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"[Senam dan relaksasi otot progresif (Serelak) merupakan bentuk intervensi keperawatan dalam upaya pengendalian hipertensi pada usia dewasa. Penulisan ini bertujuan memberikan gambaran pelaksanaan terapi Serelak dalam asuhan keperawatan komunitas pada usia dewasa hipertensi di Kelurahan Sukamaju Baru Depok. Pelaksanaan terapi dilaksanakan selama 8 kali pengukuran pada 60 responden penderita hipertensi. Hasil upaya pengendalian hipertensi menunjukkan peningkatan kemampuan kelompok pendukung sebesar 42%; peningkatan perilaku kesehatan kelompok usia dewasa: pengetahuan 14,5 (87,4%), sikap 26,5 (82,67%), keterampilan 24,9 (71,5%), penurunan rata-rata tekanan darah usia dewasa hipertensi setelah melakukan terapi Serelak: tekanan sistol 6,6 mmHg, tekanan diastol 5,05 mmHg dengan p value 0,00. Peningkatan perilaku kesehatan pada keluarga yaitu pengetahuan sebesar 16,4 (76,4%), sikap 26 (93%), dan ketrampilan sebesar 22 (83%). Penggunaan terapi nonfarmakologi seperti terapi senam dan relaksasi otot progresif dapat dilakukan dalam menurunkan tekanan darah tinggi dalam upaya pengendalian hipertensi secara optimal.;Exercise and progressive muscle relaxation (Serelak) is a form of nursing interventions in an effort to control hypertension in adulthood. The purpose of this paper was to give an overview of the implementation Serelak therapy in nursing care for community in adulthood hypertension in Sukamaju Baru village Depok. The Implementation of the therapy was conducted over eight times of measurement in 60 respondents have hypertension. The results showed, increase in the ability to support group by 42%; improvement of health behavior an among adult age groups: knowledge by 14.5 (87,4%), attitude by 26.5 (82,6%), skill by 24.9 (71,5%), the average reduction in blood pressure after Serelak therapy: systolic pressure of 6.6 mmHg, diastolic pressure of 5,05 mmHg (p value 0.00). Improved health behaviors in the family that is the knowledge by 16.4 (76,4%), attitude by 26 (93%), and skills by 22 (83%). The use of nonpharmacological therapies such as exercises and progressive muscle relaxation can be carried out in lowering high blood pressure among adulthood., Exercise and progressive muscle relaxation (Serelak) is a form of nursing interventions in an effort to control hypertension in adulthood. The purpose of this paper was to give an overview of the implementation Serelak therapy in nursing care for community in adulthood hypertension in Sukamaju Baru village Depok. The Implementation of the therapy was conducted over eight times of measurement in 60 respondents have hypertension. The results showed, increase in the ability to support group by 42%; improvement of health behavior an among adult age groups: knowledge by 14.5 (87,4%), attitude by 26.5 (82,6%), skill by 24.9 (71,5%), the average reduction in blood pressure after Serelak therapy: systolic pressure of 6.6 mmHg, diastolic pressure of 5,05 mmHg (p value 0.00). Improved health behaviors in the family that is the knowledge by 16.4 (76,4%), attitude by 26 (93%), and skills by 22 (83%). The use of nonpharmacological therapies such as exercises and progressive muscle relaxation can be carried out in lowering high blood pressure among adulthood.]"

