TELAAH JURNAL PENELITIAN SISTEM NEUROBEHAVIOR

PENGARUH LATIHAN KETERAMPILAN SOSIAL TERHADAP

PENINGKATAN KEMAMPUAN SOSIALISASI ANAK DENGAN ATTENTION
DEFISIT HYPERACTIVITY DISORDER (ADHD)

Yeni Suryaningsih*

*Fakultas Ilmu Kesehatan Universitas Muhammadiyah Jember

Disusun Oleh:

KARUNIA WATI SUSANTI

( 10215015)

FAKULTAS ILMU KESEHATAN

PRODI S1-KEPERAWATAN
INSTITUT ILMU KESEHATAN 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 Menieres 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 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 analyses were
processed in 4.0 BioEstat considering significance at p < 0.05.

2.4 Hasil Penelitian

In the stipulated period for data collection, 12 individuals fulfilled the criteria for
inclusion and exclusion. There were 4 (33.33%) 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 values after VR, independent of the
aspect. The median final values were 0 (zero) for the physical aspect, 1 for the emotional
aspect, and 1 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 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, did not show
score 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 the pre- and post-VR scores. In the preoperative evaluation,
we noted that the diseases had a greater impact on 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 values showed that VR 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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