and single kind of drug. The mean of liver and renal function test were within normal limit. Further evaluation of patients recovery status are needed.
PENGEMBANGAN MODEL PENGOMPOSAN SAMPAH DAUN SISTEM TUMPUKAN ″MODEL WINDROW″ DENGAN PENAMBAHAN ABU VULKANIK ERUPSI MERAPI Satino, Satino; Sudarsono, Sudarsono; Suhartini, Suhartini
Jurnal Penelitian Saintek Vol 17, No 1 (2012): APRIL 2012
Publisher : Jurnal Penelitian Saintek

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Penelitian ini bertujuan untuk mengetahui kecepatan proses pengomposan, kualitas fisik, kemik serta biologik kompos sampah daun hasil proses pengomposan melalui sistem pengomposan sampah daun di UNY dengan penambahan bahan aditif berupa abu vulkanik merapi. Pengomposan dilakukan menggunakan sistem tumpukan (heap methode) dengan mengembangkan ″Model Windrow″. Substrat organik dikomposkan dalam kotak-kotak pengomposan dengan volume cukup banyak, disusun menyerupai tumpukan dan dibiarkan terbuka. Bahan yang dikomposkan disusun berdasarkan komponen karbon (C) dan Nitrogen (N) kemudian ditambah komponen abu vulkanik merapi (mineral). Besarnya tumpukan adalah 1,5 m x 2 m x1 m (lebar x panjang x tinggi). Parameter yang diamati dan diukur adalah kecepatan dekomposisi sampah daun yang diketahui dari hasil analisis kimiawi dan profil temperatur. Karakteristik kimiawi meliputi kandungan bahan organik, kadar air, C-organik, unsur-unsur makro, unsur mikro dan mineral khusus. Parameter biologik dilihat dari pengaruhnya terhadap pertumbuhan tanaman muda serta perkecambahan. Hasil penelitian menunjukkan bahwa penambahan abu vulkanik dapat mempercepat proses pengomposan. Kompos yang dihasilkan tidak berbeda dengan pengomposan daun tanpa penambahan abu fulkanik merapi. Ratio C/N yang dihasilkan lebih baik dibanding dengan pengomposan daun tanpa penambah­an abu fulkanik merapi. Kata kunci: pengomposan, model windrow, dan abu vulkanik
Hubungan Antara Karakteristik Perawat dengan Motivasi Perawat Pelaksana dalam Menerapkan Komunikasi Terapeutik Pada Fase Kerja Di Rumah Sakit Islam Sultan Agung Semarang Roatib, Ali; Suhartini, Suhartini; Supriyadi, Supriyadi
Nurse Media Journal of Nursing Vol 1, No 1 (2007): MEDIA NERS
Publisher : School of Nursing, Medical Faculty, Diponegoro University

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The nursing service in a hospital is a major part of the health service given to the clients. Thus, the quality of the health service is extremely determined by the quality of the nursing service and it’s influenced by the nurse effectively in giving the nursing treatment to the clients. The importance of the nurse in guiding the trust relationship to the clients through a therapeutic communication is useful as a support in establishing the nursing treatment, in order that it can be recognized what is being required by the clients.The research want to know the relationship between the characteristic and the motivation of the performer nurse in applying therapeutic communication of working phase, by considering the nurse characteristic of the age side, sex, education, the long-term work and training. This research used correlative descriptive design using cross sectional. This research took samples of the performer nurse in Islamic Hospital Sultan Agung Semarang to 47 people using a technique of simple random sampling. The data were collected by utilizing questioner filled by the respondents.The result of univariat analysis indicates that the nurse motivation in Islamic Hospital Sultan Agung Semarang is in a high category (80,9%). While, bivariate analysis is recognized that the nurse characteristic has a significant correlation with the nurse motivation in applying therapeutic communication of working phase, that is, to the education dimension with significance 0,000, to the training dimension with significance 0,000, to the age dimension with significance 0,021, to the long-term work dimension with significance 0,034, however, there is a variable statistically not having a meaning relationship namely to the sex dimension with significance 0,135.
Koping keluarga terhadap anggota keluarga yang mengalami ketergantungan narkoba diwilayah kota Semarang Iswanti, Dwi Indah; Suhartini, Suhartini; Supriyadi, Supriyadi
Nurse Media Journal of Nursing Vol 1, No 1 (2007): MEDIA NERS
Publisher : School of Nursing, Medical Faculty, Diponegoro University

