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Abstrak :
[ABSTRAK
Stroke merupakan penyakit dengan tingkat disabilitas yang tinggi sehingga diperlukan rehabilitasi yang efektif. Efikasi diri merupakan konsep yang sangat berguna dalam rehabilitasi stroke agar dapat mencapai kemandirian dalam activity daily living (ADL). Penelitian ini bertujuan untuk mengidentifikasi pengaruh intervensi vicarious experience dan persuasi verbal terhadap efikasi diri ADL pasien pasca stroke di RSPAD Gatot Soebroto Jakarta. Desain penelitian ini adalah quasi-experimental pre-test and post-test with control group dengan jumlah sampel sebanyak 32 pasien pasca stroke. Analisis data menggunakan uji t berpasangan, uji t tidak berpasangan, Mann-whitney, Wilcoxon, dan korelasi Pearson. Hasil penelitian menunjukkan terdapat pengaruh intervensi vicarious experience dan persuasi verbal terhadap efikasi diri pasien pasca stroke (p<0,001). Tidak ada hubungan yang signifikan antara karakteristik responden dengan tingkat efikasi diri ADL pasien pasca stroke. Hasil ini merekomendasikan perawat untuk dapat mengkaji tingkat efikasi diri ADL pasien pasca stroke dan melakukan intervensi vicarious experience dan persuasi verbal sebagai intervensi mandiri perawat.

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ABSTRACT
Stroke is a disease with a high degree of disability indeed need an effective rehabilitation. Self-efficacy is a very useful concept in stroke rehabilitation in order to achieve independence in activity daily living (ADL). This study aimed to identify the effect of the vicarious experience and verbal persuasion intervention towards ADL self efficacy in post-stroke patients in Gatot Subroto Army Hospital Jakarta. This study was using quasi-experimental design with pre-test and post-test with control group approach with a total sample of 32 post-stroke patients. Data analysis were using paired t-test, unpaired t-test, Mann-whitney, Wilcoxon, and Pearson correlation. The results showed that there is an effect of vicarious experience and verbal persuasion interventions towards ADL self-efficacy in post-stroke patients (p <0.001). This study found a non-significant relationship between the respondent?s characteristics with the level of ADL self-efficacy in post-stroke patients. These results recommend nurses to be capable to assess the level of ADL self-efficacy in post-stroke patients and implement nursing intervention especially vicarious experience and verbal persuasion, Stroke is a disease with a high degree of disability indeed need an effective rehabilitation. Self-efficacy is a very useful concept in stroke rehabilitation in order to achieve independence in activity daily living (ADL). This study aimed to identify the effect of the vicarious experience and verbal persuasion intervention towards ADL self efficacy in post-stroke patients in Gatot Subroto Army Hospital Jakarta. This study was using quasi-experimental design with pre-test and post-test with control group approach with a total sample of 32 post-stroke patients. Data analysis were using paired t-test, unpaired t-test, Mann-whitney, Wilcoxon, and Pearson correlation. The results showed that there is an effect of vicarious experience and verbal persuasion interventions towards ADL self-efficacy in post-stroke patients (p <0.001). This study found a non-significant relationship between the respondent’s characteristics with the level of ADL self-efficacy in post-stroke patients. These results recommend nurses to be capable to assess the level of ADL self-efficacy in post-stroke patients and implement nursing intervention especially vicarious experience and verbal persuasion]

Abstrak :
ABSTRAK
Latar Belakang. Peternak sapi perah terpajan faktor risiko besar untuk mengalami nyeri lutut. Posisi kerja berjongkok memberikan tekanan pada lutut dapat menyebabkan cedera dan penyakit degeneratif sendi lutut. Tujuan penelitian untuk mengetahui prevalensi dan faktor yang berhubungan dengan nyeri lutut pada peternak sapi perah di Jawa BaratMetode. Penelitian potong lintang dilakukan pada 117 orang di Unit Pelaksana Teknis Daerah UPTD Balai Pengembangan Ternak Sapi Perah dan Hijauan Makanan Ternak BPT-SP HPT Cikole, Lembang pada Mei-Juni 2017 dengan jumlah sampel total populasi. Dilakukan wawancara, pengisian kuesioner KOOS Knee Injury and Osteoarthritis Outcome Score dan observasi posisi kerja. Analisis data dilakukan dengan program statistik SPSS Statistics 20.0Hasil. Sebanyak 88 subjek mengalami nyeri lutut dengan keluhan terbanyak nyeri lutut ringan 84 . Didapatkan hubungan nyeri lutut dengan posisi berjongkok ORc=7.36 . Faktor risiko determinan adalah masa kerja 6-10 tahun dengan ORA sebesar 7.35 95 CI 1.25-42.95, p=0.027 dan masa kerja >10 tahun dengan ORA sebesar 26,09 95 CI 1.24-547.59, p=0.036 .Simpulan. Prevalensi nyeri lutut pada peternak sapi perah sebesar 88 . Terdapat hubungan nyeri lutut dengan posisi kerja berjongkok. Faktor risiko determinan berhubungan nyeri lutut adalah masa kerja lebih dari 5 tahun. Saran. Memperbaiki kondisi kerja pemerah sapi untuk mengurangi paparan terhadap faktor-faktor risiko selama masa kerja.

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ABSTRACT
Background. Dairy farmers have been identified having high risk for knee pain. Squatting position when milking cows create awkward knee posture and high compression on knee joint that could lead to knee injury and degenerative diseases on knee joint. This study aims to identify the prevalence of knee pain among dairy farmers and the association of squatting position and other factors with knee pain among Dairy Farmers in West JavaMethod. A cross sectional study on 117 respondents was conducted at Unit Pelaksana Teknis Daerah UPTD Balai Pengembangan Ternak Sapi Perah dan Hijauan Makanan Ternak BPT SP HPT Cikole, Lembang from May through June 2017 with total population sampling. Instruments used were standardized inteview form and KOOS Knee Injury and Osteoarthritis Outcome Score questionnaire. Working position was observed. SPSS Statistics 20.0 program was used to analyze the data.Result. In this study, 88 dairy farmers had knee pain, mostly with mild knee pain. Association was found between knee pain and squatting ORc 7.36 . Determinants for knee pain are working period 6 10 years with ORA 7.35 95 CI 1.25 42.95, p 0.027 and working period 10 tahun with ORA 26,09 95 CI 1.24 547.59, p 0.036 .Conclusion. Prevalence of knee pain among dairy farmers was 88 . The study suggest that knee pain among dairy farmers had association with squatting position. Working period 5 years was identified as determinant factor.Recommendation. Improve dairy farmers working condition to reduce exposure of risk factors during working period.