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Hasil Pencarian

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Dharmady Agus
"Latar belakang. Bahaya merokok sudah diketahui secara luas, namun seorang perokok yang ingin berhenti merokok mengalami kesulitan karena terdapat pengaruh yang kuat aspek bio-fisio-psiko-sosio-demografi. Untuk itu, perpaduan metode berhenti merokok melalui pendekatan farmakologi dan non-farmakologi perlu dilakukan. Terapi kombinasi melalui farmakologi (vareniklin tartrat/VT) dan non-farmakologi (hipnosis kedokteran) diharapkan efektif membantu individu dengan ketergantungan nikotin untuk berhenti merokok.
Metode. Desain penelitian ini adalah uji klinis eksperimental acak tersamar tunggal yang dilakukan pada 100 perokok sedang-berat yang dialokasi menjadi dua kelompok melalui randomisasi. Setelah randomisasi, 50 responden akan mengikuti intervensi VT+hipnosis kedokteran dan 50 responden akan mengikuti intervensi VT+edukasi yang dilakukan paralel, mengikuti modul hipnosis kedokteran dan edukasi selama 12 minggu, dilanjutkan pengamatan 12 minggu pasca terapi. Keberhasilan responden dinyatakan berdasarkan nilai EECOL dengan batas pisah ≤ 10 ppm pada salah satu minggu selama penelitian. Responden dikatakan relaps jika nilai EECOL kembali ditemukan >10 ppm setelah dinyatakan berhasil. Analisis faktor bio-fisio-psiko-sosio-demografi dilakukan untuk melihat peran faktor tersebut terhadap keberhasilan terapi kombinasi VT+hipnosis kedokteran.
Hasil. Keberhasilan berhenti merokok jangka pendek kelompok VT+hipnosis kedokteran dan VT+edukasi adalah sebesar 78% dan 66% dengan NNT sebesar 8 (IK95%=3-18). Keberhasilan jangka panjang kedua kelompok sebesar 86% dan 68% (p=0,032). Angka relaps pada kelompok VT+hipnosis kedokteran ditemukan lebih rendah dibandingkan kelompok VT+edukasi (44,2% vs. 58,3%) dengan NNT sebesar 7 (IK95%=3-19). Tidak ditemukan adanya pengaruh aspek bio-fisio-psiko-sosio-demografi di dalam penelitian (p>0,05).
Simpulan. Terapi kombinasi VT+hipnosis kedokteran memiliki tingkat keberhasilan yang lebih baik dan angka relaps yang lebih rendah dibandingkan dengan VT+edukasi walaupun tidak ditemukan adanya pengaruh aspek bio-fisio-psiko-sosio-demografi di dalam penelitian.

Background. Smoking has been widely known for it’s dangers towards health. Despite of the danger, smokers find hard to stop smoking and therapy is needed to help them stop smoking. Combination therapy which covers pharmacology and non-pharmacology aspect is needed to help smokers to stop smoking. Varenicline tartrate (VT) and medical hypnosis as a combined therapy is used to cover the pharmacology and non-pharmacology aspect of individual with nicotine dependence to stop smoking.
Methods. The research was conducted as a random single-blind experimental study on 100 moderate to severe smokers, divided randomly into two groups of 50 respondents each. Each group correspondingly enrolled VT+medical hypnosis therapy and VT+education therapy based on medical hypnosis and education module for 12 weeks with follow up for another 12 weeks. The program was defined successful by EECOL value ≤ 10 ppm in any week during the research and relapse was defined by EECOL value greater than 10 ppm after a success was declared. Analysis on bio-physio-psycho-socio-demography aspect was done to assess influence of these factors on the success rate of VT+medical hypnosis group.
Results. The short term success rate of VT+medical hypnosis and VT+education combination therapy was 78% and 66% respectively with NNT of 8 (CI95%=3-18). Long term success rate of both group was 86% and 68% respectively (p=0,032). Relapse rate is lower in the VT+medical hypnosis group than VT+education group (42,2% vs. 58,3%) with NNT of 7 (CI95%=3-19). There is no evident on relation of bio-physio-psycho-socio-demography and the success rate in the experiment (p>0,05).
Conclusion. Intervention with VT+medical hypnosis for smoking cessation has higher success rate and lower relapse rate than control. There was no evident on relation of bio-physio-psycho-socio-demography and the success rate in the experiment.
