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"Penelitian ini bertujuan untuk menganilisa tahapan perubahan perilaku dan faktor motivasi klien mengikuti program rehabilitasi rawat jalan serta menilai pengaruhnya dengan penyelesaian program rehabilitasi sesuai dengan rencana terapinya di Klinik IPWL Lingkup BNN di Jakarta. Penelitian ini menggunakan The Transtheorical Model tentang tahapan perubahan perilaku (Stage of Change) dan teori Health Promotion Model tentang motivasi yang dipengaruhi oleh faktor intrinsik salah satunya keyakinan dan faktor ekstrinsik yaitu pengaruh dari orang lain, faktor lingkungan dan faktor pengahargaan. Motivasi dapat mempengaruhi seseorang untuk berperilaku dalam mencapai tujuan yang diharapkan. Dilihat juga tahapan perubahan perilaku klien ketika pertama datang untuk mengikuti program rehabilitasi rawat jalan melalui penilaian URICA. Penelitian ini menggunakan pendekatan campuran (mixed methods). Lokasi penelitian di Klinik IPWL Lingkup BNN di Jakarta. Data dikumpulkan melalui pengisian kuisioner yang akan dianalisis melalui uji regresi linier berganda dan wawancara sebagai data pendukung. Hasil penelitian adalah adanya pengaruh yang signifikan antara tahapan perubahan perilaku dan faktor penghargaan yang merupakan faktor dominan terhadap penyelesaian terapi rehabilitasi, tidak adanya pengaruh secara signifikan dari faktor keyakinan, lingkungan, pengaruh orang lain serta Metode dan program layanan terhadap penyelesaian terapi rehabilitasi.

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This study to analyze the behavior change stages and motivational factors of clients participating in outpatient rehabilitation programs and assess their effects by completing rehabilitation programs in accordance with their planned treatment at the IPWL Clinic in the scope of BNN in Jakarta. This study use Transtheorical Model for stages of change and the Health Promotion Model theory of motivation which is influenced by intrinsic factors such as extrinsic beliefs and factors, like influence of others, environmental factors and reward factors. Motivation can influence someone to achieve the expected goals. It was also seen in behavior change stages of clients when they first came to attend an outpatient rehabilitation program through URICA`s assessment. This study used mixed methods approach. Research locations at the IPWL Clinic Scope of BNN in Jakarta. Data was collected through filling out questionnaires then to be analyzed through multiple linear regression tests and interview as supporting data. The results of the study were that there was a significant influence between the stages of behavior change and reward factors which were the dominant factors in completing rehabilitation therapy, there was no significant influence of factors of beliefs, environment, influence of other people and methods and service programs on completion of rehabilitation therapy."

"Long Covid atau post COVID-19 syndrome merupakan kondisi masih adanya gejala pada pasien COVID-19 yang sudah dinyatakan sembuh. Pada lansia yang terkonfirmasi positif COVID-19, kondisi long covid lebih banyak terjadi akibat adanya perubahan fisiologis yang terjadi berkaitan dengan proses penuaan. Gejala yang dialami oleh lansia yang mengalami long COVID-19 atau post COVID-19 syndrome yaitu mudah lelah, terutama saat beraktivitas, sesak napas, jantung berdebar, nyeri pada sendi dan nyeri otot. Kondisi post COVID-19 syndrome ini dapat menyebabkan masalah keperawatan penurunan toleransi aktivitas. Penulisan ini melaporkan asuhan keperawatan pada lansia di Kelurahan Kukusan dengan masalah keperawatan penurunan toleransi aktivitas dan penerapan terapi rehabilitasi. Intervensi terapi rehabilitasi dilakukan tiga kali pertemuan setiap pekan selama dua pekan, dengan jumlah total enam kali pertemuan intervensi. Setiap sesi terapi rehabilitasi dilakukan selama 10 menit. Hasil implementasi yang dilakukan terhadap Nenek A menunjukkan hasil penerapan terapi rehabilitasi pada lansia post COVID-19 dapat mengatasi penurunan toleransi aktivitas ditandai dengan evaluasi perasaan tidak nyaman berkurang, keluhan mudah lelah berkurang, serta ditandai dengan penurunan tekanan darah namun tidak secara signifikan, terdapat penurunan nadi secara signifikan, saturasi oksigen dalam kondisi stabil, laju pernapasan dalam kondisi stabil dan normal, serta penurunan skala kelelahan (skala BORG) secara signifikan.

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Long Covid or post COVID-19 syndrome is a condition that still has symptoms in COVID-19 patients who have been declared cured. In the elderly who are positively confirmed COVID-19, long covid conditions occur more due to physiological changes that occur related to the aging process. Symptoms experienced by elderly people who experience long COVID-19 or post COVID-19 syndrome are easily tired, especially when on the move, shortness of breath, heart palpitations, pain in the joints and muscle pain. This post-COVID-19 syndrome condition can cause nursing problems to decrease activity tolerance. This writing reports nursing care in the the elderly in Kukusan Village with nursing problems decreased activity tolerance and application of rehabilitation therapy. Rehabilitation therapy interventions are carried out three meetings every week for two weeks, with a total of six intervention meetings. Each rehabilitation therapy session is carried out for 10 minutes. The results of the implementation showed that the results of the implementation of rehabilitation therapy in the elderly post COVID19 can overcome the decrease in activity tolerance characterized by the evaluation of reduced uncomfortable feelings, complaints of fatigue reduced, and characterized by a decrease in blood pressure but not significantly there is a significant decrease in pulse, oxygen saturation in stable condition, respiratory rate in stable and normal condition, as well as a significant reduction in fatigue scale (BORG scale). "