Medical Journal of Nusantara

KONTRIBUSI TERAPI REHABILITASI KOGNITIF TERHADAP FUNGSI KOGNITIF PADA PASIEN SKIZOFRENIA

Rita Untari, Maharso Adhi Nugroho — Wed, 18 Sep 2024 00:00:00 +0000

Schizophrenia is a serious mental disorder accompanied by positive and negative symptoms, cognitive disorders, mood, recklessness, and aggression. Impaired cognitive function is an inability to pay attention, memory, judgment, problem-solving, and executive abilities. One of the therapies for cognitive deficits in schizophrenia patients is Cognitive Rehabilitation therapy. The research aimed to determine whether there was a contribution of cognitive rehabilitation therapy to the cognitive function of schizophrenia patients at RSJD Dr. Arif Zainudin Surakarta. This research used a quasi-experimental non-random pretest and posttest with control group design, data analysis used the comparative Wilcoxon test and the Mann-Whitney test. The sample consisted of 32 people (15 control group, 17 intervention group)—the instrument used by the Indonesian version of MoCA. The intervention was carried out over 6 meetings, in groups. The cognitive function score of the control group, the pretest mean was 20.26 and the posttest mean was 21.60. The cognitive function score of the intervention group, the average pretest score was 21.8, and the average post-test score was 25.6. The results of the pretest and posttest Wilcoxon test data analysis for the control group with sig. 0.000 with a p-value <0.05; pretest and posttest Wilcoxon test in the intervention group with sig. 0.000 and p-value <0.05; Mann-Whitney test in the control-intervention group with sig. 000 with a p-value <0.05. This indicates that there is a significant difference in cognitive function abilities between the control group and the intervention group that underwent cognitive rehabilitation therapy for schizophrenia patients at RSJD Dr. Arif Zainudin Surakarta. There was a significant difference in scores between the control group and the intervention group. The results of comparative tests between the two groups showed that there was a significant effect of cognitive rehabilitation therapy on the cognitive function of schizophrenia patients.

HUBUNGAN AKTIFITAS BERNYANYI YANG DILAKUKAN SUPORTER FUTSAL DENGAN GANGGUAN SUARA DI SMAN 1 SURAKARTA

Rezekika Aulia, Gunawan Gunawan — Fri, 11 Oct 2024 00:00:00 +0000

Background: Voice disorder often occur due to misuse of the voice. Anyone, whether male or female, who uses their voice excessively can make their voice problems worse by shouting too much and talking too loundy. Some jobs are very susceptible to voice problems, including football coaches, singers, me, and supporters. However, supporters' understanding of sound disorders is very low. Objectives: This study aims to determine the relationship between singing activities and voice disorders in futsal supporters at SMAN 1 Surakarta. Methods: This research took futsal supporter respondents at SMAN 1 Surakarta. The number of respondents studied was 52 respondents with data collection using Purposive sampling and the respondents filled in the questionnaire provided. Results: The number of respondents who did not have voice problems was 67.3%. while those who experienced mild disorders were 32.7%. The results of the Kendall Tau test concluded that the value of p = 0.001, meaning that Ha (Alternative Hypothesis) was accepted because the value of ρ < 0.05 indicated that there was an active relationship between supporters of singing activities and noise disturbance at that time. SMAN 1 Surakarta. Meanwhile, the correlation coefficient (r) value obtained was 0.406, indicating that the strength of the relationship between supporters of singing activities and voice disorders was in the "Medium" category. The direction of correlation between variables is positive, meaning that the two variables have a unidirectional relationship, where the value of one variable increases as the value of the other variable increases. Conclusion: There is a relationship between the singing activities of futsal sapporters and voice disorders at SMAN 1 Surakarta.