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Drugs addicted is condition which is conceptualized as a mental illness, that consider about mental and behavior disorders caused drugs abuse. Family’s coping to family member drugs addicted, talked about various coping which used by family within face so many problems that emerge caused by drugs addicted.The problem formulation was how family’s coping to face family member drugs addicted?The research aims were to know about sign and phenomenon drugs addicted, family response towards family member drugs addicted, to know kind of coping and identified coping strategies that used whether internal or external. Approach research method used qualitative design with phenomenology. Research instrument used in depth interview.The results were signs and phenomenon drugs addicted who had different, family responses: feel confused, worry, sad, guilty, disappointed and embarrassed to community. Whereas, family’s coping used constructive coping with activate coping strategies whether internal or external.Conclusion: The family used coping mechanism being effective to face family member drugs addicted.
EFFECTIVENESS OF MUSIC THERAPY TOWARD REDUCING PATIENT’S ANXIETY IN INTENSIVE CARE UNIT Suhartini, Suhartini
Nurse Media Journal of Nursing Vol 2, No 1 (2008): MEDIA NERS
Publisher : School of Nursing, Medical Faculty, Diponegoro University

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Abstract

Terapi musik adalah sebuah terapi kesehatan yang menggunakan musik di mana tujuannya adalah untuk meningkatkan atau memperbaiki kondisi fisik, emosi, kognitif, dan sosial bagi individu dari berbagai kalangan usia. Penelitian ini bertujuan untuk mengetahui seberapa besar dampak terapi musik yang berpengaruh pada perubahan respon fisiologis terhadap kecemasan yang dilihat dari tekanan darah, respirasi dan nadi. Penelitian ini bermanfaat untuk membantu penyembuhan pasien/klien. Selain itu, sebagai bahan informasi akurat untuk profesi keperawatan dan profesi kesehatan lainnya untuk mengimplementasikan terapi musik sebagai terapi non farmakologi. Metode penelitian yang digunakan adalah quasi experiment dengan menggunakan one group pre test dan post tes design tanpa group kontrol. Berdasarkan hasil penelitian 90% responden mengalami perubahan penurunan tekanan darah sistol, 95% responden mengalami perubahan penurunan tekanan darah diastole, 60% responden mengalami perubahan penurunan respirasi, 100 % responden mengalami perubahan penurunan nadi. Dari nilai signifikansi hasil uji Paired Sample t-Test yaitu 0,000 – 0,002 yang nilainya lebih kecil dari taraf kesalahan () 0,05 atau dengan signifikansi 95 %, maka hipotesis Ho ditolak sedangkan Ha diterima. Kesimpulan penelitian ini adalah terapi musik efektif untuk menurunkan perubahan respon fisiologis terhadap kecemasan yang dirawat diruang ICU-ICCU Peneliti menyarankan untuk menerapkan terapi musik ini dilingkungan rumah sakit.
Music and Music Intervention for Therapeutic Purposes in Patients with Ventilator Support; Gamelan Music Perspective Suhartini, Suhartini
Nurse Media Journal of Nursing Vol 1, No 1 (2011): NURSE MEDIA JOURNAL OF NURSING VOL. 1 NO. 1 YEAR 2011
Publisher : School of Nursing, Medical Faculty, Diponegoro University