"Hipertensi merupakan masalah kesehatan utama bagi lansia baik secara nasional maupun global. Dampak dari hipertensi penyumbang peringkat pertama terbesar kerugian kesehatan. Hal ini perlunya menjadi perhatian, sehingga dikembangkan Inovasi Liga Tensi untuk mengontrol tekanan darah dan stres lansia di Kelurahan Curug, Kota Depok. Tujuan inovasi ini yaitu memberi gambaran tentang pengaruh Intervensi Keperawatan Liga Tensi terhadap penurunan tekanan darah dan stres pada lansia. Metode yang digunakan adalah studi kasus keluarga dan agregat dengan pendekatan asuhan keperawatan keluarga dengan melibatkan 10 keluarga dan 38 lansia yang ada di Kelurahan Curug menggunakan convenience sampling. isometric handgrip exercise (latihan IHG) dan latihan autogenik, terdiri atas 6 sesi selama 12 kali pertemuan. Data sebelum dan setelah intervensi diukur menggunakan sphygmomanometer digital, instrumen perilaku (pengetahuan sikap dan keterampilan) keluarga dan lansia dalam mengelola hipertensi dimodifikasi oleh penulis, pengukuran nilai stres menggunakan DASS 21 dan pengukuran tingkat kemandirian keluarga. Hasil menunjukkan adanya peningkatan pengetahuan, sikap, keterampilan lansia (p<0,05) dan penurunan nilai stres secara bermakna (p<0,05), penurunan tekanan darah sistolik dan diastolik (p<0,05) serta peningkatan kemandirian keluarga. Simpulan terjadi penurunan tekanan darah, penurunan stres dan peningkatan perilaku serta tingkat kemandirian keluarga setelah implementasi Liga Tensi. Diharapkan hasil studi ini dapat diaplikasikan oleh perawat dalam penatalaksanaan dan pengendalian hipertensi lansia di komunitas.

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Hypertension is a major health problem for the older people, both nationally and globally. The impact of hypertension is the first largest contributor to health losses. This needs to be a concern, so that the Tension League Innovation was developed to control blood pressure and stress in the older people in Curug Village, Depok City. The purpose of this innovation is to provide an overview of the effect of the Nursing Intervention Liga Tensi on reducing blood pressure and stress in the older people. The method used is a family case study and aggregated with a family care approach involving 10 families and 38 older people in Curug Village using convenience sampling. The Liga Tensi innovation is an integration of Isometric Handgrip Exercise and Autogenic Training, consisting of 6 sessions for 12 meetings. Data before and after the intervention were measured using a digital sphygmomanometer and an instruments for measuring behaviours (knowledge, attitudes and skills) of families and the older people in managing hypertension were modified by the author, an instrument for measuring stress values ​​using DASS 21 and measuring family independence. The results showed an increase in knowledge, attitudes, skills of the older people (p<0.05) and a significant decrease in stress values ​​(p<0.05), a decrease in systolic and diastolic blood pressure (p<0.05) and an increase in family independence. The conclusion is that there is a decrease in blood pressure, a decrease in stress and an increase in behaviour and family independence after the implementation of the Liga Tensi. It is hoped that the results of this study can be applied by nurses in the treatment and control of hypertension in the older people in the community."

"[ABSTRAKBesarnya jumlah wanita bekerja di DKI Jakarta saat ini menunjukan bahwa parawanita saat ini memegang banyak peran dalam hidupnya. Semakin banyak peran yangdipegang meningkatkan resiko para wanita untuk mengalami role overload dan distres.Distres yang dialami seseorang diketahui memiliki dampak negatif pada diri danlingkungannya. Wanita multiperan yang mengalami distres tidak hanya merugikan dirinyasendiri, tetapi juga berpotensi menimbulkan dampak negatif bagi perkembangan bayi,konflik dengan pasangan, keluarga, rekan kerja, hingga orangtua. Telah diketahui bahwapemberian intervensi menggunakan teknik manajemen stres menjadi salah satu alternatifuntuk membantu mengelola stres yang dialami oleh para wanita yang memiliki anak.Penelitian ini dilakukan dengan memodifikasi teknik manajemen stres LivingSMART danmenggunakan bentuk intervensi kelompok. Tujuan dari pemberian intervensi ini adalahuntuk memberikan teknik-teknik yang dapat membantu proses penyesuaian emosional danmenurunkan tingkat distres para wanita multiperan, khususnya pada ibu bekerja dalamperiode postpartum. Program manajemen stres LivingSMART yang telah dimodifikasikemudian dinamakan ?Stress Management Program for New Moms?. Program inidilaksanakan selama lima sesi mingguan yang masing-masing berlangsung selama 90menit. Hasil penelitian ini menunjukkan bahwa intervensi manajemen stres dapatmemberikan dampak positif pada para partisipan, seperti meningkatkan kemampuanmengenali stresor dan mengenali reaksi stres yang dialami, menurunkan tingkat stres, sertameningkatkan kemampuan penggunaan teknik relaksasi, meditasi, dan visual imagery

