Perawatan Lanjutan Di Rumah Pada Penderita Leukemia Anak

Bondan Palestin

Penyakit leukemia pada anak dimana LLA merupakan kasus terbanyak yang ditemui pada kasus kanker anak memiliki
protokol pengobatan yang lama. Program pengobatan dan perawatan jangka panjang memerlukan kekuatan dan keberlanjutan berbagai sumber daya keluarga dan pendukungnya. Oleh karenanya, perawatan lanjutan di rumah pada penderita leukemia anak perlu memperhatikan aspek-aspek perawatan yang berorientasi pada peningkatan kualitas hidup anak.

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Item type : Jurnal Ilmiah Keperawatan CARING

Bibliografi : CARING; 2012 – 01 (01) : (79-90)

Posted by : admin CARING

Posted on : 25 April 2012

KELENJAR PINEAL & PROSES PERSALINAN

S.F. Budi Hastuti

Ibu bersalin diuntungkan oleh intervensi keperawatan yang dapat meringankan nyeri, ketegangan dan cemas.
Intervensi keperawatan dapat membantu memutus siklus takut, tegang, dan nyeri yang dapat mengganggu persalinan. Peran perawat yang empati pada ibu bersalin sangat berarti. Keluhan dan kebutuhan yang timbul perlu ditanggapi dengan baik. Kesan keperawatan ideal meliputi peran pemberi dukungan emosional, pemberi rasa nyaman,
penyedia informasi/advis, penyedia ketrampilan teknik/profesional, dan advokat. Tim yang menangani asuhan ibu bersalin perlu berkoordinasi menentukan pemberi konseling kepada klien. Penjelasan tentang kemajuan persalinan perlu disampaikan dengan baik dan benar, sehingga ibu bersalin tidak jatuh pada keadaan panik yang akan merugikan klien maupun pemberi asuhan persalinan.

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Item type : Jurnal Ilmiah Keperawatan CARING

Bibliografi : CARING; 2012 – 01 (01) : (71-78)

Posted by : admin CARING

Posted on : 25 April 2012

Perbedaan Kecemasan Sebelum Dan Sesudah Pemberian Informed Consent Pada Pasien Pre General Anestesi Tindakan Appendiktomi

RR Sri Arini Winarti , Maria H.Bakri , Eko Suryani , Atik Badi’ah

ABSTRACT

Background: Surgery with anesthesia is an actual or potential threat to the integrity of someone who can evoke physiological and psychological stress reaction. The cause of anxiety in individuals who will undergo surgery, namely: pain, invalid, malignancy, failure or in worse condition. This is manifested by physical changes, especially the vital signs,
sleep disturbances and frequent urination is the cause of the cancellation of surgery.

Objective: Knowledgeable difference Anxiety Levels Before and After Provision of Informed Consent in the Patient Pre General Anesthesia with measures in hospitals Wates Appendiktomi Kulonprogo Yogyakarta

Methods: This study used two methods of quantitative and qualitative research. Quantitative approach with Quasi experiments with pre test-post test one group design without control group. Another approach is qualitative research method of phenomenology. Population of all patients will be taken either general anesthesia cyto (emergency) and elective, samples taken by 30 people. The method of determining the sample with non probablity sampling and how
sampling by purposively sampling data was collected using an interview technique (indept intervwe), and the observation level measurements with The Amsterdam preoperative anxiety Anxiety and Information Scale (APAIS), test data processing pairred t test with degrees of significance p <0.05. Results: The majority or 40% of samples will be taken anesthesia experienced severe anxiety before giving explanations anesthesia procedures, and tend to worry that weight once / panic as much as 13.6%. The majority of samples had a mild level of anxiety in the category of 52.5% after being given an explanation of the anesthesia procedure. Who experience severe anxiety while there is still a 3.4% sample, although an explanation has been given an anesthetic procedure.

Conclusions: There are significant differences patient anxiety before and after giving informed consent in patients preanestesi. Nurse anesthetist can perform a comprehensive nursing care preanestesi by considering the role of the nurse as advocate

Key Word : Anxiety, informed consent, general anesthesia, appendixtomy.

