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"Masalah psikologis yang paling banyak dirasakan oleh klien kanker adalah ansietas dan depresi. Ansietas dan depresi yang dialami klien kanker bukan hanya berdampak pada kualitas hidup, juga berdampak pada pengobatan yang dilakukan, memperpanjang waktu hospitalisasi dan menimbulkan efek negatif pada prognosis serta ketahanan hidup klien. Penelitian ini bertujuan untuk mengetahui pengaruh terapi Progressive Muscle Relaxation (PMR) dan Logoterapi terhadap ansietas dan depresi, kemampuan relaksasi dan kemampuan memaknai hidup klien kanker di RS Dharmais Jakarta.Desain penelitian quasi eksperimental pre test-post test with control group. Sampel penelitian 90 orang klien kanker, 30 kelompok intervensi yang diberikan PMR dan Logoterapi, 30 kelompok intervensi 2 yang diberikan logoterapi dan 30 kelompok kontrol.Hasil penelitian ditemukan penurunan ansietas dan depresi serta peningkatan kemampuan relaksasi dan kemampuan memaknai hidup klien kanker yang mendapatkan PMR dan logoterapi lebih besar dibandingkan kelompok yang mendapatkan hanya logoterapi (p value < 0,05). Terapi PMR dan logoterapi direkomendaikan sebagai terapi keperawatan lanjutan dalam merawat klien kanker dengan ansietas dan depresi.

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Most psychological problems experienced by cancer clients are anxiety and depression. Anxiety and depression experienced by clients of cancer not only affects the quality of life, also made an impact on treatment, hospitalization and prolong a negative effect on prognosis and survival of the client. This study aims to obtain the effects of Progressive Muscle Relaxation Therapy (PMR) and Logotherapy to decrease anxiety and depression, increase the ability relaxation skills and life meaning ability of the client's cancer life in Dharmais Hospital Jakarta.Quasi-experimental research design pre test-post test with control group. Sample from 90 the client's cancer, consisting of 30 intervention group 1, 30 intervention group 2 and 30 control group.The result showed decrease the condition anxiety, depression and increase relaxation capability and life meaning ability of the client's cancer life , who get PMR and logotherapy greater than the group who received only logotherapy (p value <0.05). PMR and logotherapy recommended in the treatment of advanced nursing in cancer care for clients with anxiety and depression."

"Penelitian ini bertujuan untuk mengetahui pengaruh terapi kognitif dan logoterapi terhadap kondisi depresi, ansietas, kemampuan mengubah pikiran negatif, dan kemampuan memaknai hidup klien diabetes melitus di RSUP Dr. M Djamil Padang. Desain penelitian quasi ekspermental non equivalent control group. Responden terdiri dari 29 orang kelompok yang mendapatkan terapi kognitif dan logoterapi, 31 orang kelompok yang hanya mendapatkan terapi kognitif, dan 30 orang kelompok yang tidak mendapatkan terapi. Terapi kognitif dan logoterapi diberikan sebanyak 5 sesi dalam 5 kali pertemuan, sedangkan logoterapi 4 sesi dalam 5 kali pertemuan.Hasil penelitian menunjukkan pemberian terapi kognitif dan logoterapi dan pemberian terapi kognitif saja sama-sama menurunkan kondisi depresi secara bermakna, tetapi terapi kognitif dan logoterapi menurunkan kondisi depresi lebih besar dibanding terapi kognitif saja. Terapi kognitif dan logoterapi menurunkan kondisi ansietas lebih besar dibanding terapi kognitif saja. Pemberian terapi kognitif dan logoterapi dan pemberian terapi kognitif saja sama-sama meningkatkan kemampuan mengubah pikiran negatif secar bermakan, tetapi terapi kognitif dan logoterapi meningkatkan kemampuan mengubah pikiran negatif lebihih besar dibanding dengan terapi kognitif saja. Terapi kognitif dan logoterapi meningkatkan kemampuan memaknai hidup lebih besar dibanding terapi kognitif saja. Terapi kognitif dan logoterapi direkomendasikan pada klien diabetes melitus yang mengalami depresi dan ansietas.

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The research aims to determine the effect of cognitive therapy (CT) and logotherapy for depression, anxiety, ability to change the negative thoughts and ability to make sense of life for diabetes mellitus client at RSUP Dr. M. Djamil Padang. The research design quasi eksperimental non equivalent control group, of 29 person are given cognitive therapy and logotherapy group, 31 person the only given cognitive therapy group, and 30 person are not given therapy group. CT are given as much as 5 sessions in 5 meetings, and logotherapy are given as much as 4 sessions in 5 meetings.

