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GAMBARAN DAMPAK KEMOTERAPI PADA ANAK MENURUT ORANG TUA DI RUMAH CINTA BANDUNG Ridha Ranailla,; Ai Mardhiyah; Nur Oktavia Hidayati
Ners Jurnal Keperawatan Vol 12, No 2 (2016)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.93 KB) | DOI: 10.25077/njk.12.2.143-158.2016

Abstract

Abstract Cancer is one of the most frequently diseases among children. Chemoteraphy as primary intervention for cancer in children has so many impacts that effect physical and psychological children. This study aimed to identify the most impact of chemotherapy that children felt severe and bothersome. It was done by assessment to parents in “Rumah Cinta Bandung”. Descriptive quantitative method was used in this research and accidental sampling was used for 45 days to 30 respondent. The data was collected using Symptom assessment in childen receiving cancer therapy: the parent perspective from Lee Dupuis. The data contained of two items those were severe and bothersome with 69 questions for each. Data analysis used frecuency distributive to describe the proportion percentage severe and bothersome impact on chemotherapy and also rank of the most severe and bothersome on chemotherapy impact based on mean score by the assessment to parents. The result was 40% children felt the impact of chemotherapy was severe and 36,7% children felt bother with the impact of chemotherapy based on the assessment to the parents. Psychologial aspect in sub variable for children mood and feeling especially emotional aspect (mood swings and feeling angry) were the most severe mpact that children felt. Meanwhile, the item of physical impact that identified as the most bothersome impact that chidren felt were loss of appetite, nausea, and vomiting. Impact of chemotherapy needed more concerned from parents and care provider because for could bother the children quality of life during the treatment. This result was expected to help in finding the priority of intervention to decrease chemotherapy impact that effect children’s physical, psychology and quality of life.  Keyword              : children with cancer, chemotheraphy impact, parents AbstrakKanker merupakan salah satu penyakit yang banyak dialami oleh anak. Kemoterapi sebagai intervensi primer untuk mengatasi kanker pada anak mempunyai banyak dampak yang mampu memengaruhi anak baik secara fisik dan psikologis. Penelitian ini bertujuan untuk mengidentifikasi dampak kemoterapi yang paling dirasakan berat dan mengganggu oleh anak berdasarkan pengkajian pada orang tua di Rumah Cinta Bandung. Penelitian ini menggunakan metode deskriptif kuantitatif dan menggunakan accidental sampling selama 45 hari dengan jumlah sampel sebanyak 30 responden. Data dikumpulkan dengan menggunakan kuisioner Symptom assessment in childen receiving cancer therapy: the parent perspective dari Lee Dupuis yang terdiri dari dua bagian yaitu berat dan mengganggu dengan masing-masing 69 item pertanyaan. Data kemudian dianalisis dengan distribusi frekuensi hingga menggambarkan proporsi responden yang merasakan dampak berat dan mengganggu serta urutan dampak yang dirasakan berat dan mengganggu berdasarkan nilai mean melalui pengkajian pada orang tua. Hasil penelitian 40% anak merasakan dampak berat dan 36,7% anak merasakan dampak mengganggu. Aspek psikologis pada sub variabel perasaan dan suasana hati khususnya emosional anak (perubahan suasana hati dan mudah marah) merupakan dampak yang dianggap paling berat. Kemudian, dampak pada fisik anak yang paling mengganggu yaitu kehilangan nafsu makan, mual, dan muntah.  Dampak kemoterapi harus diperhatikan oleh orang tua dan petugas kesehatan karena akan mengganggu kualitas hidup anak selama menjalani pengobatan kanker yang dialaminya. Hasil penelitian ini diharapkan mampu membantu menentukan intervensi prioritas untuk mengurangi dampak kemoterapi yang mempengaruhi fisik, psikologis, dan kualitas hidup anak. Kata kunci          : anak kanker, dampak kemoterapi, orang tua
The Incidence of Mucositis in Children with Chemotherapy Treatment Sri Hendrawati; Ikeu Nurhidayah; Henny Suzana Mediani; Ai Mardhiyah
Journal of Nursing Care Vol 2, No 1 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (851.547 KB) | DOI: 10.24198/jnc.v2i1.20129

Abstract

Currently, cancer is the top ten cause of child mortality in Indonesia. Chemotherapy is an effective intervention to treat cancer children, however, has side effects, including mucositis. The prevalence of mucositis in cancer children is estimated to reach 45−80%, which has implications for the children’s’ quality of life. The purpose of this study was to identify the occurrence of mucositis in cancer children who received chemotherapy treatment. The study was conducted at Dr. RSUP Hasan Sadikin Bandung. This research method was descriptive quantitative. The consecutive sampling technique was used to determine the respondent as the study sample so that 60 respondents were obtained. The process of collecting data used the Oral Assessment Guide (OAG) study instrument in the form of a checklist sheet. Data were analyzed using frequency distribution and percentage. The results showed that almost all cancer children with chemotherapy treatment experienced mucositis which is 53 people (88.3%) and a small proportion of 7 people (11.7%) did not experience mucositis. Almost all cancer children who get chemotherapy treatment experience mucositis. Nurses as health workers who are most often with patients should be able to improve nursing care for cancer children who receive chemotherapy treatment in minimizing the occurrence of mucositis by conducting routine mucositis assessment and oral care to improve the quality of life in cancer children
The Depression Categories of Adolescent with Beta-Thalassemia Major Wafa Fida Az-zahra; Ai Mardhiyah; Ikeu Nurhidayah
Journal of Nursing Care Vol 2, No 1 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (834.609 KB) | DOI: 10.24198/jnc.v2i1.20162

