Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
Kecemasan merupakan pengalaman manusia yang universal akibat ketidakpastian dan ketidakberdayaan perasaan yang bersumber dari pikiran yang tidak jelas dan tidak teridentifikasi. Kecemasan dimanifestasikan dengan respon fisiologis, afektif, perilaku, dan kognitif. Tujuan penelitian mengetahui tingkat kecemasan keluarga pasien di ruang ICU. Desain penelitian menggunakan deskriptif dengan jumlah sampel penelitian 36 responden. Hasil penelitian tingkat kecemasan keluarga pasien di ruang ICU RSUD Cibinong termasuk sedang (77,8%). Respon keluarga dalam menghadapi anggota keluarganya di ruang ICU masih dalam rentang adaptif. Perawat perlu menggunakan komunikasi terapeutik untuk menurunkan tingkat kecemasan keluarga pasien di ICU. ......Anxiety is a universal experience due to the feeling of uncertainty and helplessness that comes from thoughts that cannot identified clearly. Anxiety is manifested by physiological, cognitive, affective, and behavioral responses. This study aimed to determine the level of anxiety in the family who's their family member was cared in the ICU. Research design was simple descriptive and total sample was 36 respondents. The results showed that the level of anxiety in the family of patient's cared in Intensive Care Unit, District Hospital of Cibinong was moderate (77.8%). The family also responded in the range of adaptive behavior during the care of their family member in the ICU. Nurses need to use therapeutic communication to decrease the anxiety level of family of patients cared in the ICU.

Abstrak :
Despite recent research indicating that 1 of the pivotal times for identifying pathways to early conduct problems is the toddler period, few family-based preventive interventions have been specifically designed to modify child disruptive behavior during this age period. This randomized trial tested the effectiveness of the Family Check-Up in sustaining maternal involvement and preventing the exacerbation of child conduct problems among 120 at-risk toddler-age boys, half of whom were randomly assigned to a treatment condition. The intervention was associated with reductions in disruptive behavior and greater maternal involvement and was particularly effective for children at greater risk for a persistent trajectory of conduct problems. The results are discussed in relation to other preventive interventions for young children.

Abstrak :
This study examined the efficacy of a self-administered behavioral family intervention for 126 parents of toddlers. The effects of 2 different levels of intensity of the self-administered intervention were contrasted (self-administered alone or self-administered plus brief therapist telephone assistance). The results provide support for the efficacy of the self-administered form of behavioral family intervention. There were significant short-term reductions in reported child behavior problems and improvements in maternal parenting style, parenting confidence, and anger. Families who received minimal therapist assistance made more clinically significant gains compared with families who completed the program with no therapist assistance. The intervention effects were maintained at 6-month follow-up. The implications of the findings for the population-level delivery of behavioral family interventions are discussed.

Abstrak :
Couples expecting their first child were randomly assigned to intervention (n=28) and comparison groups (n=38) to assess the efficacy of a couples intervention and examine marital satisfaction trajectories across the transition to parenthood. The primarily European American sample (M age=30 years) completed assessments of marital satisfaction at 5 points from the final trimester of pregnancy to 66 months postpartum. Growth curve analyses indicated a normative linear decline in marital satisfaction. Intervention participants experienced significantly less decline than comparison participants, providing support for the efficacy of the intervention. Comparable childless couples (n=13) did not show a decline in marital satisfaction. The results suggest that early family transitions that strain couple relationships provide critical opportunities for preventive interventions to strengthen marriage.

Abstrak :
The purpose of this study was to evaluate the effectiveness of a 2-component intervention for biological and foster parent (pairs) to improve parenting practices, co-parenting, and child externalizing problems. Participants were biological and foster parents (N=128) of primarily neglected children (ages 3 to 10 years) placed in regular foster homes. Biological and foster parents were randomly assigned in pairs to the intervention (n=80) or a usual care (n=48) condition. Intervention families received a 12-week parenting course (Incredible Years) and a newly developed co-parenting component. Key findings included significant gains in positive parenting and collaborative co-parenting for both biological and foster parents at the end of the intervention. At follow-up, intervention parents sustained greater improvement in positive parenting, showed gains in clear expectations, and reported a trend for fewer child externalizing problems. Findings supported the feasibility of offering joint parenting training to meet the needs of participating families and demonstrated that the co-parenting construct applied to families in the foster care system was amenable to intervention.

Abstrak :
Evaluated the effectiveness of juvenile drug court for 161 juvenile offenders meeting diagnostic criteria for substance abuse or dependence and determined whether the integration of evidence-based practices enhanced the outcomes of juvenile drug court. Over a 1-year period, a four-condition randomized design evaluated outcomes for family court with usual community services, drug court with usual community services, drug court with multisystemic therapy, and drug court with multisystemic therapy enhanced with contingency management for adolescent substance use, criminal behavior, symptomatology, and days in out-of-home placement. In general, findings supported the view that drug court was more effective than family court services in decreasing rates of adolescent substance use and criminal behavior. Possibly due to the greatly increased surveillance of youths in drug court, however, these relative reductions in antisocial behavior did not translate to corresponding decreases in rearrest or incarceration. In addition, findings supported the view that the use of evidence-based treatments within the drug court context improved youth substance-related outcomes. Clinical and policy implications of these findings are discussed.

Abstrak :
This study used longitudinal, multimethod data to examine specific patterns of behavioral interaction with parents and peers that were hypothesized to predict increasing levels of depressive symptoms in early adolescence. Adolescents' struggles in establishing autonomy and relatedness in interactions with mothers, and a withdrawn, angry, or dependent pattern of behavior with a best friend, were assessed with observational and peer-report methods in a community sample of 143 adolescents, who were also assessed for levels of depressive symptoms at age 13 and with whom the authors followed up 1 year later. Study hypotheses were confirmed, with dysfunctional interaction patterns with parents and peers combining additively to account for substantial change variance in depressive symptoms over time. Results are interpreted as highlighting specific behavioral patterns that may be promising to address via psychosocial interventions targeting adolescent depression.

Abstrak :
A cluster, stratified randomized design was used to evaluate the impact of universal, indicated, and combined universal plus indicated cognitive- behavioral approaches to the prevention of depression among 13- to 15-year-olds initially reporting elevated symptoms of depression. None of the intervention approaches differed significantly from a no-intervention condition or from each other on changes in depressive symptoms, anxiety, externalizing problems, coping skills, and social adjustment. All high-symptom students, irrespective of condition, showed a significant decline in depressive symptoms and improvement in emotional well-being over time although they still demonstrated elevated levels of psychopathology compared with the general population of peers at 12-month follow-up. There were also no significant intervention effects for the universal intervention in comparison with no intervention for the total sample of students in those conditions.