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Health Status Condition on Children with Leukemia Through Family Centered Empowerment Model
Get PDFFamily-centered empowerment (FACE) is a nursing intervention by increasing family filial values, which consist of responsibility, respect, and family care. The objective of the study applied a family-centered empowerment model (FACE) to the health status of children suffering from leukemia. The study used quasi-experiment design, with the sample being 30 families with children suffering from leukemia treated in Soetomo Hospital Surabaya. Independent variable is family-centered empowerment (FACE) model and the dependent variable is health status condition of children suffering from leukemia. There is influence of FACE model to health indicator of children suffering from leukemia, consisting of child weight p = 0.000 (<0.05), leukocyte p = 0.002 (<0.05), and bleeding incidence p = 0.041 (<0.05). The Family Centered Empowerment (FACE) model is applied to families with children suffering from leukemia by nurses as an intervention of family filial value enhancement in increasing responsibility, respect and care so that families can develop their family appraisal skills to provide the best care while facing the challenge of treating children with leukemia. The family-centered empowerment model can improve family ability in treating children with leukemia, which impacts on child health indicator.
Keyword: Family, Empowerment, leukemia, childre
Commitment for Anaemia Prevention is Associated with Adherence to Iron Supplementation and Iron Intake Among Pregnant Women
Get PDFAnaemia during pregnancy is still a major problem in the world which can affect the health of the mother and foetus. The commitment of pregnant women to improve adherence to iron supplementation and eating iron-rich foods can prevent iron deficiency anaemia.This study aimed to identify the correlation between of commitment for anaemia prevention with adherence to iron supplementation and iron intake. Design: The study was a cross-sectional study with a population sample of 125 pregnant women who attended antenatal care at five community health centres in Surabaya. The study was conducted from August to October 2017.The statistical test results showed the commitment statements, “I maintain personal hygiene by frequently washing hands”had the highest score (4.38 ± 0.67) and “ Itake iron supplements regularly even if it causes nausea” had the lowest score (4.05 ± 0.84). Of the four statements about adherence to iron supplementation, “I take iron supplements regularly every day” had the highest score (4.35 ± 0.86) while ‘I take iron supplements along with orange juice or vitamin C drinks’ had the lowest score of 1.52 ± 0.87. There was a significant association between commitment for anaemia prevention and adherence to iron supplementation during pregnancy (r = 0.227; p = 0.011) and between commitment for anaemia prevention and iron intake (r = 0.432; p <0.001). Health workers need to conduct health education about the prevention of anaemia in every pregnant woman who attends antenatal care.
Keywords: Commitment, Anaemia prevention, Adherence Iron Supplementation, Iron Intak
Medication Adherence and Quality of Life among People Living with HIV/AIDS (PLWHA) Who Joined and Did Not Join a Peer Support Group
Get PDFARV medication adherence and the quality of life in PLWHA are still low and most PLWHA have not joined a peer support group. This study aims to provide a comparative study of medication adherence and quality of life among people with HIV/AIDS (PLWHA) who joined and did not join a peer support group. The data of 39 PLWHA were collected from hospital in Madura, Indonesia. The independent variables measured include PLWHA who joined and did not join a peer support group, and the dependent variables included adherence to taking ARV drugs and quality of life for PLWHA. The medication adherence level and quality of life PLWA who joined a peer support group were better than who didn’t. Further studies are recommended to understand expected about other factors such as differences in medication adherence and quality of life in PLWHA with Drug Drinking Companions (PMO) or with family support.
Keywords: PLWH, Quality of Life, Medication adherence, Peer support grou
Why We Have to Develop Instruments of Our Caring Measurement Based on an Indonesian Perspective
Get PDFIntroduction: Caring is the core or focus in nursing as a form of professional nursing practice. The current caring instrument is an original instrument that measures the attitudes or behavior of nurses, has not paid attention to the administrative and environmental aspects of the hospital. The use of an instrument that does not yet contain certain characteristics gives rise to
improper measurement results. The purpose of this study was to explain the importance of developing caring measurement instruments with an Indonesian perspective.