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Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
D-pdf
UI - Disertasi Membership  Universitas Indonesia Library
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Gusti Ayu Maharatih
"[ABSTRAK
Latar Belakang: Masalah relasi orangtua-anak dapat berdampak fatal, tapi sering
disepelekan. Penanganannya mencakup psikofarmaka dan psikoterapi, khususnya analisis
transaksional (AT). Penelitian ini bertujuan untuk mendapatkan data kebutuhan pelatihan
aplikasi AT, sebagai dasar pembuatan modul aplikasi AT tingkat dasar (AATD) yang
valid dan reliabel. Penelitian juga bertujuan mendapatkan model pelatihan efektif
meningkatkan pengetahuan dan keterampilan AATD untuk penyelesaian masalah relasi
orangtua-anak, menggunakan pendekatan pendidikan berbasis kompetensi agar dapat
menghasilkan luaran psikiater yang kompeten.
Metode: Disain studi adalah mixed methods, terdiri atas: (a) penelitian potong-lintang
analisis kebutuhan pelatihan aplikasi AT melalui survai kepada 54 psikiater dan 53 calon
psikiater di Indonesia yang terpilih secara acak; (b) pembuatan modul AATD; (c) uji
validitas dan reliabilitas modul AATD; (d) penelitian kuasi eksperimental keefektifan
model pelatihan untuk pencapaian kompetensi AATD pada dua kelompok residen
psikiatri; (e) studi kasus implementasi AATD untuk penyelesaian masalah relasi
orangtua-anak, yang dilakukan masing-masing 2 orang dari kedua kelompok tersebut.
Hasil: Seluruh subjek (total 107) menyatakan membutuhkan modul pelatihan AT.
Penilaian modul AATD adalah valid dengan rerata nilai di atas 90 (kategori baik sekali).
Penilaian reliabilitas menggunakan Bland-Altman Plot menunjukkan semua penilaian
berada dalam rentang batas judgment agreement (SB ±1,96). Pada kelompok latih
didapatkan perbedaan bermakna peningkatan pengetahuan AATD (RR=2,54; IK 95 %
1,12-5,75; p <0,001), dan peningkatan keterampilan AATD (RR 4,37; IK 95 % 1,81-
10,54; p<0,001) dibandingkan dengan kelompok baca. Implementasi AATD pada
penyelesaian masalah relasi orangtua-anak menunjukkan cukup efektif dengan rentang
hasil perbaikan dari social control sampai pada tahap transference cure.
Simpulan dan Saran: Modul AT dan pelatihannya dibutuhkan oleh psikiater dan calon
psikiater. Modul AATD valid, reliabel, dan efektif untuk penyelesaian masalah relasi
orangtua-anak. Model perlakuan latih lebih efektif secara bermakna meningkatkan
kompetensi pengetahuan dan ketrampilan AATD. Pengembangan modul aplikasi AT
tingkat lanjut diperlukan untuk penanganan kasus yang lebih kompleks;

ABSTRACT
Background: The parent-child relationship problems can cause fatal effects if they
were not managed properly. Managements of parent-child relationship problems require
pharmacotherapy and psychotherapy, also transactional analysis (TA). The aims of this
study are to obtain data on the training needs of TA applications, which are used as the
basis for the application of basic transactional analysis (ABTA) which is valid and
reliable, also capturing the effective training model to improve the knowledge and skills
of ABTA, as well as evaluating its effectiveness in managing the parent-child
relationship problems. The module approach is competency-based on education in order
to produce psychiatrists who are competent in providing optimal health care.
Method: The design of this study was a mixed methods, comprising: (a) cross-sectional
study of needs training analysis for the TA application by survey on 54 psychiatrists and
53 psychiatrist candidates in Indonesia which were chosen randomly; (b) ABTA module
making along with the tools; (c) validity and reliability test of ABTA module; (d) quasiexperimental
study about the effectivity of training module in order to achieve the
ABTA competency in two groups of psychiatrict candidates; (e) case studies of ABTA
implementation in managing the parent-child relationship problems.
Result: The whole subjects (total 107) declared the needs of ABTA training modules;
demonstrated the validity of the ABTA module was valid, with a mean value of all is the
above 90 (excellent value category) and reliability assessment judgment using the Bland-
Altman Plot indicates that all within the range limits of agreement (± 1.96 SD). In the
training group, a significant difference about the improvement of TA knowledge was
found (RR=2.54; 95 % CI: 1.12-5.75; p<0.001), and the improvement of ABTA skill
(RR=4.37; 95 % CI: 1.81-10.54; p<0.001) compared with the reading group. The
implementation of ABTA indicated that the use of ABTA module was effective enough,
with the results of improvements ranging from the social control to the transference cure
stage.