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ABSTRACTThe large number of working women in Jakarta nowadays shows that womencurrently hold many roles in their life. It increases the risk of women to experience roleoverload and distress. Distress experienced by an individual known to have some negativeimpacts on themselves and their environment. Multiple role women experiencing distressnot only hurt themselves, but also potentially harm the development of the baby, causingconflicts with their partner, family, co-workers, and also their parents and in-laws. It isknown that the administration of the intervention using stress management techniquesbecame one of the alternatives to help manage stress experienced by women who havechildren. This thesis was carried out by modifying the LivingSMART stress managementtechniques and was using group intervention. The purpose of this intervention is to providetechniques that can help the process of emotional adjustment and to reduce the distresslevels of multiple role women, in particular on working mothers in the postpartum period.LivingSMART stress management program that has been modified, then called "StressManagement Program for New Moms". The program is implemented for five weeklysessions, each lasting 90 minutes. These results indicate that stress managementinterventions have some positive impacts on the participants, such as improving the abilityto identify and recognize the stressors experienced stress reactions, reducing stress levels,and improving the ability to use relaxation techniques, meditation, and visual imagery.;The large number of working women in Jakarta nowadays shows that womencurrently hold many roles in their life. It increases the risk of women to experience roleoverload and distress. Distress experienced by an individual known to have some negativeimpacts on themselves and their environment. Multiple role women experiencing distressnot only hurt themselves, but also potentially harm the development of the baby, causingconflicts with their partner, family, co-workers, and also their parents and in-laws. It isknown that the administration of the intervention using stress management techniquesbecame one of the alternatives to help manage stress experienced by women who havechildren. This thesis was carried out by modifying the LivingSMART stress managementtechniques and was using group intervention. The purpose of this intervention is to providetechniques that can help the process of emotional adjustment and to reduce the distresslevels of multiple role women, in particular on working mothers in the postpartum period.LivingSMART stress management program that has been modified, then called "StressManagement Program for New Moms". The program is implemented for five weeklysessions, each lasting 90 minutes. These results indicate that stress managementinterventions have some positive impacts on the participants, such as improving the abilityto identify and recognize the stressors experienced stress reactions, reducing stress levels,and improving the ability to use relaxation techniques, meditation, and visual imagery., The large number of working women in Jakarta nowadays shows that womencurrently hold many roles in their life. It increases the risk of women to experience roleoverload and distress. Distress experienced by an individual known to have some negativeimpacts on themselves and their environment. Multiple role women experiencing distressnot only hurt themselves, but also potentially harm the development of the baby, causingconflicts with their partner, family, co-workers, and also their parents and in-laws. It isknown that the administration of the intervention using stress management techniquesbecame one of the alternatives to help manage stress experienced by women who havechildren. This thesis was carried out by modifying the LivingSMART stress managementtechniques and was using group intervention. The purpose of this intervention is to providetechniques that can help the process of emotional adjustment and to reduce the distresslevels of multiple role women, in particular on working mothers in the postpartum period.LivingSMART stress management program that has been modified, then called "StressManagement Program for New Moms". The program is implemented for five weeklysessions, each lasting 90 minutes. These results indicate that stress managementinterventions have some positive impacts on the participants, such as improving the abilityto identify and recognize the stressors experienced stress reactions, reducing stress levels,and improving the ability to use relaxation techniques, meditation, and visual imagery.]"

