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All Journal Jurnal Konseling dan Pendidikan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Ratna Aryani
Jurusan Keperawatan Polteknik Kesehatan Kementerian Kesehatan Jakarta I
Education Health Professions Nursing Public Health

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Availability and Distribution of Stoma Bags for Colorectal Cancer Patients: A Case Study at National Referral and Private Hospitals Aryani, Ratna; Lalisang, Toar JM; Dahlia, Debie; Martha, Evi; Hamid, Achir Yani S; Wicaturatmashudi, Sukma; Helen, Helen
Kesmas Vol. 20, No. 2
Publisher : UI Scholars Hub

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Abstract

Stoma bags are essential for colorectal cancer (CRC) patients with stomas. However, access and affordability in Indonesia remain challenging as the National Health Insurance (NHI) does not fully cover these devices. This study aimed to describe the availability and distribution of stoma bags for patients with CRC in national referral and private hospitals, focusing on outpatient access. A qualitative case study was conducted through observations and in-depth interviews with four enterostomal therapy nurses and six patients across three national referral hospitals and one private hospital in the Jakarta Metropolitan Area, Indonesia. Notably, the availability of stoma bags was limited in both hospital types, especially for outpatients. Most patients faced financial barriers, as they had to purchase stoma bags independently at high prices because of limited hospital supply and lack of NHI coverage. Moreover, hospital policies restricted the number of bags distributed, worsening access issues. These challenges increase stoma-related complication risk and negatively affect patients’ quality of life. Integrating stoma bags into NHI coverage, regulating prices, and improving distribution are recommended to reduce healthcare disparities and improve outcomes for CRC patients, aligning with Sustainable Development Goal 3.
Body Image Klien Akibat Pemasangan Fiksasi Eksternal Ekstrimitas Bawah Aryani, Ratna; Nurhaeni, Heni; Dinarti, Dinarti
Kesmas Vol. 8, No. 6
Publisher : UI Scholars Hub

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Fiksasi eksternal adalah metode mengatasi fraktur dengan memasukkan pin ke dalam jaringan kulit, jaringan lunak dan tulang yang dihubungkan dengan rigid external frame. Akibat pemasangan fiksasi eksternal tersebut, klien seperti mendapatkan teror yang sangat menakutkan karena penempatan yang tidak biasa dan bentuk fiksasi eksternal yang besar sehingga memengaruhi body image. Tujuan penelitian ini adalah menggambarkan pengalaman body image klien akibat pemasangan fiksasi eksternal ekstremitas bawah. Metode penelitian yang dilakukan adalah penelitian kualitatif fenomenologi deskriptif ini dilakukan pada tujuh partisipan yang dirawat di RSUP Fatmawati dengan cara purposive sampling pada Oktober – November 2012 dengan menggunakan analisis Colaizzi. Hasil penelitian menunjukkan bahwa klien dapat memiliki body image positif atau negatif yang dipengaruhi oleh diri, keluarga dan lingkungan sehingga menimbulkan dampak yang perlu diadaptasi oleh klien. Hasil penelitian ini menjadi acuan bahwa perawat harus memiliki kemampuan memberikan asuhan keperawatan yang komprehensif, termasuk yang terkait dengan masalah psikologis sehingga pemberian asuhan keperawatan akan lebih optimal dengan outcome yang lebih memuaskan. Fiksasi eksternal is a method to overcome the fracture by inserting the pin into the skin tissue, soft tissue and bone are connected by rigid external frame. As a result of the installation of a fiksasi eksternal, clients such as getting a very scary terror due to the unusual placement and shape of a large fiksasi eksternal that affect body image. The research method is descriptive phenomenological qualitative study was conducted in seven participants who were treated at Fatmawati by purposive sampling in October-November 2012 with using the Colaizzi analysis. The results show that clients can have a positive body image or negative-that is influenced by self, family and environmental impacts that need to be adapted by the client. This research is a reference that the nurses should have the ability to provide comprehensive nursing care, including psychological issues related to the provision of nursing care that will be optimized with a more satisfactory outcome.
Self-management intervention model for optimizing psychological well-being in patients with colorectal stoma Aryani, Ratna; Lalisang, Toar JM; Dahlia, Debie; Martha, Evi
Jurnal Konseling dan Pendidikan Vol. 11 No. 4 (2023): JKP
Publisher : Indonesian Institute for Counseling, Education and Therapy (IICET)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29210/1105700

Abstract

A stoma can increase life expectancy and support health recovery but brings several physical and psychosocial issues. Psychosocial resilience is critical in dealing with these changes. This study aims to provide new insights into the interaction between self-management and psychosocial resilience in colorectal cancer stoma patients. This research employs a qualitative design with a case study approach. The study involves colorectal cancer patients with completed primary cancer-related therapies, totaling eight individuals. The informants also include family members of the patients (eight individuals) and volunteer nurses within the community (three individuals). The research instrument is an interview guide structured around five themes. Data analysis follows qualitative stages, encompassing reduction, presentation, and conclusion. Triangulation techniques are utilized to ensure the validity of the findings. The findings suggest that collaboration between family, community, and nurses can provide comprehensive support. However, a structured and focused self-management intervention model is needed to improve psychosocial consistency and resilience. Three models were proposed, namely Family Therapy, Online Community Support, and Nurse Integration in Self-Management, hoping to provide more specific guidance and support for patients. This study provides a basis for developing more varied intervention models and a comprehensive understanding of self-management of colorectal cancer stoma patients.
The Effect of the Intervention Islamic Resilience Model on Blood Pressure and Spiritual Well-Being of Hypertensive Patients Sukarmin, Sukarmin; Nurachmah, Elly; Yona, Sri; Gayatri, Dewi; Aryani, Ratna; Awaludin, Sidik
Jurnal Keperawatan Soedirman Vol 20 No 3 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.3.14850

Abstract

Hypertension remains a disease that poses a problem in all countries. WHO reports that there are still 1.28 billion hypertensive patients worldwide. The aim of this study was to determine the effect of Islamic emotional resilience on blood pressure and spiritual well-being. This study used the RCT method involving 100 hypertensive patients, consisting of 50 respondents in the intervention group and 50 in the control group. The intervention group received an Islamic resilience model intervention for 3 weeks, while the control group continued taking antihypertensive medication. The study results showed a significant effect of the Islamic emotional resilience model on systolic blood pressure (p = 0.00), diastolic blood pressure (p = 0.00), and spiritual well-being (p = 0.00). In the control group, there was a significant difference in systolic blood pressure before and after (p = 0.00), diastolic blood pressure (p = 0.00), and spiritual well-being (p = 0.129). Islamic emotional resilience serves as an important complementary measure in the management of hypertensive patients
Co-Authors Achir Yani S. Hamid Dahlia, Debie - Dewi Gayatri Dinarti Dinarti Elly Nurachmah Evi Martha Helen, Helen Heni Nurhaeni Sidik Awaludin Sri Yona Sukarmin Toar JM Lalisang Wicaturatmashudi, Sukma