Conclusion and Recommendation: The TA module and its training is needed by both
psychiatrists and psychiatrist candidates. The ABTA module is valid, reliable, and
effective in managing the parents-child relationship problems. ABTA training module is
more effective and significant to improve the knowledge and skills competency of
ABTA. Development of advanced application module TA is necessary in managing
more complex cases.;Background: The parent-child relationship problems can cause fatal effects if they
were not managed properly. Managements of parent-child relationship problems require
pharmacotherapy and psychotherapy, also transactional analysis (TA). The aims of this
study are to obtain data on the training needs of TA applications, which are used as the
basis for the application of basic transactional analysis (ABTA) which is valid and
reliable, also capturing the effective training model to improve the knowledge and skills
of ABTA, as well as evaluating its effectiveness in managing the parent-child
relationship problems. The module approach is competency-based on education in order
to produce psychiatrists who are competent in providing optimal health care.
Method: The design of this study was a mixed methods, comprising: (a) cross-sectional
study of needs training analysis for the TA application by survey on 54 psychiatrists and
53 psychiatrist candidates in Indonesia which were chosen randomly; (b) ABTA module
making along with the tools; (c) validity and reliability test of ABTA module; (d) quasiexperimental
study about the effectivity of training module in order to achieve the
ABTA competency in two groups of psychiatrict candidates; (e) case studies of ABTA
implementation in managing the parent-child relationship problems.
Result: The whole subjects (total 107) declared the needs of ABTA training modules;
demonstrated the validity of the ABTA module was valid, with a mean value of all is the
above 90 (excellent value category) and reliability assessment judgment using the Bland-
Altman Plot indicates that all within the range limits of agreement (± 1.96 SD). In the
training group, a significant difference about the improvement of TA knowledge was
found (RR=2.54; 95 % CI: 1.12-5.75; p<0.001), and the improvement of ABTA skill
(RR=4.37; 95 % CI: 1.81-10.54; p<0.001) compared with the reading group. The
implementation of ABTA indicated that the use of ABTA module was effective enough,
with the results of improvements ranging from the social control to the transference cure
stage.
Conclusion and Recommendation: The TA module and its training is needed by both
psychiatrists and psychiatrist candidates. The ABTA module is valid, reliable, and
effective in managing the parents-child relationship problems. ABTA training module is
more effective and significant to improve the knowledge and skills competency of
ABTA. Development of advanced application module TA is necessary in managing
more complex cases., Background: The parent-child relationship problems can cause fatal effects if they
were not managed properly. Managements of parent-child relationship problems require
pharmacotherapy and psychotherapy, also transactional analysis (TA). The aims of this
study are to obtain data on the training needs of TA applications, which are used as the
basis for the application of basic transactional analysis (ABTA) which is valid and
reliable, also capturing the effective training model to improve the knowledge and skills
of ABTA, as well as evaluating its effectiveness in managing the parent-child
relationship problems. The module approach is competency-based on education in order
to produce psychiatrists who are competent in providing optimal health care.
Method: The design of this study was a mixed methods, comprising: (a) cross-sectional
study of needs training analysis for the TA application by survey on 54 psychiatrists and
53 psychiatrist candidates in Indonesia which were chosen randomly; (b) ABTA module
making along with the tools; (c) validity and reliability test of ABTA module; (d) quasiexperimental
study about the effectivity of training module in order to achieve the
ABTA competency in two groups of psychiatrict candidates; (e) case studies of ABTA
implementation in managing the parent-child relationship problems.
Result: The whole subjects (total 107) declared the needs of ABTA training modules;
demonstrated the validity of the ABTA module was valid, with a mean value of all is the
above 90 (excellent value category) and reliability assessment judgment using the Bland-
Altman Plot indicates that all within the range limits of agreement (± 1.96 SD). In the
training group, a significant difference about the improvement of TA knowledge was
found (RR=2.54; 95 % CI: 1.12-5.75; p<0.001), and the improvement of ABTA skill
(RR=4.37; 95 % CI: 1.81-10.54; p<0.001) compared with the reading group. The
implementation of ABTA indicated that the use of ABTA module was effective enough,
with the results of improvements ranging from the social control to the transference cure
stage.
Conclusion and Recommendation: The TA module and its training is needed by both
psychiatrists and psychiatrist candidates. The ABTA module is valid, reliable, and
effective in managing the parents-child relationship problems. ABTA training module is
more effective and significant to improve the knowledge and skills competency of
ABTA. Development of advanced application module TA is necessary in managing
more complex cases.]"
2015
D-Pdf
UI - Disertasi Membership  Universitas Indonesia Library