Penelitian ini bertujuan menganalisis efektifitas pembiayaan intervensi model adaptasi berbasis pemberdayaan keluarga dalam meningkatkan kapasitas fungsional dan kualitas hidup pasien pasca stroke dibandingkan dengan program rehabilitasi konfensional di rumah sakit. Metode: Penelitian ini adalah penelitian kuasi eksperimen menggunakan desain pre-test dan post-test kontrol group. Peneliti membagi sampel menjadi 2 kelompok yaitu kelompok intervensi yang mendapatkan pemberdayaan keluarga berbasis model adaptasi (caregiver empowerment program based on adaptation model/CEPBAM) dan kelompok kontrol yang mendapatkan program rehabilitasi medik di RS. Metode sampling yang digunakan yaitu stratified random sampling. Sampel berjumlah 56 orang (28 orang perkelompok) yang dihitung menggunakan rumus jumlah sampel untuk menguji hipotesis dua mean kelompok independen. Hasil: Tidak ada perbedaan kapasitas fungsional dan kualitas hidup pasca stroke yang bermakna sebelum dan setelah perlakuan diantara kedua kelompok. Terjadi peningkatan kapasitas fungsional dan kualitas hidup yang bermakna sesudah perlakuan pada setiap kelompok (p=0,001). Rasio efektifitas pembiayaan menunjukkan perlunya pembiayaan sebesar Rp 564.634 untuk meningkatkan 1 nilai kualitas hidup menggunakan intervensi CEP-BAM dan Rp 566.527 menggunakan rehabilitasi di RS. Kesimpulan: Intervensi CEP-BAM dan program rehabilitasi di rumah sakit menunjukkan efektifitas pembiayaan yang sama dalam meningkatkan kapasitas fungsional dan kualitas hidup pasien pasca stroke. Rekomendasi: CEP-BAM dapat digunakan dalam rehabilitasi pasca stroke terutama di wilayah yang tidak memiliki rumah sakit dengan fasilitas unit rehabilitasi medik.
The purpose of this study was to determine the effectiveness of Religious Spiritual and Psychosocial Coping Training (RS-PCT) interventions on self-acceptance and self-efficacy in post-stroke patients. The research method used in this study was an experimental design with a Randomized Control Trial (RCT) pre and post-test control groups. The results of this study showed that there were significant differences in self-acceptance (p = 0.046) and self-efficacy (p = 0.030) after treatment between the RS-PCT and control groups. The multi-analysis of covariance test showed only interventions (RS-PCT) that were significantly related to self-acceptance (p = 0.045) and post-stroke self-efficacy (p = 0.030) after being controlled by confounding variables (age, sex, type of stroke, aphasia, hemiparesis side). In conclusion, RS-PCT intervention is effective in increasing self-acceptance and self-efficacy in post-stroke patients who are recovering at home. Keywords: Self-Efficacy, Spiritual Religious Coping, Self-Acceptance, Psychosocial
Penelitian ini bertujuan untuk mengetahui Pengaruh Senam Lansia Terhadap Perubahan Tekanan Darah Lansia Hipertensi di UPTD Panti Sosial Tresna Wredha Nirwana Puri Samarinda. Metode penelitian yang digunakan adalah quasi experiment dengan desain penelitian pre test and post test nonequivalent control group. Pada penelitian ini, responden penelitian dibagi menjadi 2 kelompok masing-masing 13 responden dan diambil secara random. Dimana kelompok intervensi adalah kelompok perlakuan yang diberi intervensi berupa senam lansia terstruktur, sedangkan kelompok kontrol diberi olahraga standar panti. Hasil :Nilai dari hasil analisi paired t test pada kelompok intervensi diperoleh nilai tekanan darah sistol dan diastole nilai P=0,001<0,05, sedangkan pada kelompok kontrol diperoleh hasil : pada tekanan darah sistolik nilaip P = 0,753 >0,05 dan tekanan diastolik nilai P=0,900>0,05. Hasil uji menggunakan independent t test untuk melihat perbedaan kedua kelompok, didapat hasil tekanan sistolik nilai p=0,004 dan tekanan diastolic nilai P =0,001 artinya terdapat perbedaan antara nilai tekanan sistolik dan diatolik antara kedua kelompok dimana ada pengaruh bermakna senam lansia terhadap tekanan darah sistolik dan diatolik secara bermakna pada kelompok intervensi. Kesimpulan : terdapar pengaruh bermakna antara senam lansia dengan tekanan darah sistolik dan diatolik pada lansia yang mengalami hipertensi di UPTD Panti Sosial Tresna Wredha Nirwana Puri Samarinda, nilai P= sistolik =0.001 < α = 0,05 dan diastolik =0.001 < α = 0,05 Kata Kunci : Senam Lansia, Tekanan Darah, Hipertensi.
This research aims to find the effect of Brain Gym interventions in improving the quality of life in the elderly after controlling with the confounding variables are age, sex, and education. This research is experimental research with pre and post-test group design and randomizes design. The sample determination based on the inclusion criteria. The sample is 66 people, divided into two groups of 33 respondents respectively. The determination of the group by using the randomize table, then conducted a pre-test in both groups by using the WHOQOL-BREF's questionnaire. Group 1 was given 10 minutes gym/exercise with the frequency of three times a week and physical activity, while group 2 was a control. The brain gym and physical activity interventions were given for a month and then conducted a post-test. The research data were analyzed by using a paired sample t-test independent sample t-test, ANCOVA, Chi-Square, and Kolmogorov-Smirnov. The result showed that p = 0,000 <0,05 and the mean quality of life improvement in group gym for 10 minutes/exercise with the frequency of three times in a week were 9.48 ± 3.104 while in group 2 as the control was 2.15 ± 1.372. The brain gym for 10 minutes/exercise with the frequency of three times a week affects improving the quality of life in the elderly.
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