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Fatigue In Children With Cancer Who Receive Chemotherapy Sri Hendrawati; Fanny Adistie; Nenden Nur Asriyani Maryam
Journal of Nursing Care Vol 4, No 2 (2021): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v4i2.33158

Abstract

Fatigue in children with cancer is a physical, mental, and emotional experience characterized by reduced energy, decreased physical activity, and increased feelings of fatigue. So far, health workers have assumed that fatigue is a subjective feeling and is not life-threatening. If not handled properly, fatigue can reduce the quality of life. This study aimed to identify the level of fatigue in children with cancer. This research used a descriptive quantitative method. According to the inclusion criteria: 1) the respondents are children with cancer aged 6-18 years; 2) the children is undergoing treatment or medication, and 3) the general condition of the children is good. Technique sampling used consecutive sampling to get 74 children with cancer. The instruments used were the Childhood Fatigue Scale (CFS) to measure the level of fatigue in children and the Fatigue Scale-Adolescent (FSA) to measure the level of fatigue in adolescents. Data analysis using the mean value and frequency distribution. The results showed that based on the fatigue questionnaire of children with cancer who receive chemotherapy, most of them had a severe fatigue scale of 56 people (75.7%). Meanwhile, a small proportion of children had a mild fatigue scale of as many as 18 people (24.3%). In this study, all children with cancer experienced fatigue. It interrupts or limits their daily activities and significantly influences different aspects of personal life. Children can still felt fatigued even after chemotherapy is over. Nurses as health workers who have the most frequent contact with children must provide appropriate nursing interventions for cancer to minimize fatigue.
PENGETAHUAN DAN SIKAP IBU YANG MEMPUNYAI ANAK BALITA TENTANG PENYAKIT CAMPAK Reni Rohaniah; Nenden Nur Asriyani Maryam; Sukmawati
Jurnal Kesehatan Saelmakers PERDANA (JKSP) Vol. 3 No. 1 (2020): Jurnal Kesehatan Saelmakers PERDANA
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32524/jksp.v3i1.243

Abstract

In Garut regency in 2016 has occurred 323 cases of measles extraordinary events (KLB) with 32people died and the highest number of death is in Kersamenak Community Helath Center as manyas 48 cases. An effort to prevent measles is by giving immunizations. The scope of immunizationcan be influenced by the knowledge and attitudes of mothers about measles immunization. Thepurpose of this study was to determine the description of knowledge and attitudes of mothers whohave toddlers about measles in the Kersamenak Community Health Center in Garut Regency. Thestudy design used quantitative descriptive. The population in this study was mothers who hadchildren under five in the working area of Kersamenak Community Health Center as many as 231mothers. The sample was taken by purposive sampling technique, the number of samples as manyas 146 mothers who have toddlers. The instrument used was made by researcher with a valid test rtable ? 0.514 and a reliable Cronsbach alpha test 0.944. Analysis of the data was univariate. Theresults showed that most of mothers has good knowledge as many as 100 people (68.5%) andalmost half of th mothers have favorable attitude as many as 74 people (50.7%). It can beconcluded from this research that the mother's knowledge is sufficient because they understandsthe meaning of measles, how to be infected by measles, signs of measles, complications of measles,prevention of measles, and care for measles. Attitude of the mothers was favorable due to thecognitive, affective and conative attitude of most mothers strongly agree with environmentalhygiene, measles symptoms and information on the benefits of measles immunization. It is expectedthat the Community Health Center can provide more intensive information to the public aboutmeasles.
Effectiveness of Developmental Care on Physiological Functions’ Low Birth Weight Babies: A Literature Review Sri Hendrawati; Fanny Adistie; Nenden Nur Asriyani Maryam
Indonesian Contemporary Nursing Journal Volume 4 No. 2 Februari 2020
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.538 KB) | DOI: 10.20956/icon.v4i2.9010