The result of research shows the same significant on reducing depression between CT and logotherapy with CT, but the CT and logotherapy group the higher on the reducing depression than CT group. CT and logotherapy group on the reducing anxiety the higher than CT group. CT and logtherapy and CT group increasing ability to change the negative thoughts the same significant, but CT and logotherapy the higher than CT group. CT and Logotherapy group increasing ability to make sense of life the higher than the CT group. CT and logotherapy are recommended for the diabetes mellitus client who depression and anxiety."

"Tujuan penelitian untuk mengetahui pengaruh terapi kognitif dan terapi penghentian pikiran terhadap perubahan ansietas dan depresi serta kemampuan mengontrol pikiran pada klien kanker. Metode penelitian quasiexperiment pada 3 kelompok. Data diambil sebelum dan sesudah pemberian intervensi.Sampel penelitian diperoleh secara consequtive sampling, sejumlah 90 responden,masingmasing kelompok terdiri dari 30 responden. Instrumen penelitian menggunakan kuesioner HADS, dan kuesioner kemampuan mengontrol pikiran negatif. Hasil : terapi kognitif dan terapi penghentian pikiran secara bermakna menurunkan ansietas dan depresi serta meningkatkan kemampuan mengontrol pikiran negatif (p value = 0,000; α = 0,005). Terapi terapi kognitif dan terapi penghentian pikiran direkomendasikan sebagai terapi keperawatan lanjutan pada klien penyakit kronik untuk mengatasi masalah ansietas dan depresi.

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The objective of this study was to investigate the effect of cognitive therapy and thought stopping therapy on anxiety, depression and the ability to control negative thought, using HADS and negative thought control questionnaire. The study methods was quasiexperiment with 90 cancer patients, divided into 2 intervention groups and 1 non intervention. Each intervention group has 30 participants. Data was collected pre and post intervention.

Result of this study shown that decreased of anxiety and depression scale and improved the ability to control negative thought (p value = 0,000; α = 0,005). This study recommended cognitive therapy, thought stopping therapy as a psychotherapy to overcome anxiety, depression in cancer patients."

"ABSTRAKStres, ansietas, dan depresi merupakan bentuk gangguan mental emosional yang sering terjadi pada mahasiswa. Bila tidak ditangani dapat mengarah pada panik atau bahkan bunuh diri. Tujuan penelitian ini mengidentifikasi pengaruh progressive muscle relaxation (PMR) terhadap tingkat stress, ansietas, dan depresi pada mahasiswa keperawatan yang sedang mengerjakan skripsi di wilayah Jakarta.Metode yang digunakan Quasi experiment pre-post test with control group. Sampel penelitian adalah mahasiswa keperawatan yang sedang mengerjakan skripsi sebanyak 50 responden melalui total sampling (25=intervensi, 25= kontrol). Data dianalisis dengan uji Marginal Homogeneity dan Chi-Square.Hasil penelitian menunjukkan penurunan tingkat stress, ansietas, dan depresi pada kelompok intervensi signifikan setelah diberikan PMR (Pvalue < 0,005). Latihan PMR yang teratur dan sistematis mampu menghasilkan kondisi relaksasi pada mahasiswa. Penelitian ini juga merekomendasikan pelayanan kesehatan jiwa khususnya institusi pendidikan keperawatan untuk menerapkan PMR dalam menurunkan tingkat stres, ansietas, dan depresi yang dialami mahasiswa.

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ABSTRACT

Stress, anxiety and depression are types of mental emotional disorder that often experienced by the students at universities. This condition can cause panic and suicide if these problems don?t get treatment.

The purpose of this research is to identify effect of progressive muscle relaxation (PMR) to level of stress, anxiety and depression in nursing students that doing thesis in Jakarta.

This research used Quasy experiment pre-post test with control group. Sample of this research are 50 respondents (25 intervention group and 25 control group). All of variables were analyzed with Marginal Homogeneity and Chi-Square Test.

The result of this research showed that progressive muscle relaxation has significant effect to decreased level of stress, anxiety and depression (P value < 0, 05). Regular PMR exercise can increase relaxation condition in student.

This study recommend to the mental health provider especially nursing academic institution to implement PMR to decrease level of stress, anxiety, and depression of student."

