STUDY JOURNAL OF RESEARCH SYSTEMS NEUROBEHAVIOR

SOCIAL SKILLS TRAINING EFFECT ON THE IMPROVEMENT OF SKILLS

WITH CHILD SOCIALIZATION HYPERACTIVITY ATTENTION DEFICIT
DISORDER (ADHD)

Yeni Suryaningsih *

* Faculty of Health Sciences, University of Muhammadiyah Jember

Arranged by:

GIFTS WATI SUSANTI

(10215015)

FACULTY OF HEALTH SCIENCES

Prodi S1-NURSING
INSTITUTE OF HEALTH SCIENCES Bhakti Wiyata KEDIRI
2016/2017

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 Foreword

All praise and thanks to God Almighty, I pray because of the blessings and
grace I can complete the task of study journal "Evaluation of quality of life pre- and post-
vestibular rehabilitation in Patients with benign paroxysmal positional vertigo associated
with Meniere's disease," is well ,

Upon completion of the task of this journal study I would like to thank the
parties who help and provide guidance to me, for that I say thankyou.I hope that this
journal editor can be useful to the readers. But I realize that in this writing many
shortcomings, for that I expect suggestions and constructive criticism for the perfection
of this task.

I apologize if there is any shortage in the preparation of this journal review.

Hopefully the preparation of this journal review can be useful for all parties.

Kediri, 30 September 2017

Penyusun

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 DAFTAR ISI

Kata pengantar .................................................................................................. i

Daftar isi ........................................................................................................... ii

Bab 1 Pendahuluan ........................................................................................... 1

1.1 Latar belakang ........................................................................................ 1

1.2 Rumusan masalah................................................................................... 1
1.3 Tujuan .................................................................................................... 2
1.4 Manfaat .................................................................................................. 2

Bab II Telaah jurnal .......................................................................................... 3

2.1 Masalah penelitian ................................................................................. 3

2.2 Tujuan penelitian .................................................................................... 4
2.3 Metode penelitian ................................................................................... 4
1. Pengambilan sampel
2. Rancangan penelitian dan instrumen penelitian
2.4 Hasil penelitian....................................................................................... 6
2.5

Kesimpulan ....................................................................................................... 10

Daftar pustaka ................................................................................................... 11

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 BAB 1
PENDAHULUAN

1.1 Latar Belakang

Dizziness has a high incidence worldwide, and the impact of vestibular disease on
quality of life has been increasingly investigated. Many patients with dizziness restrict
their daily activities and leisure in order to reduce the risk of onset of unpleasant and
frightening symptoms, as well as to avoid the social embarrassment and stigma that these
symptoms may cause (1).

Benign paroxysmal positional vertigo (BPPV) is a disease with a high incidence

worldwide, and can be regarded as the most frequent vestibular disease (2). There are
few studies correlating BPPV and Menieres disease (MD) and their combined influence
on the quality of life of patients (3, 4). Simultaneous diagnosis of BPPV and MD may
worsen symptoms of dizziness and thus worsen the quality of life, because the
discomfort caused by these symptoms can significantly change the ability of patients to
perform their usual tasks (4).

Among existing evaluation instruments, the Dizziness Handicap Inventory (DHI)

is an internationally validated instrument. This questionnaire assesses patients
perception of the effects of the disabling vertigo on their quality of life, including the
physical, emotional, and functional aspects. It is important to assess the individuals
condition at the beginning of treatment and to monitor the evolution of the disease course
(1) (Chart 1).

Treatment options for vertigo patients include medications, vestibular

rehabilitation (VR) and, more rarely, surgical procedures (5). VR has been used as a
strategy for the treatment of vestibular disorders because its goals are to provide security
to the patient and integrate them into their social environment. VR aims to promote
visual stabilization, improve static and dynamic balance, decrease sensitivity during head
movement, and improve the overall function of the patient via proprioceptive and
vestibular visual stimulation maneuvers (6).

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1.2 Rumusan Masalah
Bagaimana telaah jurnal Evaluation of quality of life pre- and post-vestibular
rehabilitation in patients with benign paroxysmal positional vertigo associated with
Menieres disease.

1.3 Tujuan
Evaluation of quality of life pre- and post-vestibular rehabilitation in patients with
benign paroxysmal positional vertigo associated with Menieres disease.