Methods: Systematic reviews were carried out from database articles on ScienceDirect, Scopus, Google Scholar, SpringerLink, Wiley online, Proquest,
and EBSCOhost. Criteria for articles were articles published in the last 10 years, national and international research locations, and in Indonesian and
English. 15 references were obtained from 2100 references that met the predetermined criteria. The development of a caring behavior instrument based on an Indonesian perspective does not yet exist. Results: The results found that development on the basis of linguistics,
cultural adjustment, and according to the prevalence of disease in a country because the epidemiology of the disease differs on the climate region. Conclusion: Specific caring instruments in an Indonesian perspective is expected that the research results will be more accurate
PENGALAMAN KLIEN TB PARU YANG MENJALANI PENGOBATAN FASE INTENSIF DI PUSKESMAS TAJI KABUPATEN MAGETAN
Get PDFPendahuluan: Klien TB paru yang menjalani pengobatan fase intensif sering kali merasa sedih, bosan, menolak keadaan, tidak berguna dan tidak berdaya, mengeluh dengan
perubahan kondisi yang dialami. Studi ini bertujuan untuk mengetahui gambaran pengalaman klien TB paru yang menjalani pengobatan fase intensif di wilayah kerja
Puskesmas Taji Kabupaten Magetan Metode: Penelitian ini menggunakan desain penelitian kualitatif pendekatan
fenomenologi dengan metode in-depth interview terhadap 15 partisipan dengan kriteria inklusi klien TB paru berusia ≥16 tahun, klien baru terdiagnosa TB paru, klien sudah
menjalani pengobatan TB paru fase intensif selama 1 bulan. Sedangkan kriteria eksklusi klien TB paru yang sedang hamil, TB-HIV, TB-MDR, TB ekstra paru, klien dengan penyakit penyerta seperti diabetes mellitus, hipertensi, skizofrenia, dan penyakit kronis lainnya.
Analisis data dalam penelitian ini menggunakan teknik sembilan langkah Colaizzi.Hasil: Hasil penelitian ini didapatkan sebelas tema yaitu: 1) Perubahan di lingkungan
keluarga, 2) Perubahan di lingkungan kerja, 3) Menjaga kegiatan sosial, 4) Efek samping setelah minum obat TB paru, 5) Upaya mencegah penularan TB paru, 6) Upaya mencapai kesembuhan, 7) Jenis dukungan selama pengobatan TB paru, 8) Sumber dukungan selama pengobatan TB paru, 9) Hambatan selama pengobatan TB paru, 10) Upaya mengatasi hambatan selama pengobatan TB paru, 11) Harapan selama pengobatan TB paru.Kesimpulan: Pengalaman klien TB paru selama menjalani pengobatan fase intensif memerlukan berbagai dukungan baik dari diri sendiri dan orang lain seperti keluarga, tetangga, teman, dan petugas kesehatan untuk mengatasi hambatan yang dilalui. Diharapkan bahwa penelitian ini dapat menjadi dasar untuk penelitian lebih lanjut tentang promosi kesehatan dan pendampingan berkelanjutan terhadap klien TB paru yang menjalani pengobatan fase intensif dengan melibatkan keluarga dan masyarakat
Perception of People Living With HIV/AIDS Affecting Lost to Follow-Up of ARV Therapy
Get PDFIntroduction: HIV/AIDS sufferers must consume antiretrovirals every day and control routinely each month to take ARVs in the hospital. The condition make patients having a risk of lost to follow up attitude. The purpose of this study was to determine the factors related to the attitude of lost to follow-up on people living with hiv/aids with arv therapy at rsud dr. soetomo surabaya. Method: This study used descriptive correlation design with a cross-sectional approach. The population were 135 patients and 100 patients were required as research participant with consequtive sampling. Independent variables were perceived susceptibility, perceived severity, perceived barrier to action, perceived benefits of action, cues to action, and self efficacy. The dependent variable was lost to follow up behavior. Data were obtained by questionnaire and analyzed with Spearman's Rho. Result: There was a relationship between perceived susceptability (p=0.002), perceived severity (p=0.025), perceived barrier to action (p=0.022) and cues to action (p=0.011) with lost to follow-up behavior. There was no correlation between perceived benefit of action (p=0.196) and self efficacy (p=0.071) with lost to follow-up behavior. Discussion: Knowledge and awareness regarding the importance taking antiretroviral drugs regularly and control routinely needs to be increased for patients with antiretroviral drugs. Further researchers are advised to conduct in-depth research (qualitative research) related to the causes of lost to follow-up behaviour thu
Individual Coaching During Hospitalization Improves the Spirituality of Muslim Patients
Get PDFIntroduction: Patients treated in hospital often experience an uncomfortable condition. This condition can lead to a decrease in performing salat as a Muslim prayer. The purpose of this study was to determine the effect of individual coaching on the spirituality of Muslims including knowledge, attitude, and the practice of salat. Methods: This study used a quasi-experimental design. The sample consisted of 36 Muslim inpatients. The data was collected through a self-constructed questionnaire and it was analyzed using the independent t-test and Mann Whitney test with α ≤ 0.05. Results: There was no significant difference in the scores for knowledge (p=0.941), attitude (p=0.924) and practice (p=0.635) between the two groups before the intervention. However, after being given the intervention, the scores increased for the treatment group, thus creating a significant difference between the treatment and control groups for knowledge (p=0.000), attitude (p=0.003) and practice (p=0.000). Conclusion: Coaching is a suitable method to use to increase the Muslim inpatients' knowledge, attitude, and ability to practice salat. This study recommends that the nurses conduct coaching as a nursing intervention to help the patient to perform salat
Palliative and end-of-life care’s barriers for older adults
Get PDFPurpose – A nursing home is a place that is familiar with death, since many older adults will spend the latter
part of their lives in such a setting. However, research on this topic is still limited, especially in Indonesia. The
purpose of this paper is to explore the barriers to successful palliative and, more generally, end-of-life care
(EOLC) for older adults in nursing homes and to explore nurses’ views on the subject.