"Ansietas merupakan masalah psikososial yang paling banyak dialami klien hipertensi. Hal ini terkait dengan respon klien terhadap kondisi kronis kesehatannya. Dampak dari ansietas akan mengganggu produktivitas dan kualitas hidup jika tidak dilakukan penatalaksanaan sedini mungkin. Penelitian ini bertujuan untuk mengetahui pengaruh PMR dan CBT terhadap ansietas klien hipertensi, Desain penelitian quasi experimental pre-test dan post-test with control group dengan jumlah sampel 64 responden. Hasilnya adalah penurunan ansietas, peningkatan kemampuan relaksasi serta kemampuan mengubah pikiran dan perilaku negatif pada kelompok yang mendapatkan PMR dan CBT p value < 0.05 . PMR dan CBT direkomendasikan sebagai terapi spesialis keperawatan pada ansietas klien hipertensi.

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Anxiety is the most widely psychosocial problems experienced in people with hypertension. The impact arising from the anxiety would interfere with productivity and quality of life. This study aims to determine the effect of PMR and CBT for anxiety clients with hypertension. Quasi experimental research design pre test and post test with control group with a sample of 64 respondents. The results is decrease in anxiety, increase relaxation capability and the ability to change negative thoughts and behaviors that are in the group of clients who get PMR and CBT p value."

"[ABSTRAKLaki-laki dewasa merupakan kelompok narapidana terbanyak yang tinggal di Lapas dan Rutan. Selama menjalani masa hukuman, narapidana laki-laki dewasa yang telah menikah tidak dapat memenuhi kebutuhan seksualnya karena di Lapas dan Rutan tidak disediakan akomodasi untuk pemenuhan kebutuhan tersebut. Seksual merupakan kebutuhan dasar bagi manusia. Tidak adekuatnya pemenuhan kebutuhan dasar termasuk ketidakefektifan pola seksual dapat menyebabkan ansietas. Penelitian ini bertujuan untuk mengetahui pengaruh Relaksasi Otot Progresif dan Terapi Logo terhadap ansietas narapidana akibat ketidakefektifan pola seksual. Desain penelitian quasi eksperimental pre-post test with control group. Sampel penelitian 56 orang narapidana yang mengalami ketidakefektifan pola seksual sedang atau berat, 28 narapidana kelompok yang mendapatkan Relaksasi Otot Progresif dan 28 narapidana yang mendapatkan Relaksasi Otot Progresif dan Terapi Logo. Hasil penelitian ditemukan penurunan ansietas akibat ketidakefektifan pola seksual kelompok narapidana yang mendapatkan Relaksasi Otot Progresif dan Terapi Logo lebih besar dibandingkan kelompok narapidana yang hanya mendapatkan Relaksasi Otot Progresif saja (p value < 0,05). Relaksasi Otot Progresif dan Terapi Logo direkomendasikan sebagai terapi keperawatan lanjutan dalam mengatasi masalah psikososial pada narapidana.

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ABSTRACTMen are the largest population in prison. During the period of imprisonment, married-men cannot fulfill their sexual need because of unavailable facilities. Sexuality is a human basic need. The inadequate fulfillment of basic needs will cause anxiety. This study aims to obtain the effect of progressive muscle relaxation and Logo therapy on prisoners? anxiety as the result of ineffective sexual pattern.This study used pre and post-test quasi experimental research design with control group. The samples of this study were 56 prisoners consisted of 28 progressive muscle relaxation prisoners and 28 progressive muscle relaxation and Logo therapy prisoners. The result of this study shows ineffective sexual pattern of prisoners decreased. Based on that analysis result, it can be concluded that prisoners who get progressive muscle relaxation and Logo therapy is bigger than prisoners that only get progressive muscle relaxation (p value < 0,05). Progressive muscle relaxation and Logo therapy are recommended for advanced nursing treatment dealing with prisoner anxiety related to ineffective sexual pattern, Men are the largest population in prison. During the period of imprisonment, married-men cannot fulfill their sexual need because of unavailable facilities. Sexuality is a human basic need. The inadequate fulfillment of basic needs will cause anxiety. This study aims to obtain the effect of progressive muscle relaxation and Logo therapy on prisoners’ anxiety as the result of ineffective sexual pattern.This study used pre and post-test quasi experimental research design with control group. The samples of this study were 56 prisoners consisted of 28 progressive muscle relaxation prisoners and 28 progressive muscle relaxation and Logo therapy prisoners. The result of this study shows ineffective sexual pattern of prisoners decreased. Based on that analysis result, it can be concluded that prisoners who get progressive muscle relaxation and Logo therapy is bigger than prisoners that only get progressive muscle relaxation (p value < 0,05). Progressive muscle relaxation and Logo therapy are recommended for advanced nursing treatment dealing with prisoner anxiety related to ineffective sexual pattern]"