Abstract

Introduction: Infants with low birth weight (LBW) is a major risk factor for increased morbidity and mortality rate. LBW infants that getting treatment in the neonatal intensive care unit (NICU) will be exposed to various environments and excessive stimulus with various procedures performed that causing stress on the infant. Management strategies that can be done to reduce stress of the excessive stimulus is with developmental care. This literature review is aimed to identify the effectiveness of developmental care on physiological functions of LBW infants in the NICU. Method: Articles were collected from several databases including Medline, CINAHL, EBSCOhost, Google Scholar, PubMed, and Proquest. The keywords were developmental care, low birth weight infant, neonatal intensive care unit, and physiological function were searched for quantitative studies. The articles reviewed were only articles with full text, written in English, and published during period 2013 to 2018. The study was criticized by the author using the Critical Appraisal Tool from JBI (Joanna Briggs Institute). It found 10 articles that related specifically to developmental care on LBW infants in the NICU. Result: Implementation of developmental care for infants in the NICU effective in optimizing the physiological functions of infant, including lowering the pulse and frequency of breath that makes the infant more relaxed. Developmental care can also improve oxygen saturation, reduce pain, reduce gastro esophageal reflux, increase sleep time, and improve neuromuscular maturity. Conclusion: Developmental care facilitate the infant more relaxed. The infant needs regularity of physiological functions and achieving restful sleep to grow and thrive.
Tingkat Harapan Masa Depan Remaja Di Lembaga Pembinaan Khusus Anak Bandung Rery Yuliani Pratiwi; Nur Oktavia Hidayati; Nenden Nur Asriyani Maryam
Jurnal Keperawatan BSI Vol 8 No 1 (2020): Jurnal Keperawatan BSI
Publisher : LPPM Universitas BSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (765.265 KB)

Abstract

Remaja adalah kelompok beresiko mengalami masalah kesehatan, sesuai tahap perkembangannya, remaja berada pada masa transisi, pencarian identitas diri, khusus untuk remaja yang ada di Lembaga Pembinaan Khusus Anak (LPKA), selain mereka terisolasi dari lingkungan luar, kurangnya dukungan keluarga menyebabkan tidak mempunyai harapan untuk masa depan. Penelitian ini bertujuan untuk mengetahui tingkat harapan masa depan remaja di Lembaga Pembinaan Khusus Anak (LPKA) Bandung. Penelitian menggunakan analisis deskriptif kuantitatif. Pengambilan sampel menggunakan total sampling yang melibatkan 139 remaja di LPKA Bandung. Data dikumpulkan dengan menggunakan kuesioner dengan skala Likert, item pernyataan berdasarkan instrumen Adult Dispotisional Hope Scale (ADHS) yang dibuat dan dikembangkan oleh Snyder serta telah diterjemahkan dan dimodifikasi oleh Alwin Muhammad Reza ke dalam bahasa Indonesia. Dengan hasil uji validitas (0,81) dan uji reliabilitas (0,681). Hasil penelitian ini menunjukan bahwa responden di LPKA Bandung memiliki tingkat harapan masa depan yang tinggi yaitu sebanyak 76 responden (54,7%) dan harapan masa depan rendah sebanyak 63 responden (45,3%). Sehingga penelitian ini menyarankan kepada LPKA mempertahankan tingkat harapan yang sudah dimiliki oleh remaja, dan perlu adanya konseling dan edukasi bagi yang mempunyai harapan masa depan yang rendah, guna meningkatkan tingkat harapannya.
Pengetahuan dan Sikap Orang Tua Terkait Tuberkulosis Anak di RSUD Bhakti Dharma Husada Kota Surabaya Septiani Sri Kusuma Astuti; Windy Rakhmawati; Sri Hendrawati; Nenden Nur Asriyani Maryam
Malahayati Nursing Journal Vol 5, No 6 (2023): Volume 5 Nomor 6 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i6.8784

