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"Salah satu tata laksana yang dapat dilakukan dalam mengatasi penyakit kanker otak adalah dengan tindakan pembedahan. Tindakan pembedahan otak berupa kraniotomi yaitu dengan membuka bagian dari tulang tengkorak untuk mengangkat tumor atau untuk mengakses bagian otak.tindakan kraniotomi tersebut memiliki risiko efek samping yang mungkin terjadi. risiko efek samping selain penurunan motoric dan sesorik juga terdapat perubahan kognitif dan perilaku sementara. Pasien memerlukan bantuan dalam mengatasi masalah kognitif tersebut. Penerapan teori modelling and role modelling (MRM) dari helen c. erickson, evelyn tomlin, & mary ann p. swain dapat membantu mengatasi masalah kebutuhan pasien yang belum terpenuhi tersebut, karena perawat perlu memberikan asuhan secara menyeluruh yang didalmnya terdapat cakupan yang mengkaji dan intervensi untuk pasien dengan masalah kognitif. Residen mengaplikasikan evidence based practice pada pasien paska kraniotomi yang mengalami gangguan kognitif. EBN yang digunakan untuk mengatasi masalah kognitif tersebut adalah dengan brain gym. Intervensi brain gym dalam pengelolaan lima kasus kelolaan berpengaruh signifikan dalam meningkatkan kognitif pasien. Perawat onkologi yang merawat pasien dengan masalah gangguan kognitif paska kraniotomi dapat menggunakan teori pendekatan modeling and role modeling (MRM) helen c. erickson, evelyn tomlin, & mary ann p. swain.

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One of the treatments that can be done to treat brain cancer is surgery. Brain surgery is in the form of a craniotomy, namely by opening part of the skull bone to remove the tumor or to access parts of the brain. This craniotomy action carries a risk of possible side effects. The risk of side effects, apart from motor and bodily impairment, is also temporary cognitive and behavioral changes. Patients need help in overcoming these cognitive problems. Application of modeling and role modeling (MRM) theory from Helen C. erickson, evelyn tomlin, & mary ann p. swain can help overcome the problem of unmet patient needs, because nurses need to provide comprehensive care which includes assessment and intervention for patients with cognitive problems. Residents apply evidence based practice to post-craniotomy patients who experience cognitive impairment. The EBN used to overcome these cognitive problems is the brain gym. The brain gym intervention in the management of five managed cases had a significant effect in improving the patient's cognitive abilities. Oncology nurses who care for patients with post-craniotomy cognitive impairment problems can use Helen C's modeling and role modeling (MRM) approach theory. erickson, evelyn tomlin, & mary ann p. Swains"