EFEKTIVITAS ANKLE SUPPORT TERHADAP KESEIMBANGAN DINAMIS PADA PEMAIN FUTSAL NON PROFESSIONAL DENGAN CEDERA PERGELANGAN KAKI

Anissa Eka Septiani — Fri, 01 Nov 2024 00:00:00 +0000

Background: Ankle injury is a common condition experienced by individuals who have high activity or in individuals who exercise. This condition causes pain, swelling, instability, muscle weakness, postural control deficits, and balance disorders. Efforts to improve dynamic balance include providing ankle support that increases proprioception for the user. Purpose of the study: to determine the effectiveness of using ankle support on dynamic balance in nonprofessional futsal players with ankle injuries. Research method: using quantitative quasi experiment, one group pretest posttest design with a total of 25 subjects of nonprofessional futsal players who experienced injuries. Analysis of this research data using the Wilcoxon test The results of the hypothesis test showed a p value of 0.000 and the value <0.05, meaning that there is an effectiveness in providing ankle support to improve dynamic balance in nonprofessional futsal players with ankle injuries. Conclusion: ankle support is effective in improving balance for nonprofessional futsal players with ankle injuries.

HUBUNGAN BENTUK TOE BOX TERHADAP KEJADIAN VALGUS PADA GURU SEKOLAH MENENGAH PERTAMA DAN ATAS

Handamari Nursatun Zahra, Sisybania, Muhammad Fathi — Mon, 18 Nov 2024 00:00:00 +0000

Background: Teaching is one of the professions that makes a person classified as using formal or non-formal shoes in accordance with the teaching field with a toe box that sometimes does not match the shape of the foot or is smaller than the size of the foot. Toe boxes are divided into three shapes, namely round, square, and pointed toe boxes. The use of shoes with toe boxes that do not match the size of the foot can cause health problems such as the appearance of hallux valgus. Hallux valgus or known as bunion or stiff big toe is a forefoot deformity that causes the Metatarsal Phalangeal Joint (MTPJ) to deviate laterally and the first metatarsal to deviate medially. The purpose of this study was to determine the relationship of toe box shape to the incidence of hallux valgus in junior and senior high school teachers in Jumapolo District. Methods: This study used an analytic observational method with a cross sectional design. The subjects in this study were teachers in junior and senior high schools in Jumapolo District. Sampling using purposive sampling technique with a sample of 27 people consisting of 21 women and 6 men. The research instrument in this study used a goniometer. The independent variable in this study is the shape of the toe box and the dependent variable in this study is hallux valgus. Hypothesis testing in this study used the spearman test. Results: Based on hypothesis testing using the Spearman test, the significance value p=0.000 (p<0.05) was obtained, which can be explained that there is a relationship between the toe box and the incidence of hallux valgus in junior and senior high school teachers in Jumapolo. The results obtained with subjects who experienced hallux valgus were 27 people with subjects who used round toe boxes as many as 2 people, square toe boxes 12 people and pointed toe boxes 13 people. Conclusion: Based on the results of the research conducted, the subjects who experienced hallux valgus were 27 people with subjects who used round toe boxes as many as 2 people, square toe boxes 12 people and pointed toe boxes 13 people in junior and senior high school teachers in Jumapolo District.

DIGITALISASI KESEHATAN DALAM PENINGKATAN KUALITAS LAYANAN KESEHATAN

Ade Amallia — Wed, 11 Dec 2024 00:00:00 +0000

Digitalisasi kesehatan menjadi salah satu upaya strategis dalam meningkatkan kualitas layanan kesehatan, sebagaimana kemajuan teknologi digital yang terus mengalami pembaruan. Tujuan dari penelitian ini guna melakukan analisa peran digitalisasi kesehatan dalam meningkatkan kualitas layanan kesehatan. Metode penelitian yang digunakan dalam penelitian ini ialah literature review dengan menggunakan database ilmiah yang dilakukan secara sistematis, meliputi proses pencarian, penyaringan, dan analisa artikel ilmiah yang diperoleh dari PubMed, Science Direct, dan Google Scholar. Hasil penelitian menunjukkan digitalisasi kesehatan memberikan peran positif terhadap kualitas pelayanan khususnya dalam dunia medis, seperti halnya peningkatan aksesibilitas layanan, dan terjaganya akurasi data pasien dengan baik. Implementasi teknologi yang saat ini telah berjalan salah satunya ialah rekam medis elektronik, sebagai bentuk upaya pengambilan keputusan klinis yang lebih baik kedepannya, guna meningkatkan mutu pelayanan kesehatan. Keberhasilan digitalisasi kesehatan didukung dengan kompetensi tenaga kesehatan, infrastruktur teknologi yang memadai, dan dukungan literasi digital masyarakat. Kemajuan teknologi akan beriringan dengan adanya tantangan, yang memungkinkan terjadinya resistensi pengguna, dan kesenjangan digital untuk daerah terpencil, sehingga diperlukan adanya pendampingan yang optimal dalam mendukung suksesnya program digitalisasi kesehatan. Penelitian ini menyimpulkan, bahwa digitalisasi kesehatan menjadi bagian dari upaya potensial dalam meningkatkan kualitas layanan kesehatan secara merata. Keberhasilan digitalisasi tidak terlepas dari kolaborasi yang baik antar pemangku kepentingan dan pendekatan yang berkelanjutan untuk menghadapi tantangan yang ada.