Abstract

ABSTRACT Children have higher potential for contracting tuberculosis due to their immature immunology. Knowledge and attitudes of parents towards childhood tuberculosis are important as an effort to optimally prevent and treat childhood TB. This study aims to describe parents’ knowledge and attitudes towards childhood TB during COVID-19 Pandemic in RSUD Bhakti Dharma Husada Surabaya. A retrospective descriptive quantitative study design was used. Purposive sampling was used with total 38 parents of childhood TB (aged 1-14 years old), Surabaya local citizen, and visited RSUD Bhakti Dharma Husada from January 2020 to July 2022 recruited as study participant. Descriptive statistics were used to analyzed data. Results showed 55.2% of respondents had good knowledge of childhood TB and considered TB as a very serious disease (76.3%). Respondent stated that they believe their children has the same potential to contract tuberculosis (92,1%) yet still felt shocked (65.8%), scared (50%), sad and hopeless ( 47.3%) when knowing their child diagnosis. Study showed less significant percentage of good and poor knowledge about tuberculosis. However, respondents already have good attitudes towards tuberculosis that can have a positive impact on child treatment. Health promotion and counseling by health workers is influential to control the infection. Keywords: Attitude, Children, Knowledge, Tuberculosis  ABSTRAK Anak-anak berpotensi lebih tinggi tertular tuberkulosis berkaitan dengan imunologinya yang belum matang. Pengetahuan dan sikap, dan perilaku pencarian pengobatan orang tua penting sebagai upaya pencegahan dan pengobatan TB anak secara optimal. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan dan sikap orang tua terhadap TB anak di RSUD Bhakti Dharma Husada Surabaya. Penelitian ini merupakan studi deskriptif kuantitatif dengan pendekatan retrospektif. Teknik sampling yang digunakan adalah Purposive Sampling. Populasi pada penelitian ini adalah 38 orang tua pasien TB anak (usia 0 – 14 tahun) yang berobat di poli anak RSUD Bhakti Dharma Husada pada rentang Januari 2020-Juli 2022, serta berdomisili di Kota Surabaya. Analisis data pada penelitian ini menggunakan statistik deskriptif. Hasil penelitian menunjukkan 55,2% responden memiliki pengetahuan yang baik tentang TB anak dan menganggap TB sebagai penyakit yang sangat serius (76,3%). 92,1% responden menyatakan percaya bahwa anaknya memiliki potensi yang sama untuk tertular tuberkulosis. Responden menyatakan merasa kaget (65,8%), takut (50%), sedih dan putus asa (47,3%) saat mengetahui diagnosis anaknya. Studi menunjukkan persentase pengetahuan baik dan buruk tentang tuberkulosis kurang signifikan. Namun responden sudah memiliki sikap yang baik terhadap penyakit tuberkulosis sehingga dapat berdampak positif terhadap pengobatan anak. Promosi kesehatan dan konseling oleh petugas kesehatan diperlukan sebagai langkah pengendalian infeksi. Kata Kunci: Anak, Pengetahuan, Perilaku, Tuberkulosis 
Optimalisasi Peran Kader Kesehatan dalam Upaya Pencegahan Stunting dan Stimulasi Deteksi Intervensi Dini Tumbuh Kembang (SDIDTK) Pada Balita di Desa Linggar Kecamatan Rancaekek Kabupaten Bandung Sri Hendrawati; Henny Suzana Mediani; Nenden Nur Asriyani Maryam
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 6 (2023): Volume 6 No 6 Juni 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i6.9708