1.4 Manfaat

Jurnal yang saya telaah ini bermanfaat untuk menambah wawasan ilmu
pengetahuan khususnya dalam bidang kesehatan bagi masyarakat luas dan
mahasiswa kesehatan. Semoga penelaahan jurnal ini dapat berguna sebagai bahan
untuk intervensi sebagai tindakan keperawatan sekaligus pendidikan kesehatan.

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 BAB II
TELAAH JURNAL

2.1 Masalah Penelitian

Masalah yang diangkat dalam penelitian ini adalah adanya pengaruh
rehabilitasi vestibulur (VR) pada pasien dengan benign paroxysmal position
vertigo yang berhubungan dengan penyakit meniere.

2.2 Tujuan Penelitian

The objective of this study was to evaluate the preand post-VR quality of life of
patients with MD-associated BPPV by using the Brazilian version of the DHI as an
evaluation tool.

2.3 Metode Penelitian

1. Pengambilan Sampel
The sample consisted of 12 patients of both genders with a diagnosis of
Menieres disease associated with benign paroxysmal positional vertigo (BPPV) of the
posterior canal, who were seen at the ENT clinic during the period from October to
December 2009. Inclusion criteria were as follows: clinical diagnosis of Menieres
2. Rancangan Penelitian dan Instrumen Penelitian
For the data analysis, we first used the Shapiro-Wilk test of normality,
proceeding with the Wilcoxon test for comparisons between samples before and after
vestibular rehabilitation, and the Friedman test to compare the impact of physical,
emotional, and functional scores after standardizing the values by calculating the
percentage According to the maximum possible score to be Obtained on each item.
Spearman correlation was used to Evaluate the relationship between aspects, the total
score, and the characteristics of the sample test. All analyzes were
processed in 4.0 BioEstat considering significance at P <0.05.

2.4 Results

In the stipulated period for the data collection, 12 individuals fulfilled the criteria
for inclusion and exclusion. There were 4 (33.33%) of men and 8 (66.66%) women, all

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Caucasian, aged between 35 and 86 years (mean, 53.17 15.75 years). Three (25%)
were less than 40 years old, 6
(50%) were aged between 40 and 59 years, and 3 (25%) were aged 60 years or more
(Table 1).

There was a significant reduction in all DHI after VR values, independent of the
aspect. The final median values were 0 (zero) for the physical aspect, one for the
emotional aspect, and one for the functional aspect, demonstrating the favorable impact
of VR on the quality of life of our Patients (Table 2). Generally, the score must be
reduced by at least 18 after treatment to be indicative of benefit (1). In our series, 7
(58.33%) Patients Showed areduction greater than 18 points, 5 (41.67%) did not show a
reduction greater than 18 points, and 3 (25%) did not Achieve a pre-VR score is large
enough to show such a reduction. In the evaluation of post-VR scores, 2 (16.6%) Patients
who had scores less than 18 pre-VR, despite showing an improvement in the aspects
evaluated, the score did not show reductions of the specified magnitude.

To compare the effects on the different aspects, the raw score values were
normalized as percentage values, with 100% indicating the maximum score in every
aspect. Next, we Compared to the pre- and post-VR scores. In the preoperative
evaluation, we Noted that the diseases had a greater impact on the physical and
functional aspects than on
the emotional aspect. Although none of the aspects Showed a predominant effect of VR,
the differences in the pre- and post-VR VR values Showed that had the greatest influence
on the physical aspect (Table 3).
In the first evaluation (pre-VR), the correlation between the physical and
functional aspects was moderately positive, and that between the emotional and
functional aspects was strongly positive, indicating the interrelationship of these factors
on quality of life of the volunteers, i.e., the functional aspect influences and is influenced
by physical and emotional aspects. Post-RV, these correlations were not observed.
However, analysis of the difference (pre -post) showed a weak positive correlation
between the emotional and functional aspects (Table 4).
In the pre- and post-VR analyses, there was a lack of correlation between age
and gender with the DHI scores, indicating that the results of the VR were not affected
by these characteristics (Table 5).
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2.5 Kualitas Keseluruhan

1. Apa kekuatan utama dari studi ini ?

2. Apa keterbatasan utama dari penelitian tersebut ?

3. Apakah penelitian dijelaskan secara rinci cukup untuk memfasilitasi studi

replika ?

4. Apa kontribusi utama dari penelitian ini untuk pengembangan pengetahuan

dalam keperawatan ?

5. Apa saran yang mungkin meningkatkan penelitian dan memperbaiki

keterbatasan ?

KESIMPULAN

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