"ABSTRAKHipertensi memberikan dampak bagi penderita, keluarga, masyarakat dan pemerintah sehingga sangat diperlukan penanganan yang komprehensif tidak hanya pada faktor genetik dan gaya hidup. Kemampuan mengelola stres dengan mengenal sumber stresor, mengungkapkan kemarahan dengan tidak berlebihan, mendapatkan dukungan keluarga serta penggunaan teknik relaksasi menjadi komponen penting dalam manajemen diri hipertensi. Keluarga menjadi sumber dukungan dalam pengelolaan kesehatan anggota keluarga dengan hipertensi. Penelitian ini bertujuan untuk mengidentifikasi hubungan dukungan keluarga dengan manajemen stres pada dewasa hipertensi di Kabupaten Pringsewu, Lampung. Metode penelitian menggunakan cross sectional, dengan jumlah sampel 162 dewasa hipertensi. Pengambilan sampel menggunakan purposive sampling dengan teknik pemilihan sampel menggunakan metode consecutive sampling. Sampel penelitian adalah dewasa hipertensi dengan usia 30-59 tahun, tinggal bersama keluarga dan mampu berkomunikasi verbal dengan baik. Analisis menggunakan uji Pearson menunjukkan ada hubungan antara dukungan instrumental, informasi, emosional, penghargaan dan dukungan keluarga dengan manajemen stres pada dewasa hipertensi di Kabupaten Pringsewu, Lampung dengan nilai p value < 0,05. Analisis lebih lanjut menggunakan regresi linier berganda menunjukkan bahwa dukungan emosional merupakan variabel yang paling berhubungan dengan manajemen stres setelah dikontrol variabel confounding. Dukungan keluarga merupakan bentuk bantuan keluarga yang sangat penting dalam manajemen stres hipertensi.

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ABSTRACTcomprehensive treatment not only on genetic and lifestyle factors. The ability to manage stress by knowing the source of stressors, expressing anger with moderation, getting family support as well as the use of relaxation techniques become an important component in hypertension self management. Families become a source of support in managing the health of family members with hypertension. This study aims to identify the relation of family support with stress management in adult hypertension in Pringsewu Regency, Lampung. The research method used cross sectional, with 162 adult sample of hypertension. Sampling using purposive sampling with sample selection technique using consecutive sampling method. The study sample is adult hypertension with age 30 59 years old, living with family and able to communicate verbally well. Analysis using Pearson test showed there was correlation between instrumental support, information, emotional, appreciation and family support with stress management in adult hypertension in Pringsewu Regency, Lampung with p value "

"Meningkatnya kepadatan penduduk berdampak pada meningkatnya prevalensi hipertensi di area perkotaan. Perawat mempunyai peran dan tanggung jawab dalam mengatasi masalah hipertensi di perkotaan, yaitu dengan memberikan asuhan keperawatan berbasis keluarga. Penulisan karya ilmiah akhir ners ini bertujuan menggambarkan asuhan keperawatan keluarga dengan gaya hidup monoton pada masalah hipertensi di Kelurahan Sukamaju Baru, Depok.Penulisan ini didasarkan pada aplikasi intervensi berupa manajemen olahraga: jalan kaki pada penderita hipertensi dan dianalisis berdasarkan berbagai konsep dan penelitian terkait.Hasil intervensi menunjukkan bahwa manajemen olahraga: jalan kaki berhasil mengatasi hipertensi. Perawat dapat menggunakan olahraga: jalan kaki sebagai intervensi non-medis dalam memberikan asuhan keperawatan keluarga dengan hipertensi.

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The high populations density has impacted on the high hypertension prevalence in the urban areas. The nurses have roles and responsibilities to overcome the hypertension problem in the urban areas by providing family nursing care. The goal of this report was to describe family nursing care for family with sedentary lifestyle and hypertension problem at Kelurahan Sukamaju Baru, Depok.This paper was written based on the application of exercise management: walking to family with hypertension and was analyzed based on some relevant concepts and literatures.The results showed that exercise managements: walking could decrease blood pressure. Nurses can use exercise managements: walking as a non-medical intervention in providing family nursing care to family with hypertension."