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Item type : Jurnal Ilmiah Keperawatan CARING

Bibliografi : CARING; 2012 – 01 (01) : (64-70)

Posted by : admin CARING

Posted on : 25 April 2012

Pengaruh Panduan Terstruktur Komunikasi Terapeutik Perawat Terhadap Kecemasan Keluarga Pasien Di Unit Perawatan Kritis RSUP Dr Sardjito Yogyakarta

RR Sri Arini Rinawati , Maryana , Atik Badi’ah

ABSTRACT

Background: The practice of professional nursing nurse holding a very big responsibility, where nurses are required to carry out his role for 24-hour stand over the patient and his family. Patients with a family who entered the hospital (MRS) will experience feelings of anxiety or anxiety are often called. Feeling anxious or anxiety will be more clearly found in patients and families in MRS in the Critical Care Unit. It so happens because the implementation of the communications are not effective or less well among nurses with patients and their families.

Objective: To determine the influence of structured guidance on therapeutic communication nurse on the patient’s family anxiety in the critical care unit (IGD, IRI, IRJAN and stroke unit) Sardjito Hospital Yogyakarta.

Method: The study was conducted in the critical care unit (IGD, IRI, IRJAN and stroke unit) Sardjito Hospital Yogyakarta. The study was quasi experiment, in which the treatment given was the implementation of structured therapeutic communication with the guide, which will be observed and measured anxiety with the families of patients hospitalized during the Pre and Post Test without control design.

Results: Our results indicated the significance level p (0.00) < (0.05), which mean H0 rejected it means there is the influence of structured guidance on therapeutic communication nurse on the patient's family anxiety in the critical care unit (IGD, IRI, IRJAN and stroke unit) Sardjito Hospital Yogyakarta. Conclusion: There is the influence of therapeutic communication nurse with a structured guide to family anxiety patients hospitalized patients in critical care units (IGD, IRI, IRJAN and stroke unit) Sardjito Hospital Yogyakarta

Key words: guide structured, therapeutic communication, anxiety, critical care

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Item type : Jurnal Ilmiah Keperawatan CARING

Bibliografi : CARING; 2012 – 01 (01) : (54-63)

Posted by : admin CARING

Posted on : 25 April 2012

NEUMAN SYSTEMS MODEL FRAMEWORK APPLIED TO DEMENTIA (prelimenary epidemiology study on functional disability among elderly)

Bondan Palestin , Elly Nurachman & Iwan Ariawan

ABSTRACT

Background: Elderly is viewed as a highrisk population for functional disability. Functional disability among elderly as an effect of physiological changes may be explained with Neuman Systems Model (NSM).

Objective: The study design was a cross-sectional that aims to examine the influences of age, depression and dementia on the functional disability using NSM perspectives at Panti Sosial Tresna Werdha Abiyoso and Budi Dharma Province D.I. Yogyakarta.

Methods: Sample size was determined using hypothesis testing on one population mean for a continuous response variable, therefore 70 elderly were choosen. To examine the influences of age, depression and dementia on the elderly functional disability, multiple linear regressions was used. Researcher also adapted NSM to explain relationships between independent variables and dependent variable.

Results: Using the Geriatric Depression Scale 15-Item (GDS-15), the Mini-Mental State Examination (MMSE) and the Groningen Activity Restriction Scale (GARS), this study reported on subjects aged 70.59 years (95%CI, 68.9772.27) have 44.3% severe-moderate depressed, 55.7% mild depressed, 11.4% cognitive impairment, 90.0% with activities of
daily living (ADL) independently and 10.0% with ADL fully independently but with some difficulty. The correlation analysis at a =0.05 showed that age (r=0.426; r2=18.2%; p=0.000), depression (r=0.313; r2=9.8%; p=0.008), and dementia (r=-0.512; r2=26.2%; p=0,000) had significant relationship with functional disability of elderly. The multiple
linear regressions a=0.05 showed that regression model was functional disability = 16.906 + 0.223*Age + 0.443*[GDS-15] scores 0.499*MMSE scores (r=0.609; r2=37.1%; p=0.000).

Conclusion: This study concluded that age, depression and dementia had significant influence to functional disability among elderly. Researcher shares views for using the NSM to improve nursing. Age, depression and dementia that caused functional disability impairment among elderly can be described as an intra-personal environment that acts like a stressor. Nursing intervention methods that can help prevent depression and dementia need to be established. Furthermore, a comprehensive study on NSM testing is needed.

Keywords: age, depression, dementia, functional disability, elderly, Neuman Systems Model

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Item type : Jurnal Ilmiah Keperawatan CARING

Bibliografi : CARING; 2012 – 01 (01) : (42-53)

Posted by : admin CARING

Posted on : 25 April 2012

Pengaruh Pemberian Cincau Terhadap Tekanan Darah pada Lanjut Usia yang Menderita Hipertensi Di Posyandu Lansia Desa Trimulyo Jetis Bantul

Tantriyani , Harmilah

ABSTRACT

Hypertension is number one disease which leads to death. Almost 69% patients of heart attack, 77% patients of stroke, and 74% patients of heart failure suffer from hypertension. Based on a preliminary study, there were 22 patients with hypertension and they were unable to consume anti hypertension medication.