Design/methodology/approach – The study is of a qualitative nature and it employs a phenomenological
approach. In-depth interviews with 15 nurses who taken care of older adults in a nursing home were
conducted. The data were analysed using thematic content analysis.
Findings – Barriers to effective EOLC include lack of knowledge, ineffectual communication and
insufficient resources.
Research limitations/implications – Better policies are needed, especially in training related to palliative/
EOLC subjects and equitable distribution of professional health workers to overcome the barriers. The
government should also encourage collaboration involving hospitals, Puskesmas (Health Centre Services),
community and resident care settings in sharing knowledge and skills, especially for nurses.
Originality/value – The barriers identified in palliative and EOLC have been found to be almost identical to
those encountered in other health service
Factors associated with post-traumatic stress disorder (PTSD) following natural disaster among Indonesian elderly
Get PDFPurpose – The purpose of this paper is to analyze factors associated with post-traumatic stress disorder
(PTSD) among elderly who live in a post-earthquake area.
Design/methodology/approach – This was a cross-sectional study involving 152 elder people who
survived the disaster and were selected conveniently. The study was conducted in two worst-affected
districts of Lombok Utara regency. PTSD was diagnosed using a modified version of the ClinicianAdministered PTSD Scale version 5 (CAPS-5). The demographic data were assessed using a self-developed questionnaire consisting of 13 items. All data were analyzed by descriptive analysis, χ2 test and binary logistic regression with po0.05.
Findings – Out of the 152 elder people, 91 (59.9 percent) suffered PTSD. Intrusion symptoms were the most
common symptoms experienced by the respondents (94.1 percent). The factors associated with the PTSD in
the elderly after the earthquake were having chronic illnesses (OR ¼ 2.490; 95% CI ¼ 1.151–5.385), public
health center utilization (OR ¼ 2.200; 95% CI ¼ 1.068–4.535) and occupational status before the disaster
(OR ¼ 2.726; 95% CI ¼ 1.296–5.730). These findings highlight that individual factors and access to health care services remain an important aspect of stress identification among the elderly following the disaster event.
Social implications – Elder people constitute a vulnerable group that is often forgotten and neglected
during post-disaster recovery, though they have potentially higher psychosocial distress than younger age
groups. This study was conducted to raise awareness about mental health problems suffered by the elderly.
Originality/value – This is the first study to apply CAPS-5 to assess PTSD among Indonesian elderly people
following a natural disaster. This paper also provides insights that can be used by governments and other
relevant parties to address PTSD problems suffered by many elderly people in a post-disaster area
Kesehatan Jiwa; Pendekatan Holistik dalam Asuhan Keperawatan
Get PDFPuji syukur kami panjatkan kehadirat Allah SWT, Tuhan Yang Maha Esa, atas berkat rahmadtaufiolistik dalam Asuhan Keperawatan” ini denga q dan hidayahnya penulis mampu menyelesaikan buku “Kesehatan Jiwa; Pendekatann baik. Buku ini diselesaikan untuk memperkaya
rujukan masyarakat dalam menjaga dan meningkatkan kesehatan jiwa. Ternyata masalah kesehatan
jiwa bukan hanya masalah pasien, tenaga kesehatan di rumah sakit jiwa tetapi keluarga, kelompok,
masyarakat bahkan masing-masing individu. Gangguan jiwa tidak hanya berbentuk gangguan jiwa
berat (kelompok psikosis) tetapi juga masalah psiko-sosial, dan ternyata kontribusinya terhadap
penyakit f sik sangat tinggi. Kesehatan jiwa sangat diperlukan bagi hajat hidup orang banyak khususnya
untuk keberlangsungan hidup bermasyarakat. Jiwa adalah unsur manusia yang bersifat non materi,
tetapi fungsi dan manifestasinya sangat terkait pada materi. Oleh karena itu, kita dapat mempelajari
dan mengembangkan kesehatan jiwa melalui fungsinya dan membuktikan kesehatan jiwa melalui
manifestasinya dalam kehidupan sehari-hari.