PERSEPSI DAN KESIAPAN SISWI SD DALAM MENGHADAPI MENARCHE

Suzahra Khoirunisya, Suryanti Suryanti — Mon, 16 Dec 2024 00:00:00 +0000

Menarche is the first menstruation due to the shedding of the lining of the uterus (endeometrium) in the uterus. This is accompanied by various changes, both physical and psychological. These changes can be accepted by the child or rejected by the child. In order for these changes to be well received, female students' perception and readiness regarding the monarchy is needed. This research aims to determine the perceptions and readiness of elementary school students in facing menarche. The research method uses Quasi Experimental with a two group pre-post test design. The sampling technique is total sampling using video and booklet media. Research results: education with booklets increased students' positive perceptions about the monarchy, namely from 43.5% to 60.9% and increased female students' readiness in facing the monarchy from 78.3% to 89.6%. Meanwhile, video increases student perception from 60.9% to 78.3 and readiness from 65.2% to 91.3%. The Wilcoxon test results obtained a significance value of 0.000 or <0.05. Conclusion: Education using booklets and video media has an influence on perceptions and readiness of elementary school students in facing menarche

PENGARUH GRADED REPETITIVE ARM SUPPLEMENTARY PROGRAM (GRASP) TERHADAP KEMAMPUAN KONTROL MOTORIK EKSTREMITAS ATAS DAN KEMANDIRIAN FUNGSIONAL PASIEN PASCA STROKE

Hendri Kurniawan, Rita Untari — Mon, 16 Dec 2024 00:00:00 +0000

Stroke causes sensorimotor dysfunction that affects motor control ability and functional independence. Post-stroke recovery is influenced by repetitive sensorimotor stimulation. Recovery of motor control ability and functional independence of post-stroke patients often do not provide optimal results. This is thought to be related to the continuity of exercise performed by the patient. The Graded Repetitive Arm Supplementary Program (GRASP) is an exercise program designed to be carried out independently by post-stroke patients at home. This study aims to determine the effect of GRASP on upper extremity motor control ability and functional independence of post-stroke patients. Quantitative research using a quasi-experimental design with a control group pretest-posttest design. A sample of 50 people was obtained using a purposive sampling technique. The motor control was measured using the Fugl-Meyer Assessment Upper Extremity but functional independence was measured using Barthel index instruments. Data analysis used the t-test with SPSS 25 software. The majority of the samples were male (86%) and experienced upper extremity motor control disorders with an average score of 40.32 (treatment) and 40.88 (control). The functional independence of the sample was in the moderate dependence category with an average score of 75.26 (treatment) and 76.04 (control). After the intervention, the average motor ability score became 43.37 (treatment) and 42.53 (control) which was accompanied by a change in the average functional independence score to 81.25 (treatment) and 79.43 (control) although it was still in the moderate dependence category. The paired t-test on motor ability and functional independence showed significance of 0.000 and 0.001 (treatment group) and 0.004 and 0.001 (control group). The unpaired t-test showed a significance of 0.002 (motor ability) and 0.015 (functional independen) GRASP is more significant in influencing the improvement of upper extremity motor control ability and functional independence of post-stroke patients.