"Stres sudah menjadi masalah kesehatan secara global karena dampaknya terhadap kesehatan. Penelitian tentang stres yang dialami pengasuh di panti jompo di Indonesia belum pernah dilakukan. Tujuan penelitian ini adalah melihat gambaran stres pengasuh di beberapa panti jompo di Provinsi DKI Jakarta berdasarkan karakteristik pengasuh, status psikologis pengasuh, karakteristik lansia dan panti jompo serta faktor yang berhubungan dengan stres pada pengasuh. Desain penelitian yang digunakan adalah potong lintang (cross sectional) dari bulan Desember 2012 - Januari 2013. Penelitian menggunakan total sampling berjumlah 57 orang.Penelitian menunjukkan prevalensi stres sebesar 77,2%. Kebanyakan pengasuh berumur ≥ 34 tahun (50,9%), berjenis kelamin laki-laki (59,6%), tinggal di wilayah Jakarta (68,4%), menempati rumah sendiri (36,8%), tamat SMA (64,9%), sudah menikah (75,4%), memiliki anak ≥ 2 (54,4%), berpendapatan tinggi (50,9%) dan berpengeluaran tinggi (50,9%), melakukan strategi koping adaptive (94,7%) dan merasa puas (78,9%). Pengasuh yang mengasuh ≥ 20 lansia secara langsung ada 56,1%, yang mengasuh selama ≥ 4 jam per hari sebanyak 52,6%. Kebanyakan pengasuh tidak memiliki jadwal kerja malam yang rutin (68,4%) dan tidak pernah mengikuti pelatihan khusus mengasuh lansia (50,9%). Pengasuh yang mengasuh ≥ 20 lansia secara langsung ada 56,1% dan rata-rata jumlah lansia demensia yang diasuh adalah 11 lansia, lansia demensia yang paling banyak diasuh adalah lansia demensia berumur > 70 tahun dan berjenis kelamin perempuan. Sementara faktor yang berhubungan dengan stres pada pengasuh adalah kepuasan bekerja (nilai p = 0,05). Kesimpulannya, stres pengasuh di panti jompo cukup tinggi dan berhubungan dengan kepuasan bekerja.

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Stress has become a global health problem because of its impact on health. Research on the stress experienced by caregivers in nursing homes has not been done. The purpose of this research is to describe stress of caregivers in nursing homes in Province of DKI Jakarta based on the characteristics of caregiver, psychological status of caregiver, characteristics of the elderly and nursing home and factors related to stress of caregiver. The research design used was cross sectional from December 2012 - January 2013. Research using total sampling amounted to 57 people.

Research shows the prevalence of stress amounted to 77,2%. Most caregiver ≥ 34 years (50.9%), male (59.6%), living in Jakarta (68,4%), living in their own home (23%), finished high school (64,9%), married (75.4%), having child ≥ 2 (54.4%), high-income and high expenses (50.9%), do adaptive coping strategy (94,7%) and feel satisfied (78,9%). Caregiver who directly caring ≥ 20 elderly was 56.1%, caring ≥ 4 hours per day was 52.6%. Most caregiver also does not have regular night work schedule (68,4%) and never follow a special training in caring for the elderly (50.9%). Caregiver who directly caring ≥ 20 elderly was 56.1% and the average number of elderly dementia that is taken care of is 11 elderly, elderly dementia who the most widely taken care of are elderly dementia with age > 70 years and women are the most. While factors related to stress of caregivers is the satisfaction of working (p = 0.05).

In conclusion, the stress of caregivers in nursing homes is quite high and is associated with the satisfaction of working."

"Tesis ini bertujuan untuk mengidentifikasi dan menganalisis sumber-sumber stres yang dirasakan dan dialami oleh anggota Reskrim, mengidentifikasi dan menganalisis agresivitas yang dilakukan oleh anggota Reskrim, menjelaskan kaitan antara stres dan agresivitas, serta membuat rumusan mengenai strategi penanganan stres oleh organisasi. Dalam penelitian ini, peneliti menggunakan metode campuran, yaitu kuantitatif dan kualitatif. Metode kuantitatif dilakukan dengan cara menyebar kuesioner kepada 30 anggota Reskrim. Metode Kualitatif dilakukan dengan mewawancarai narasumber sebanyak 7 orang yang kesemuanya adalah anggota reskrim. Teori yang digunakan dalam tesis ini yaitu teori coping stres dan teori agresivitas. Hasil penelitian menunjukkan bahwa sumber stres yang dirasakan oleh anggota ada 3 yaitu stres pribadi, stres kerja, serta stres organisasi. Dari ketiga sumber stres tersebut, ditemukan bahwa sumber stres kerja dan stres organisasi adalah yang paling dominan dirasakan oleh anggota. Apabila stres tidak segera ditangani, anggota reskrim memiliki kerawanan untuk melakukan agresivitas. Dari hasil penelitian ditemukan bahwa ada 4 bentuk agresivitas yang dilakukan anggota Reskrim yaitu agresi fisik, agresi verbal, kemarahan (anger), serta kebencian (hostility). Untuk mencegah terjadinya Agresivitas tersebut perlu dilakukan upaya Coping Stress oleh anggota, hal ini dapat dilakukan dengan problem-focused coping secara individu, emotion-focused coping secara individu, problem-focused coping organisasi, dan emotion-focused coping organisasi. Hasil penelitian menemukan bahwa upaya coping stres dari organisasi sangat jarang didapat oleh anggota. Diperlukan adanya mekanisme yang jelas yang dibuat oleh organisasi untuk mengatasi stres anggota agar terhindar dari perilaku Agresivitas.