Objective: Aim of the research was discover the effect of giving grass jelly to the blood pressure of elderly with hypertension in elderly community health center in Trimulyo village, Jetis, Bantul.

Method: This research employed quasi experimental design with pretest and posttest to the control group. The writer employed simple random sampling by giving lottery/sweeptakes.

Results: Based on data analysis using Independent t-test, it shows that the measurement of systolic blood pressure resulted in p=0.00 (p<0.05) and diastolic blood pressure resulted in p=0.02 (p<0.05), so that Ha is accepted and Ho is rejected. It means that there is significant difference between the average blood pressure before and after giving the grass jelly. Thus, it can be concluded that grass jelly gives significant influence to the blood pressure of elderly with hypertension. Conclusion: There is an effect of giving grass jelly to the blood pressure of elderly women with hypertension. It is suggested that patients of hypertension consume grass jelly as one of alternative medicine to decrease their high level of blood pressure.

Keywords : Grass jelly, Blood pressure, Patients of hypertension

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Item type : Jurnal Ilmiah Keperawatan CARING

Bibliografi : CARING; 2012 – 01 (01) : (35-41)

Posted by : admin CARING

Posted on : 25 April 2012

Pengaruh Penilaian Faktor Risiko Penyakit Jantung Koroner (PJK) Terhadap Perilaku Pencegahan PJK Di Puskesmas Gamping 2 Sleman

Wahyu Ratna , Ni Ketut Mendri , Sri Hendarsih

ABSTRACT

Background: Coronary Heart Disease (CHD) is the most fatal disease in the world and the disease is the first rank in causing mortality in Indonesia. There are same cause of CHD can be modified or be eleminated and called as behaviour factors such as smoking, sport, diet (cholesterol), hypertension, obesity, stress, and diabetes mellitus. Risk factors assessment as the wain principle effort to prevent CHD. The intensity of therapy in lowering risk factors should be ajusted to the weight of individual risk. The implementation of assessment will increase the awarness of factors chreatening health to motivate people to prevent CHD.

Objectives: the aim of study is demonstrate the role of CHD risk factor assessment in Gamping 2 Health Center, Sleman. The study is done using Health Belief Model (HBM) approach.

Methode: the methode of the study is quasi experimental with pre and post test, time series design.

Result: the were significant different in knowledge and affective before and after assessment and intervension. (p=0,000 or p<0,05). The was no different in behaviour before and after assessment. (p=0,642 or p>0,05).

Conclution: its is concluded that the result of CHD Risk Factors assessment in the working area of Gamping 2 Health Center mostly very low risk and low risk. Preventive behaviour of CHD such a sport, smoking and diit did not differ befor and after assessment.

Key words: CHD risk factor assessment, preventive behaviour of CHD.

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Item type : Jurnal Ilmiah Keperawatan CARING

Bibliografi : CARING; 2012 – 01 (01) : (27-34)

Posted by : admin CARING

Posted on : 25 April 2012

Menurunkan Kecemasan Menghadapi Prosedur Medis Pada Anak Penderita Leukemia Dengan Pelatihan Mindfulness

Surantono, Ni Ketut Mendri & Eko Suryani

ABSTRACT

Background: Anxiety is one of the psychological state that usually happens because of unpleasant experiences experienced by every human being, it is no wonder if the anxiety occurs in people who have physical disorders, 50% of medical patients reported clinical experience anxiety. One therapeutic approach that can handle the anxiety is cognitivebehavioral therapy by developing a more adaptive ways of thinking that is mindfulness.

Objective: Knowledgeable effects of mindfulness on anxiety mengahdapi medical procedures in children with leukemia in the department of DR Sardjito Yogyakarta.

Methods: This type of research is a quasi exsperiment with pre test-post test design one group without the group. Research conducted at the Special Child Care Space is Leukemia Cases Estela space one (1) and space estela two (2) The General Hospital Center DR Sardjito Yogyakarta. The method of data analysis conducted in this study consisted of univariate and Bivariate (chi-square).

Result: Bivariate analysis aims to test the hypothesis whether there is the influence of mindfulness training on reducing anxiety levels in children who have leukemia apsien medis.Jenis action is an ordinal scale with the level of customary mild anxiety, moderate and severe. Initial measurements with the degree of anxiety in patients suffering from blood
cancer or leukemia stage I and II at a special child care while being treated in the department of leukemia DR Sardjito Yogyakarta. The results of statistical tests Wilcoxon test rank obtained significancy 0.001 there is a difference or a significant impact before and after mindfulness training in patients with blood cancer or leukemia specific children who have anxiety.