"Magister Ilmu Keperawatan Universitas IndonesiaJudul:Pengaruh Kombinasi Progressive Muscle Relaxation Terhadap Kejadian Fatigue Klien Kanker yang Menjalani Kemoterapi Kemoterapi pada pasien kanker bertujuan mengendalikan pertumbuhan sel kanker, namun terkadang pemberian terapi tersebut bersifat toksik terhadap sel normal dan memberikan efek terjadinya fatigue. Kombinasis Progressive Muscle Relaxation dan teknik lima jari merupakan terapi komplementer untuk mengurangi kejadian fatigue pada pasien kanker dengan kemoterapi. Tujuan penelitian mengidentifikasi perbedaan pemberian Kombinasi PMR dan Teknik Lima Jari dengan latihan ROM terhadap kejadian fatigue klien kanker yang menjalani kemoterapi di RSAM Bandar Lampung. Penelitian ini merupakan quasi experiment pre-post test with control group. Teknik pengambilan sampel dengan consecutive sampling yang melibatkan 39 responden kelompok intervensi dan kontrol. Uji beda rata-rata skor pretest dan postest pada kelompok kontrol dan intervensi menggunakan uji T berpasangan sedangkan perbedaan rata-rata skor pretest kelompok intervensi dengan kontrol maupun posttest kelompok intervensi dengan kontrol kejadian fatigue menggunakan uji Mann Whitney. Hasil penelitian membuktikan bahwa kombinasi PMR dan Teknik Lima Jari dapat mengurangi kejadian fatigue pada pasien kanker dengan kemoterapi p < 0,05.

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The Effects Combination of progressive muscle relaxation and the five finger techniques on the incidence of fatigue cancer clients undergoing chemotherapy at Abdoel Moeloek Hospital in Bandar Lampung 2017 Chemotherapy performed in cancer patients aims to control the growth of cancer cells, but sometimes the therapy is toxic effect to normal cells and provide side effects suc as fatigue. Combination Progressive Muscle Relaxation and the five finger technique consider as an alternative to decrease the incidence of fatigue in cancer patient with chemotherapy. This study aimed to identify the differences in the provision Combination of progressive muscle relaxation and the five finger techniques with range of motion exercise on the incidence of fatigue cancer clients undergoing chemotherapy at Abdoel Moeloek Hospital in Bandar Lampung. Design research used a quasi experiment pre post test with control group. The sampling technique was concequetive sampling recruited 39 respondents include intervention and control group.. Difference in mean pretest and posttest scores of fatigue incidence in the control and intervention groups using paired T Test while the mean difference of pretest group scores of intervention with control and posttest of intervention and group with fatigue event control using mann whitney test. This study showed that combination of PMR and the five finger technique can be given by nurse to reduce the fatigue incidence of cancer patients who undergoing chemoterapy p 0,05. "

"Prevalensi depresi pada lansia di Indonesia sebesar 30% (Komnas lansia, 2011). Penelitian ini bertujuan untuk mengetahui pengaruh logoterapi lansia dan psikoedukasi keluarga terhadap penurunan depresi, harga diri rendah, ketidakberdayaan, keputusasaan, isolasi sosial dan peningkatan kemampuan memaknai hidup pada lansia di Kelurahan Katulampa Bogor Timur. Desain penelitian quasi eksperimental pre test-post test with control group. Sampel berjumlah 72 orang, 36 orang kelompok intervensi dan 36 orang kelompok kontrol.Hasil penelitian menunjukkan lansia yang diberikan logoterapi lansia dan psikoedukasi keluarga mengalami penurunan lebih besar bermakna terhadap depresi, harga diri rendah, ketidakberdayaan, keputusasaan, isolasi sosial dan peningkatan kemampuan memaknai hidup dibandingkan dengan lansia yang hanya diberikan psikoedukasi keluarga (p value < α 0.05). Logoterapi lansia dan psikoedukasi keluarga direkomendasikan pada lansia depresi dengan diagnosa keperawatan harga diri rendah, ketidakberdayaan, keputusasaan dan isolasi sosial.

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Depression is a major problem for elderly, and the prevalence rate of depression among elderly in Indonesia is around 30% (Komnas Lansia, 2011). The aim of this study was to determine the effect of logotherapy and family psychoeducation on depression, low self-esteem, powerlessness, hopelessness, social isolation, and the ability to look upon the meaning of life among elderly in Katulampa village of East Bogor. The research design was quasi-experimental pre-post test with control group. The sample of this research are 72 respondents, 36 respondents in the intervention group and 36 respondents in the control group.