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This thesis aims to identify and analyze the sources of stress felt and experienced by members of the Criminal Investigation Police, identify and analyze the aggressiveness carried out by members of Criminal Investigation Police, explain the relationship between stress and aggressiveness, and formulate a strategy for handling stress by the organization. In this study, researchers used mixed methods, namely quantitative and qualitative. The quantitative method is carried out by distributing questionnaires to 30 members of the Criminal Investigation Unit. Qualitative methods are carried out by interviewing as many as 7 people who are all members of the Criminal Police Reskrim. The theory used in this thesis is stress coping theory and the theory of aggressiveness.

The results showed that there were 3 sources of stress felt by members, namely personal stress, work stress, and organizational stress. Of the three sources of stress, it was found that the sources of work stress and organizational stress were the most dominant felt by members. If stress is not immediately addressed, reskrim members have the vulnerability to aggressiveness. From the results of the study it was found that there were 4 forms of aggressiveness carried out by members of the Criminal Investigation Unit, namely physical aggression, verbal aggression, anger (hostility), and hostility. To prevent the occurrence of aggressiveness, Coping Stress is needed by members, this can be done by problem-focused coping individually, emotion-focused coping individually, problem-focused coping organizations, and emotion-focused coping organizations. The results of the study found that stress coping efforts from organizations were very rarely obtained by members. There is a need for a clear mechanism made by the organization to deal with members' stress to avoid aggressiveness."

"Latar belakang. Bidang kerja sosial merupakan salah satu pekerjaan yang rentan terhadap stres kerja. Hal ini karena tugas pekerja sosial adalah untuk membantu orang lain dalam mengatasi masalah ataupun pemberdayaan individu untuk meningkatkan kesejahteraan diri. Dalam menjalankan pekerjaannya, terkadang kesejahteraan pribadi mereka terlupakan sehingga muncul stres kerja. Stres kerja dapat berdampak pada banyak hal, misalnya kesalahan pada pekerjaan, tingginya tingkat absensi, terganggunya hubungan sosial, dan bahkan depresi. Untuk mencegah hal tersebut perlu dilakukan intervensi manajemen stres terhadap pekerja sosial tersebut. Metode. Penelitian ini menggunakan desain before-after dengan jenis penelitian kualitatif yang ditunjang dengan kuantitatif. Intervensi didasarkan pada modul manajemen stres kerja dari Davis, Eshelman dan M?Kay (2008) yang diadaptasi sehingga sesuai bagi partisipan penelitian. Partisipan penelitian ini adalah pekerja sosial yang berasal dari staf pengasuhan Yayasan Kampus Diakonea Modern (KDM). Manajemen stres dilakukan dengan intervensi kelompok karena diharapkan tiap individu dapat berbagi informasi maupun rasa empati satu sama lain. Penelitian ini dijalani oleh tiga orang partisipan dengan rangkaian intervensi sebanyak empat pertemuan. Hasil. Berdasarkan wawancara dan hasil alat ukur, diketahui bahwa intervensi manajemen stres ini dapat menurunkan tingkat stres dua dari tiga partisipan yang mengikuti program. Terdapat beberapa perubahan positif yang muncul, misalnya mulai digunakannya komunikasi asertif dengan anak-anak penghuni KDM, digunakannya skala prioritas untuk menyelesaikan masalah, atau munculnya kemampuan mengatasi kecemasan ketika menghadapi atasan. Akan tetapi satu partisipan mengalami peningkatan stres setelah mengikuti rangkaian program ini.