"ABSTRAK Prevalensi lansia penyandang demensia terus bertambah, sehingga lansia dengan risikodemensia harus dicegah agar tidak menjadi demensia. Senam GLO 30 menit tiga kali seminggu,aktifitas hobi, interaksi sosial dan dukungan keluarga mampu memelihara fungsi kognitiflansia. Tujuan inovasi CERDIK ASIK adalah untuk melihat pengaruh Aktifitas hobi, SenamGLO, Interaksi sosial dan dukungan Keluarga terhadap fungsi kognitif lansia. Metode yangdipilih adalah eksperimen semu tanpa kontrol dengan intervensi senam GLO, asuhankeperawatan komunitas dan keluarga selama 3 bulan. Sampel 20 lansia dari populasi 59 lansiadengan risiko, 10 keluarga lansia, kader kesehatan dan penanggungjawab program lansia diPuskesmas. Uji statistik menggunakan paired t test. Hasil uji menunjukan ada peningkatanpengetahuan, sikap dan keterampilan kader, keluarga dan tenaga kesehatan tentang demensia, serta pengaruh intervensi terhadap fungsi kognitif. Rerata MMSE pre intervensi = 22.30 (SD =1.34) dan pot intervensi menjadi 27.10, SD = 1.83 (p value = 0,000 < α = 5%). Perbedaanmean MMSE pre dan pos 4.8, SD=1.28 (p value = 0,000 < α = 5%). Implikasi; ProgramCERDIK ASIK menjadi pilihan intervensi untuk lansia risiko demensia di masyarakat dandasar penelitian selanjutnya. Kesimpulannya, implementasi program CERDIK ASIKmeningkatkan fungsi kognitif secara signifikan. ABSTRACT The prevalence of older people with dementia continues to grow , so seniors with the risk of dementiamust be prevented so not become dementia. GLO Gymnastics for 30 minutes three times a week, combined with hobby activities, social interaction and support of family is able to maintaincognitive functions of the elderly. The purpose of the innovation project was to see theinfluence of CERDIK ASIK Activities, GLO gymnastics , social interaction and support ofFamilies on elderlies? cognitive function. The method selected was quasi experiments withoutcontrol by intervention of gymnastic GLO, nursing care of the community and the family for 3months. A sample of 20 elderly population from 59 at risk elderly, 10 families, elderly cadresresponsible for the health and elderly program at the clinic. Statistical tests using the paired ttest showed there was is an increase in knowledge, attitudes and skills cadres, family andparamedics about dementia , as well as the influence interventions affecting cognitive function.Pre intervention average MMSE = 22.30 (SD = 1.34) to 27.10, SD = 1.83 (p value = 0.000 < α= 5%). The difference in MMSE mean pre and post 3.0, SD = 1.28 (p value = 0.000 < α = 5%).Implication; program cerdikasik be an option intervention to elderly risk dementia in thecommunity and the base of the next research.In conclusion, the implementation of CERDIKASIK program improved cognitive function significantly.;The prevalence of older people with dementia continues to grow , so seniors with the risk of dementiamust be prevented so not become dementia. GLO Gymnastics for 30 minutes three times a week, combined with hobby activities, social interaction and support of family is able to maintaincognitive functions of the elderly. The purpose of the innovation project was to see theinfluence of CERDIK ASIK Activities, GLO gymnastics , social interaction and support ofFamilies on elderlies? cognitive function. The method selected was quasi experiments withoutcontrol by intervention of gymnastic GLO, nursing care of the community and the family for 3months. A sample of 20 elderly population from 59 at risk elderly, 10 families, elderly cadresresponsible for the health and elderly program at the clinic. Statistical tests using the paired ttest showed there was is an increase in knowledge, attitudes and skills cadres, family andparamedics about dementia , as well as the influence interventions affecting cognitive function.Pre intervention average MMSE = 22.30 (SD = 1.34) to 27.10, SD = 1.83 (p value = 0.000 < α= 5%). The difference in MMSE mean pre and post 3.0, SD = 1.28 (p value = 0.000 < α = 5%).Implication; program cerdikasik be an option intervention to elderly risk dementia in thecommunity and the base of the next research.In conclusion, the implementation of CERDIKASIK program improved cognitive function significantly.;The prevalence of older people with dementia continues to grow , so seniors with the risk of dementiamust be prevented so not become dementia. GLO Gymnastics for 30 minutes three times a week, combined with hobby activities, social interaction and support of family is able to maintaincognitive functions of the elderly. The purpose of the innovation project was to see theinfluence of CERDIK ASIK Activities, GLO gymnastics , social interaction and support ofFamilies on elderlies? cognitive function. The method selected was quasi experiments withoutcontrol by intervention of gymnastic GLO, nursing care of the community and the family for 3months. A sample of 20 elderly population from 59 at risk elderly, 10 families, elderly cadresresponsible for the health and elderly program at the clinic. Statistical tests using the paired ttest showed there was is an increase in knowledge, attitudes and skills cadres, family andparamedics about dementia , as well as the influence interventions affecting cognitive function.Pre intervention average MMSE = 22.30 (SD = 1.34) to 27.10, SD = 1.83 (p value = 0.000 < α= 5%). The difference in MMSE mean pre and post 3.0, SD = 1.28 (p value = 0.000 < α = 5%).Implication; program cerdikasik be an option intervention to elderly risk dementia in thecommunity and the base of the next research.In conclusion, the implementation of CERDIKASIK program improved cognitive function significantly.;The prevalence of older people with dementia continues to grow , so seniors with the risk of dementiamust be prevented so not become dementia. GLO Gymnastics for 30 minutes three times a week, combined with hobby activities, social interaction and support of family is able to maintaincognitive functions of the elderly. The purpose of the innovation project was to see theinfluence of CERDIK ASIK Activities, GLO gymnastics , social interaction and support ofFamilies on elderlies? cognitive function. The method selected was quasi experiments withoutcontrol by intervention of gymnastic GLO, nursing care of the community and the family for 3months. A sample of 20 elderly population from 59 at risk elderly, 10 families, elderly cadresresponsible for the health and elderly program at the clinic. Statistical tests using the paired ttest showed there was is an increase in knowledge, attitudes and skills cadres, family andparamedics about dementia , as well as the influence interventions affecting cognitive function.Pre intervention average MMSE = 22.30 (SD = 1.34) to 27.10, SD = 1.83 (p value = 0.000 < α= 5%). The difference in MMSE mean pre and post 3.0, SD = 1.28 (p value = 0.000 < α = 5%).Implication; program cerdikasik be an option intervention to elderly risk dementia in thecommunity and the base of the next research.In conclusion, the implementation of CERDIKASIK program improved cognitive function significantly.;The prevalence of older people with dementia continues to grow , so seniors with the risk of dementiamust be prevented so not become dementia. GLO Gymnastics for 30 minutes three times a week, combined with hobby activities, social interaction and support of family is able to maintaincognitive functions of the elderly. The purpose of the innovation project was to see theinfluence of CERDIK ASIK Activities, GLO gymnastics , social interaction and support ofFamilies on elderlies? cognitive function. The method selected was quasi experiments withoutcontrol by intervention of gymnastic GLO, nursing care of the community and the family for 3months. A sample of 20 elderly population from 59 at risk elderly, 10 families, elderly cadresresponsible for the health and elderly program at the clinic. Statistical tests using the paired ttest showed there was is an increase in knowledge, attitudes and skills cadres, family andparamedics about dementia , as well as the influence interventions affecting cognitive function.Pre intervention average MMSE = 22.30 (SD = 1.34) to 27.10, SD = 1.83 (p value = 0.000 < α= 5%). The difference in MMSE mean pre and post 3.0, SD = 1.28 (p value = 0.000 < α = 5%).Implication; program cerdikasik be an option intervention to elderly risk dementia in thecommunity and the base of the next research.In conclusion, the implementation of CERDIKASIK program improved cognitive function significantly."