Conclusion: Level of anxiety experienced by patients with blood cancer or leukemia children is severe anxiety, moderate and mild. Mindfulness training effect on the reduction of anxiety in patients with cancer or leukemia into moderate and severe levels of anxiety are becoming lighter.

Keywords: Mindfulness, Anxiety, Leukemia

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Item type : Jurnal Ilmiah Keperawatan CARING

Bibliografi : CARING; 2012 – 01 (01) : (18-26)

Posted by : admin CARING

Posted on : 25 April 2012

Analisis Faktor Risiko Ulkus Diabetik Pada Pasien Diabetes Mellitus di RSUP Dr. Sardjito Yogyakarta

Induniasih, Abdul Majid & Sri Hendarsih

ABSTRACT

Background: Diabetes mellitus (DM) is a serious disease that can cause various complications and mortality, complications that are either acute or chronic. Patients with DM in the world in 2000 about 190 million and is expected to reach 300 million by 2025. In Indonesia, the number of people with DM estimated 8.4 million in 2000 and will rise to 21.3 million in 2030. Approximately 60-70% of DM patients will experience neuropathy and increased risk with increasing age, long suffered from diabetes mellitus, poorly controlled blood sugar levels, hypercholesterolemia, hypertension and overweight. Approximately 15% of people with diabetes suffer from diabetic ulcers and 14-24% risk of diabetic ulcers.

Objectives: knowing the risk factors associated with the incidence of diabetic ulcers.

Methods: The analytical survey with case control design. The number of samples on a group of 36 cases and 36 controls that were held in RSUP Dr. Sardjito Yogyakarta. Analysis: Chi-Square test and Multiple Logistic Regression by CI 95%.

Results: There is a significant relationship between a history of diabetic ulcers, and diabetic foot care. The most dominant factor associated with diabetic ulcers were respondens had diabetic foot care.

Conclusion: There is a significant relationship between a history of diabetic ulcers, and diabetic foot care with diabetic foot ulcers.

Keywords: Diabetes Mellitus, Diabetic Ulcer, Blood Sugar.

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Item type : Jurnal Ilmiah Keperawatan CARING

Bibliografi : CARING; 2012 – 01 (01) : (09-17)

Posted by : admin CARING

Posted on : 25 April 2012

Pengaruh Foot Exercise Terhadap Pencegahan Terjadinya Ulkus Diabetik Pada Pasien Neuropati Diabetik

Kirnantoro, Rosa Delima Ekwantini, Abdul Majid

ABSTRACT

Background: Diabetes Mellitus (DM) is a serious disease that can cause various complications and mortality, complications that are either acute or chronic. Approximately 60-70% of DM patients will experience neuropathy and increased risk with increasing age, long suffered from diabetes mellitus, poorly controlled blood sugar levels, hypercholesterolemia, hypertension and overweight. Approximately 15% in people with Diabetes Mellitus type 1 suffer from diabetic ulcers and 14-24% risk of diabetic ulcers. Nursing interventions to prevent the occurrence of diabetic ulcers in diabetic neuropathy include foot exercise, foot massage and range of motion exercise.
Objectives: knowing the influence of exercise on the prevention of foot ulcers in diabetic patients with diabetic neuropathy.
Methods: Study quasi experiments with pre test-post test design with control group, with a total sample of 30 respondents as intervention group and 30 respondents as control group, which was held in Puskesmas Gamping II, Sleman. Analysis using the Mc Nemar test and Chi-Square, with 95% CI.
Results: There are significant differences in limb right ABI values between before and after a given foot exerise (p = 0.002); there are significant differences in the extremities left ABI values between before and after foot exercise (p = 0.002); there are significant differences the value of CRT on the right limb between before and after foot exercise (p = 0.001); There are significant differences in the value of CRT between the left extremities before and after foot exercise (p = 0.002).
Conclusion: There is a significant effect of exercise on the prevention of foot ulcers in diabetic patients with diabetic neuropathy.

Keywords: Diabetes Mellitus, Diabetic Neuropathy, Foot Exercise, Ankle Brachial Index, Capilary Refiling Time and Sensibility.

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Item type : Jurnal Ilmiah Keperawatan CARING

Bibliografi : CARING; 2012 – 01 (01) : (01-08)

Posted by : admin CARING

Posted on : 25 April 2012