Abstract

ABSTRAK Angka kejadian stunting di Indonesia masih cukup tinggi. Selain itu cakupan deteksi dini tumbuh kembang balita juga masih jauh dibawah target yang ditetapkan yaitu 90%. Upaya pencegahan stunting dan stimulasi, deteksi, dan intervensi dini tumbuh kembang (SDIDTK) yang dilakukan di Posyandu belum optimal. Untuk deteksi tumbuh kembang, di posyandu hanya dilakukan penimbangan dan pengukuran tinggi badan saja. Kader kesehatan belum mampu melakukan deteksi dini dan intervensi dini penyimpangan tumbuh kembang balita secara komprehensif. Melalui kegiatan Pengabdian Pada Masyarakat (PPM), tim pelaksana PPM melakukan pemberdayaan terhadap kader kesehatan di Desa Linggar, Kecamatan Rancaekek, Kabupaten Bandung mengenai upaya pencegahan stunting dan SDIDTK pada balita dengan tujuan untuk membantu kader kesehatan dalam meningkatkan pengetahuan, pemahaman, dan kewaspadaan terjadinya stunting dan deteksi dini tumbuh kembang pada balita serta bagaimana cara menanggulangi dan mengatasinya. Khalayak sasaran pada kegiatan ini adalah kader kesehatan sejumlah 30 orang. Metode kegiatan ini dilakukan melalui tahapan identifikasi/ pengkajian; penetapan masalah; pelaksanaan kegiatan dengan ceramah, simulasi, diskusi, dan praktikum; evaluasi dan pendampingan; dan rencana tindak lanjut. Pengukuran pengetahuan pada kegiatan ini diperoleh menggunakan kuesioner pretest dan posttest, sedangkan pengukuran kemampuan psikomotor berdasarkan lembar cheklist observasi. Data dianalisis dengan distribusi frekuensi, nilai mean, dan dependent t-test. Hasil kegiatan menunjukkan terdapat perbedaan rata-rata skor pengetahuan kader sebelum 65,82 (SD = 12,39) dan setelah 84,23 (SD = 11,51) kegiatan pemberdayaan, dengan rata-rata peningkatan skor 18,41 (SD = 12,94) (p=0,000; α=0,05). Pada kemampuan psikomotor kader kesehatan menunjukkan peningkatan yang signifikan setelah dilakukan kegiatan. Melalui kegiatan ini pengetahuan dan kemampuan kader kesehatan dapat meningkat dalam upaya pencegahan stunting dan SDIDTK pada balita. Hasil kegiatan ini merekomendasikan perlunya rencana tindak lanjut yaitu pencegahan stunting dan SDIDTK pada balita oleh kader kesehatan yang sudah dilatih dan dilakukan evaluasi secara berkelanjutan bekerjasama dengan puskesmas sekitar. Kata Kunci: Balita, Kader Kesehatan, Pencegahan, Stunting, Tumbuh KembangABSTRACT The incidence of stunting in Indonesia is still quite high. In addition, the coverage of early detection of toddler growth and development is still far below the set target of 90%. Efforts to prevent and stimulate, detect, and early intervention for growth and development at posyandu have yet to be optimal. For growth and development detection, at posyandu, only weighing and measuring height are carried out. Health cadres have yet to comprehensively carry out early detection and intervention of deviations in the growth and development of toddlers. Through Community Service activities, the team empowered health cadres in Linggar Village, Rancaekek District, Bandung Regency, regarding efforts to prevent stunting and stimulate, detect, and early intervention for growth and development in toddlers to assist health cadres in increasing knowledge, understanding, and awareness of the occurrence stunting and early detection of growth and development in toddlers and how to overcome it. The target audience for this activity is 30 health cadres. This activity is carried out through the stages of identification/assessment; problem determination; implementation of activities with lectures, simulations, discussions, and practicum; evaluation and assistance; and follow-up plans. Measurement of knowledge in this activity was measured using a pretest and posttest questionnaire, while psychomotor abilities were measured on observation checklist sheet. Data were analyzed by frequency distribution, mean value, and dependent t-test. The results of the activity showed that there was a difference in the average knowledge score of cadres before 65.82 (SD = 12.39) and after 84.23 (SD = 11.51) empowerment activities, with an average score increase of 18.41 (SD = 12 .94) (p=0.000; α=0.05). The psychomotor abilities of health cadres showed a significant increase after the activity was carried out. Through this activity, the knowledge and skills of health cadres can increase efforts to prevent stunting and stimulate, detect, and early intervention for growth and development in toddlers. The results of this activity recommended the need for a follow-up plan, namely stunting prevention and stimulate, detect, and early intervention for growth and development in toddlers, by health cadres who have been trained and evaluated continuously in collaboration with the health center. Keywords: Growth and Development, Health Cadres, Prevention, Stunting, and Toddlers.
Penyuluhan Bulan Imunisasi Anak Nasional (BIAN) Affabile Rifawan; Nenden Nur Asriyani Maryam; Satriya Wibawa
Media Karya Kesehatan Vol 6, No 1 (2023): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v6i1.44713