The results showed a significant decrease of depression, low self-esteem, powerlessness, hopelessness, social isolation, and an increase in meaning life ability among the elderly who receive logotherapy and family psychoeducation compared to the elderly only receive a family psychoeducation (p value < α 0.05). Therefore, the logotherapy and family psychoeducation are recommended for the elderly with depression who are diagnosed with low self-esteem, powerlessness, hopelessness and social isolation."

"Thought stopping pada penelitian sebelumnya efektif terhadap ansietas tetapi belum optimal menurunkan respon fisiologis ansietas. Tujuan penelitian ini adalah menjelaskan pengaruh terapi thought stopping dan progressive muscle relaxation terhadap ansietas klien dengan gangguan fisik. Metode penelitian adalah quasi experimental pre-post test with control group. Penelitian dilakukan pada 56 klien yaitu 28 kelompok intervensi mendapat thought stopping dan progressive muscle relaxation dan 28 kelompok kontrol hanya mendapat thought stopping.Hasil menunjukan ansietas klien yang mendapat thought stopping dan progressive muscle relaxation menurun dari ansietas sedang ke ansietas ringan sedangkan yang mendapat thought stopping menurun tetapi tetap berada pada ansietas sedang. Thought stopping dan progressive muscle relaxation menurunkan respon fisiologis, kognitif, perilaku dan emosi secara bermakna (p value<0,05).

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Thought stopping dan progressive muscle relaxation direkomendasikan unruk penanganan ansietas di tahanan rumah sakit umum dan masyarakat. Previous research had showed that thought stopping decreased anxiety but not yet optimal in physiological responses of anxiety. This study aims to determine the influence of thought stopping and progressive muscle relaxation on anxiety of physical disorder patient. This study used quasi experimental design with pre test-post test control group. Total population were 56 patients that divided into two group. They were 28 patients as control group that received thought stopping and 28 patients as intervention group received combination thought stopping and progressive muscle relaxation.Result showed anxiety in intervention group decreased from moderate anxiety to mild anxiety and control group decreased still in moderate anxiety. Thought stopping and progressive muscle relaxation decreased physiologic, cognitive, behavior and emotional responses of anxiety significantly (p-value<0,05). The combination of this therapy was recommended as therapy to solve the anxiety at general hospital and community."

"Ansietas sering ditemukan pada klien hipertensi akibat kekhawatiran kesehatan dan masa depannya. Selain itu, kegagalan berkomitmen untuk mengurangi faktor risiko dan rejimen pengobatan dalam kehidupan sehari-hari menjadi indikator klinis dengan nilai sensitif paling tinggi pada hipertensi. Karya tulis ilmiah ini bertujuan untuk mengetahui pengaruh tindakan keperawatan, progressive muscle relaxation, acceptance commitment therapy, dan psikoedukasi keluarga terhadap ansietas dan ketidakefektifan manajemen kesehatan klien hipertensi. Pemberian terapi progressive muscle relaxation, acceptance commitment therapy, dan psikoedukasi keluarga dapat menurunkan tanda dan gejala ansietas dan ketidakefektifan manajemen kesehatan secara bermakna pada klien hipertensi. Pemberian paket 3 terapi yaitu terapi progressive muscle relaxation, acceptance commitment therapy, dan psikoedukasi keluarga diketahui mampu menurunkan tanda dan gejala ansietas dan ketidakefektifan manajemen kesehatan lebih tinggi dibanding jika hanya diberikan satu terapi saja atau 2 terapi saja. Sehingga, terapi kombinasi 3 terapi lebih direkomendasikan dalam mengatasi ansietas dan ketidakefektifan manajemen kesehatan pada klien hipertensi.

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Anxiety is often found in hypertension clients due to worries about their health and future. In addition, failure to commit to reducing risk factors and treatment regimens in daily life is a clinical indicator with the highest sensitive value in hypertension. This scientific paper aims to determine the effect of nursing actions, progressive muscle relaxation, acceptance commitment therapy, and family psychoeducation on anxiety and ineffective health management of hypertensive clients. Provision of progressive muscle relaxation therapy, acceptance commitment therapy, and family psychoeducation can significantly reduce signs and symptoms of anxiety and ineffective health management in hypertensive clients. Giving a package of 3 therapies, namely progressive muscle relaxation therapy, acceptance commitment therapy, and family psychoeducation is known to be able to reduce signs and symptoms of anxiety and ineffective health management higher than if only given one therapy or only 2 therapies. Thus, combination therapy of 3 therapies is more recommended in overcoming anxiety and ineffective health management in hypertensive clients."