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Abstract

Background: Gamelan music is one of folk music for Javanese people. Several research studies testing the effects of music were conducted in Western countries. The music studies for therapeutic purposes used classical music commonly. Even in Indonesia, some researchers may use that music for therapeutic purposes. This concern article explains the perspective music and music intervention as therapeutic purposes, view with Javanese classical music.Objectives: To explore the evidence of music and music intervention for therapeutic purposes and to describe the perspective of gamelan music used in nursing interventionMethods: Using five bibliography databases (MEDLINE, CINAHL, Science Direct, Interscience, and Proquest) were searched from 1999-2010 for original clinical reports or reviews that evaluated the use of complementary therapy for therapeutic intervention in patients with ventilator support. The term of complementary therapy, anxiety, and pain were used in a comprehensive search of electronic databases. Articles were screened and excluded based on the title and abstract information.Results: Music brings about helpful changes in the emotional and physical health of patients, and has the ability to provide an altered state of physical arousal and subsequent mood improvement by processing a progression of musical notes of varying tone, rhythm, and instrumentation for a pleasing effect.Conclusion: Music can be used for therapeutic purposes, for instance to reduce anxiety, to decrease pain sensation, and some effects of psychological impact. Include, the gamelan music can be offer for patients for Javanese people in Indonesia.Key words: Music, music intervention, therapeutic purposes
Co-Authors Abdul Wahib Muhaimin Abdullah, Ahmad Anis Agus Budianto Ali Roatib Almuzani, Nafi Ardian Adi Wibowo Arindra Fazlur Azh, Arindra Fazlur Banun Kusumawardani Bernadetta Octavia Budi Setiawan Butarbutar, Marisi Charuwan Kritpacha Daviq Chairilsyah Deny Akhyar Azzuhdan Dwi Indah Iswanti Dwi Rahayu Ningrum, Dwi Rahayu Efendi Efendi Effendi, Rosfi Rahmania Elma Permata Sari, Elma Permata Erdhianto, Y Fadhilah R.N., Fadhilah Fahria Nadiryati Sadimantara Fatoni, Mohammad Ibrahim H Yulipriyanto, H Hamzah, Zahreni Hamzah Hanani, AR, Nuhfil Handy Tribawana Putra, Handy Tribawana Hariastuti, N L P Hendro Widagdo Hery Toiba Idha Arfianti Wira Agni, Idha Arfianti Wira Idha Arfianti Wira Agnia IGP Suryadarma Ika Purnamasari Indah Mustiko Ningsih Inrawan, Ady Lie, Darwin Lusianah, Lusianah M. Muslich Mustadjab M. Nurzin R. Kasau, M. Nurzin R. Martyanti, Adhetia Martyanti, Adhetia Martyanti, Adhetia Marzuki Marzuki Meilawati, Zahara Meta Amalya Dewi, Meta Amalya Mitrasari, R Muthiah Abda Azizah, Muthiah Abda Nafiudin Nafiudin, Nafiudin Nuhfil Hanani Nur Rahmawati Nurbani, Amylia Rahma Nurul Azizatunnisa Oktavia, Henita Fajar Ploenpit Thaniwattananon Prabowo, R Pratama Bayu Santosa Priambodo, Oby Putra Aditama Hariwibowo Putra, Taufik Perdana Putri, Gading Giovani Rafsanjani, A D Rahardyan P, Rahardyan Rahmawati, N Rama Sabekti, Syandi Ratya Anindita Reswari, Oryza Sativa Rini Dwiastuti Rino Richardo Riska Titis Andriyani Ruhana, Lin Rusgianto Heri Santoso Satino Satino Shoimus Sholeh Siti Noer Istiqomah, Siti Noer Suardi Zain, Suardi SUDARSONO SUDARSONO Suhandoyo Suhandoyo, Suhandoyo Sukanti Sukanti Sukirman Sukirman Sulistyo, Adhe Rachman Sunarti Sunarti Suparjo Suparjo Suparto Suparto Supriyadi Supriyadi Sutarto Sutarto Sutrisno sutrisno Syafrial Syafrial Syahputra, D A H Syamsu Ramadhan Tantin Ermawati Tri Nur Hidayati Tristanti Tristanti Unggul Priyadi, Unggul Untung Sujianto Vioryza Balgies Pangestika, Vioryza Balgies Widiastuti Widiastuti Yuliastuti, Estin Yuliawati, E Yuliyanti, Sri Yuni Hamid Zulkifli Zulkifli