Abstract

Seiring dengan terjadinya pandemi COVID-19, akses imunisasi menjadi terbatas. Selain itu, cakupan program imunisasi cenderung mengalami penurunan, terutama sejak masa pandemi COVID-19. Ini menyebabkan peningkatan jumlah anak-anak yang tidak memperoleh imunisasi secara rutin dan lengkap sesuai usia. Penurunan cakupan imunisasi ini berpotensi menyebabkan peningkatan jumlah kasus Penyakit yang Dapat Dicegah Dengan Imunisasi (PD3I) dan terjadinya Kejadian Luar Biasa (KLB) PD3I seperti Campak, Rubela, dan Difteri di beberapa wilayah. Pengabdian Kepada Masyarakat (PPM) ini bertujuan untuk berkontribusi dalam penyuluhan Bulan Imunisasi Anak Nasional (BIAN) kepada masyarakat di Desa Neglasari Kecamatan Ibun. Kegiatan ini menggunakan metode penyuluhan dengan tahapan yang sistematis sebagai berikut: (1) Kajian situasi, (2) Perumusan pemecahan masalah (3) Penyuluhan. Untuk mengvaluasi kegiatan penyuluhan, dilakukan pretest dan posttest serta pengumpulan data kualitatif dengan Small Group Discussion (SGD). Materi penyuluhan diadaptasi dari panduan BIAN membahas tentang pengertian, tujuan dan manfaat serta jenis imunisasi dan juga penanganan KIPI. Partisipan penyuluhan dalam kegiatan ini berjumlah 162. Hasil evaluasi penyuluhan menunjukkan adanya peningkatan pengetahuan tentang BIAN yang semula hanya 40 persen menjadi 82 persen partisipan penyuluhan dengan tingkat pengetahuan yang baik. Selain itu, data kualitatif menunjukkan bahwa masyarakat membutuhkan fasilitas yang memadai dan juga peran serta aktif seluruh lapisan masyarakat dalam Program BIAN. Maka dari itu, perlu adanya upaya kolaboratif dari seluruh lapisan masyarakat.Kata kunci: Imunisasi, ksehatan, penyuluhan
GAMBARAN PENGETAHUAN DAN SIKAP ORANG TUA YANG MEMILIKI ANAK DENGAN TUBERKULOSIS DI RSUD BANDUNG KIWARI: Knowledge and Attitude Among Parents of Children with Tuberculosis in RSUD Bandung Kiwari Ilham Taufik Nurilhami; Windy Rakhmawati,; Nenden Nur Asriyani Maryam; Sri Hendrawati
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 2 (2023): JIKep | Juni 2023
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i2.1442