Kesehatan jiwa adalah kondisi dimana seorang individu dapat berkembang secara f sik, mental,
spiritual, dan sosial sehingga individu tersebut menyadari kemampuan sendiri, dapat mengatasi
tekanan, dapat bekerja secara produktif, dan mampu memberikan kontribusi untuk komunitasnya.
Kenyataanya, hasil riset kesehatan dasar Kementerian Kesehatan RI tahun 2013 menunjukkan 0,17%
penduduk Indonesia mengalami gangguan jiwa berat, 14,3% nya pernah dipasung. Selain itu 6%
penduduk Indonesia mengalami gangguan mental emosional yang mengakibatkan kualitas hidup
terganggu, kualitas kerja terganggu dan produktif as terganggu. Oleh karena itu diperlukan upaya
peningkatan kesehatan jiwa secara komprehensif oleh semua tenaga kesehatan dengan seluruh stake
holder.
Upaya Kesehatan Jiwa adalah setiap kegiatan untuk mewujudkan derajat kesehatan jiwa yang
optimal bagi setiap individu, keluarga, dan masyarakat dengan pendekatan promotif, preventif, kuratif,
dan rehabilitatif yang diselenggarakan secara menyeluruh, terpadu, dan berkesinambungan oleh Pemerintah, Pemerintah Daerah, dan/atau Masyarakat. Kenyataannya angka terjadinya gangguan jiwa
tidak pernah turun, angka kekambuhan masih tetap terjadi. Upaya lepas pasung telah dilaksanakan,
namun saat ini muncul masalah baru, yaitu; kesiapan keluarga menerima pasien pasca pasung. Pasung
bagi pasien gangguan jiwa telah dilepaskan, diberikan pengobatan dan perawatan di fasilitas pelayanan
kesehatan jiwa. Ketika pasien sudah dinyatakan membaik, boleh dilanjutkan dengan latihan dan
perawatan di rumah, keluarga yang tidak siap menerima kasien kembali. Ini adalah masalah besar bagi
upaya pelatihan dan pemulihan bagi pasien gangguan jiwa. Dengan demikian, penanganan masalah
gangguan jiwa bukan hanya masalah pasien, dokter, psikiater, perawat, psikolog, tenaga kesehatan lain,
tetapi juga masalah keluarga, kelompok dan masyarakat. Penanganan masalah kesehatan jiwa bukan
hanya urusan f sik, tetapi juga urusan psikologis, sosial, spiritual dan kultutral. Keterlibatan pemerintah
pusat (Kementerian Kesehatan, Kementerian Dalam Negeri, Kementerian Sosial), Pemerintah; Daerah
Gubernur, Bupati, Wali Kota sampai di tingkat RT sangat diperlukan dalam mengkawal kebiajakan
penanganan masalah gangguan jiwa di wilayah. Prinsipnya, upaya kesehatan jiwa adalah setiap
kegiatan untuk mewujudkan derajat kesehatan jiwa yang optimal bagi setiap individu, keluarga, dan
masyarakat dengan pendekatan promotif, preventif, kuratif, dan rehabilitatif yang diselenggarakan
secara menyeluruh, terpadu, dan berkesinambungan oleh Pemerintah, Pemerintah Daerah, dan atau
masyarakat (UU 18/2014 tentang Kesehatan Jiwa). Atas dasar kompleksnya upaya membangaun
kesehatan jiwa dan penanganan gangguan jiwa, maka penulis mencoba membahas kesehatan jiwa;
pendekatan holistik dalam asuhan keperawatan.
Buku ini terdiri dari lima bagian yang difokuskan pada 13 bab, membahas tentang konsep dasar
keperawatan kesehatan jiwa, konsep holistik dalam keperawatan kesehatan jiwa, sumber daya manusia
dalam pelayanan kesehatan jiwa, fasilitas dalam pelayanan kesehatan jiwa, serta peran serta masyarakat
dalam upaya meningkatkan kesehatan jiwa. Materi ini merupakan hasil penelitian Hibah Kompetensi
Pengembangan Model Holistik dalam Merawat Pasien Gangguan Jiwa, yang telah diterima Direktorat
Riset Penelitian dan Pengabdian Masyarakat (DRPM) Kementerian Riset dan Teknologi Pendidikan
Tinggi Republik Indonesia (Kemenristek Dikti) selama tiga tahun berturut-turut, ditambah dengan
kajian teoritis, telaah lapangan, fokus group diskusi, konsultasi pakar, dan pengamatan tim penulis
selama mengajar dan membimbing klinik di fasilitas pelayanan keperawatan kesehatan jiwa.
Harapan kami, semoga buku ini dapat meningkatkan kompetensi para penulis, bermanfaat bagi
masyarakat umum dalam meningkatkan kesehatan jiwa, suatu upaya dan pengananan kasus yang tidak
sederhana