KEEFEKTIFAN TERAPI REALITAS PASIEN RAWAT JALAN DENGAN NYERI KRONIK MUSCULOSKELETAL PADA UNIT REHABILITASI MEDIK RUMAH SAKIT Dr. MOEWARDI SURAKARTA

Maharatih, Gst. Ayu (2008) KEEFEKTIFAN TERAPI REALITAS PASIEN RAWAT JALAN DENGAN NYERI KRONIK MUSCULOSKELETAL PADA UNIT REHABILITASI MEDIK RUMAH SAKIT Dr. MOEWARDI SURAKARTA. Masters thesis, Universitas Sebelas Maret.

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    Abstract

    Gst. Ayu Maharatih, S.500208006, 2008.. Efficacy of Reality Therapy for Outpatient Musculoskeletal Chronic Pain’s in the Medical Rehabilitation Unit of Dr Moewardi Hospital Surakarta. Thesis: Post Graduate Program Sebelas Maret University Surakarta. There are similar pathways neurobiological of pain physically and emotionally, as a part of regulation and transmission of pain, and role play in the physical and emotional symptom, require for integrated therapies for chronic pain treatment. Cognitive Behavior Therapy (CBT) is effective for the patient with chronic pain, mean while there is a few another psychosocial intervention researches, for example; Reality Therapy (TR). The roles of psychotherapy in chronic pain patients are affecting factors that can modulate pain and increase patient’s coping. The improvement of coping will resulting in balance of nerves system, Hypothalamic-Pituitary-Adrenal (HPA) axis, innate component and immune system adaptive, thus there will be the change of pain perception of the patients. This study is aimed to know about the efficacy of Reality Therapy (TR) for pain intensity and quality of life of the patients with chronic pain. This research used experimental pretest-post-test control group design. The subjects of research are patients with chronic pain who have underwent therapy in the Medical Rehabilitation Unit of Dr. Moewardi Hospital, and meet inclusion criteria of research. Taking samples with purposive sampling technique. The instruments of research used are Lie- Minnesota Multiphasic Personality Inventory (L-MMPI), Visual Analog Scale (VAS), Clinical Global Impression for Quality of Life (CGI-QL). Statistical Analysis was conducted using SPSS for windows 10.0. Statistic analyses used were Chi Square and Z test, with the significance limit of 5%. The result of data analysis showed that there are significantly difference of the pain intensity between group therapy and control group (Z= -4.142; p < 0.05), show of VAS score decrease of group therapy are higher than control group. And there are significantly difference of CGI item- Level quality of life between group therapy and control group (Z= -3.26; p < 0.05). There are significantly difference CGI item- Global Improvement (Z= -2.97; p< 0.05) and CGI item- Effect Therapeutic (Z= -2.75; p< 0.05) between group therapy and control group, overall, show that the quality of life in the group therapy is better than control group. The conclusion of research is TR is effective as adjuvant therapy for patient with chronic pain compared to control without TR. Key words: Chronic pain – Reality Therapy - Efficacy

    Item Type: Thesis (Masters)
    Subjects: H Social Sciences > HN Social history and conditions. Social problems. Social reform
    R Medicine > R Medicine (General)
    R Medicine > RA Public aspects of medicine
    Divisions: Pasca Sarjana > Magister > Magister Kedokteran Keluarga
    Depositing User: Users 837 not found.
    Date Deposited: 22 Aug 2013 18:30
    Last Modified: 22 Aug 2013 18:30
    URI: https://eprints.uns.ac.id/id/eprint/10258

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