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Background. Social work is a field that is vulnerable to occupational stress. The social work profession promotes social change, problem solving in human relationships and the empowerment of people to enhance well-being, while their own well being is sometimes left behind and creates occupational stress There are some effects from occupationnal stress: mistakes when doing tasks, abseenteism, high alcohol consumtion, disruption of social relationship, and it can lead to depression. Stress management is considered as an effective way to defeat occupational stress.

Method. The research design is before-after with qualitative - quantitative approach. This intervention is based on occupational stress management invented by Davis, Eshelman and M?Kay (2008) that was modified and added with materials that suits the demand of participants. The study involved 3 parenting staffs from Yayasan Kampus Diakonea Modern (KDM) and will be done with group intervention. Participants underwent 1 pre assessment meeting, 4 group intervention sessions, and 1 post assessment meeting along the program.

Result. Measurement using observation and interview shows that stress management intervention (assertive communication, priority scale as one way to solving problems, or handling anxiety provoking thoughts) gives additional information and behavior changes in 2 participants, Unfortunately, 1 participant report a raise in occupational stress after the intervention."

"[ABSTRAK ILMI-SpaRe merupakan intervensi keperawatan komunitas yang terintegrasi bertujuan untuk menurunkan status depresi pada lansia. Tujuan penulisan untuk memberikan gambaran penerapan intervensi ILMI-SpaRe pada lansia dengan depresi dalam pelayanan dan asuhan keperawatan komunitas. Hasil evaluasi kegiatan adalah terjadi penurunan status depresi pada lansia sebesar 54,21% dengan peningkatan pengetahuan 10,08 %; sikap 8,05 %; keterampilan lansia melakukan intervensi ILMI-SpaRe khususnya spiritual care intervention dan relaksasi otot progresif meningkat menjadi 60,8%. Intervensi spiritual care dan relaksasi otot progresif dapat menurunkan status depresi lansia. Direkomendasikan untuk meningkatkan pemberdayaan masyarakat melalui aktivitas-aktivitas yang positif dan bersahabat, agar tercipta lansia bahagia, mandiri dan produktif.ABSTRACT ILMI-SpaRe is community nursing intervention integrated aiming at decreasing depression level among elderly. This paper seek to provide an overview of the intervention in the community setting. The results showed that there was a decrease in the level of depression in the elderly by 54,21%, accompanied by an increase in knowledge (10,08 %) and in attitudes (8,05%). The elderly ability to rehearse spiritual care intervention and progressive muscle relaxation also increased to 60,8%. ILMI-SpaRe combining spiritual care intervention can reduce depression level of elderly. Recommended to enhanced community empowerment through positive and friendly activities that involve elderly to sustain their health, independence and happiness.;ILMI-SpaRe is community nursing intervention integrated aiming at decreasing depression level among elderly. This paper seek to provide an overview of the intervention in the community setting. The results showed that there was a decrease in the level of depression in the elderly by 54,21%, accompanied by an increase in knowledge (10,08 %) and in attitudes (8,05%). The elderly ability to rehearse spiritual care intervention and progressive muscle relaxation also increased to 60,8%. ILMI-SpaRe combining spiritual care intervention can reduce depression level of elderly. Recommended to enhanced community empowerment through positive and friendly activities that involve elderly to sustain their health, independence and happiness., ILMI-SpaRe is community nursing intervention integrated aiming at decreasing depression level among elderly. This paper seek to provide an overview of the intervention in the community setting. The results showed that there was a decrease in the level of depression in the elderly by 54,21%, accompanied by an increase in knowledge (10,08 %) and in attitudes (8,05%). The elderly ability to rehearse spiritual care intervention and progressive muscle relaxation also increased to 60,8%. ILMI-SpaRe combining spiritual care intervention can reduce depression level of elderly. Recommended to enhanced community empowerment through positive and friendly activities that involve elderly to sustain their health, independence and happiness.]"