"Stres hospitalisasi akan menyebabkan kecemasan pada anak. Tesis ini bertujuan untuk mengetahui pengaruh senam otak terhadap kecemasan akibat hospitalisasi pada anak usia prasekolah yang dirawat di Rumah Sakit Panti Rapih Yogyakarta. Penelitian ini menggunakan pendekatan Quasi Eksperimental Pretest-Posttest Non Equivalent Control Group Design. Responden yang terlibat dalam penelitian ini berjumlah 32 anak yang terbagi dalam kelompok kontrol dan kelompok intervensi. Dari hasil analisis data ditemukan bahwa ada penurunan signifikan padaskor kecemasan anaksetelah dilakukan senam otak pada kelompok intervensi bila dibandingkan dengan kelompok kontrol. Rekomendasi dari penelitian ini adalah supaya perawat meningkatkan ketrampilan dengan latihan senam otak sehingga bisa diterapkan dalam pemberian asuhan keperawatan pada anak untuk mengurangi kecemasan dengan melibatkan orang tua.

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Stress hospitalization will cause anxiety in children. This thesis aimed to investigate the effect of brain gym to anxiety due to hospitalization in preschool age children at Panti Rapih Hospital Yogyakarta. This study used Quasi- Experimental Pretest-posttest Non Equivalent Control Group Design. Respondents involved in this study were 32 children and divided into control and intervention group.

The results this study found that there was a significant decrease on anxiety score after brain gym in intervention group compared to control group. The recommendation of this research is that nurses improve their skills on brain gym and applied in nursing care by involving the parents."