Abstract

Pendahuluan: Pengetahuan dan sikap merupakan faktor internal yang dapat membentuk perilaku pencarian kesehatan. Pengetahuan dan sikap yang buruk terkait Tuberkulosis (TB) anak beresiko untuk mengalami keterlambatan dalam diagnosis dan pengobatan. Tujuan: Penelitian ini bertujuan untuk menggambarkan pengetahuan dan sikap orang tua yang memiliki anak dengan Tuberkulosis di RSUD Bandung Kiwari. Metode: Desain penelitian ini adalah deskriptif kuantitatif dengan pendekatan waktu cross-sectional. Teknik sampel yang digunakan adalah purposive sampling dengan total sampel yang digunakan sebanyak 52 orang. Hasil: Hasil penelitian ini menunjukkan bahwa 51,92% orang tua memiliki pengetahuan yang baik. Frekuensi tertinggi berada pada subvariabel pengetahuan tentang pengobatan TB yaitu sebesar 100% (52 responden), sedangkan frekuensi terendah yaitu sebesar 53,85% (28 responden) pada subvariabel pengetahuan tentang penyebab, tanda dan gejala TB anak. Hampir semua orang tua menilai bahwa penyakit Tb anak adalah penyakit yang sangat serius (92,31%), anak mereka berpotensi untuk terinfeksi TB (94,23%). Hampir semua orang tua akan berbicara terkait TB anak kepada dokter dan tenaga kesehatan lain (96,15%). Hampir semua reaksi orang tua saat anaknya terkena TB adalah terkejut (67,31%) dan takut (44,23%). Kesimpulan: Lebih dari setengah orang tua memiliki pengetahuan yang baik dan sikap yang positif terkait TB anak. Oleh karena itu, perawat disarankan untuk mempertahankan dan meningkatkannya dengan edukasi kesehatan yang sesuai agar semua orang tua yang memiliki anak dengan Tuberkulosis memiliki pengetahuan yang baik dan sikap yang positif terkait TB anak.
Pengetahuan Orang Tua dengan Anak Tuberkulosis di RSUD dr. Soeselo Tegal: Knowladge Among Parents about Pediatric Tuberculosis in RSUD dr. Soeselo Tegal Farah Nibras Almira; Windy Rakhmawati; Sri Hendrawati; Nenden Nur Asriyani Maryam
Jurnal Surya Medika (JSM) Vol. 9 No. 2 (2023): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v9i2.5685

Abstract

Parents' knowledge about pediatric tuberculosis which still has high insidence is needed because it will affect the attitudes and health-seeking behavior of parents. If parents’ knowledge is poor, it can inhibit pediatric tuberculosis control program. This study aimed to describe the parents’ knowledge about pediatric tuberculosis in dr. Soeselo Tegal. Research design, namely descriptive quantitative with cross-sectional approach through total sampling with a sample of 35 people. The instrument used to collect data was the result of developing instrument points in the KAP (Knowledge, Attitude, and Practice Survey) issued by WHO in 2008. The results of this study obtained that 22 respondents (62.9%) had good knowledge and 13 respondents (37, 1%) with poor knowledge. Parents' knowledge is not good regarding TB signs and symptoms in children has the highest frequency because it is often difficult to distinguish between TB sign and symptoms in children and other diseases, so many parents are late to bring their children to the hospital for examination and treatment. Therefore, nurses are suggested to educate parents regarding tuberculosis in children.
Parents' Attitude towards Child Tuberculosis Setiawan, Shafanissa Aulia; Rakhmawati, Windy; Hendrawati, Sri; Maryam, Nenden Nur Asriyani
Journal of Nursing Care Vol 6, No 3 (2023): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v6i3.44608

Abstract

Tuberculosis remains one of the deadliest infectious diseases in the world. Not only adults are affected from TB, but children too. Treatment adherence of TB in children can be determined of parents’ attitude towards TB. This study aims to describe parents’ attitude towards child TB in Bandung City. This study was a descriptive quantitative study with cross-sectional approach. Total sampling technique was used in this study; with 50 parents of children with TB visiting community health centers in Bandung City participated. This study used questionnaires adapted from WHO guidance in attitude towards TB survey. Data analysis were done using univariate descriptive statistics in the form of frequency distribution. Based on this study, 94% of the respondents considered TB very serious, 46% of the respondents considered TB very serious in their neighborhood, 60% of the respondents were shocked when their children are diagnosed with TB, 98% of the respondents would talk with doctors to discuss about their children’s condition, and 78% of the respondents said the cost of TB treatment is free. It can be concluded that the majority of parents have positive attitude towards child TB. Based on this study, nurses are expected to facilitate and persuade parents into attitude change towards child TB treatment.