Abstract

The adolescent with beta-thalassemia major is experiencing both physical and psychological problems, one of them is depression because of suffering a chronic illness. Depression in the adolescent with thalassemia would affect patients’ quality of life and disturb the treatment processes. The purpose of this study was to determine the level of depression in the adolescent with beta-thalassemia major in the Sumedang public hospital. This research was a quantitative descriptive study. The population in this study was adolescents aged 13–20 years with a beta-thalassemia major in the policlinic of Thalassemia in Sumedang Public Hospital. The sample was determined by using total sampling technique, therefore 35 people involved in this study. Data were collected using standard instrument Beck Depression Inventory II. Data were analyzed using frequency distribution. The results of this study showed that adolescent with beta-thalassemia major age 13–20 years in the Sumedang public hospital had 45.7% minimal depression, 20% mild depression, 25.7% moderate depression, and 8.6% severe depression. It can be concluded that the majority of the adolescent with beta-thalassemia major in the hospital have minimal depression and the highest depression type is moderate depression. Nurses were expected to provide psychological services for consultation and periodic depression screening of adolescent with thalassemia. 
Experiences of Aggressive Behavior Patient after Physical Restraint in Mental Hospital, A Qualitative Study Iyus Yosep; Ati Surya Mediawati; Ai Mardhiyah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. 2 (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (739.82 KB) | DOI: 10.33755/jkk.v8i2.361

Abstract

Aims. The prevalence of Violence in nurses and patients is an important issue today. One of the handlings of violent patients in mental hospitals is restraint. Restraint becomes a difficult choice for nurses in mental hospitals. This choice is still made with ethical considerations to prevent a worse risk. Restraints can violate patient rights. But if not done can threaten the environment. After physical restraint the patient has special experiences that need to be evaluated by the mental health nurse. Purpose. The purpose of this study was to describe the experience of patients with physical violence after restraint at the Mental Hospital, West Java. Methods. The informant selection technique used in this study was purposive sampling. The number of informants in this study was six patients. Patients were selected based on two inclusion criteria, first; have ever done physical violence, secondly, have experienced physical restraint. Patients have been selected by the head of the ward and approved by the nursing ethics board. Data was collected through focus group discussions (FGD). Data was recorded using an audiovisual camera. The discussion was conducted over three sessions, in three days, each for 60 minutes. The collected data is typed verbatim. The thematic analysis used in this study refer to six steps qualitative analysis. Result. There are six themes that arise in the client's response to violent behavior during physical restraint. It includes ignoring the patient's basic needs, Feelings of anger and irritation, thinking that there is no perceived positive influence, controlling his behavior for fear of the next physical restraint, Surrender to the conditions experienced, Feelings of relief and joy after not undergoing physical restraint, there is a feeling of revenge and want to take revenge. Conclusion. The patient's experience with physical violence after the act of restraint reveals the occurrence of neglect of basic human needs, the emergence of feelings of anger and irritation and thinking that restraint is of no benefit. After going through the angry phase, there is a sense of resignation to the patient and the informant's efforts to control his behavior for fear of getting physical restraint again. However, there is also a feeling of resentment that is triggered by the experience of being treated inhumanely.  
Skrining Perilaku Remaja Di Lembaga Pembinaan Khusus Anak (LPKA) Kelas II Bandung Eska Madya Agustine; Titin Sutini; Ai Mardhiyah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 4 No. 1 (2018): JURNAL KEPERAWATAN KOMPREHENSIF (COMPEREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.352 KB) | DOI: 10.33755/jkk.v4i1.96

Abstract

AbstrakRemaja yang menjalani kehidupan di Lembaga Pembinaan Khusus Anak (LPKA) akan berbeda dengan kehidupan teman-teman seusianya, mereka tidak merasakan kebebasan seperti kehidupan di luar LPKA, dengan kondisi seperti ini akan terjadi beberapa masalah perilaku pada remaja tersebut. Tujuan penelitian ini untuk mengetahui gambaran perilaku remaja di Lembaga Pembinaan Khusus Anak (LPKA) Kelas II Bandung. Metode penelitian yang digunakan yaitu deskriptif kuantitatif dengan teknik total sampling. Responden dalam penelitian ini sebanyak 56 orang dengan menggunakan analisis distribusi frekuensi. Instrumen yang digunakan menggunakan Strenght and Difficulties Questionnaire (SDQ), sebanyak 25 item pernyataan. Nilai validitas 0,012 dan nilai reliabilitas 0,773. Hasil penelitian ini menunjukkan 38 responden (67,9%) memiliki perilaku normal, 10 responden (17,9%) memiliki perilaku borderline dan 8 responden (14,2%) memiliki perilaku abnormal. Perilaku abnormal ini ditunjukkan dengan gejala sebagian besar responden mengalami kecemasan, kekhawatiran dan kegelisahan. Sebagian kecil responden berada pada kategori perilaku abnormal dan borderline. Oleh karena itu, perlu diperhatikan kembali aspek perilaku remaja di LPKA melalui kegiatan-kegiatan pembinaan agar tidak terdapatnya masalah perilaku dalam remaja tersebut. AbstractThe adolescents who live in the Youth Detention Center (Indonesia: LPKA) will have a different living from their peers, they do not feel the freedom like living outside of LPKA, with this condition there will be some behavioral problems in these adolescents. The purpose of this study was determining the description of adolescents’ behavior in the LPKA Class II Bandung. The research method was using descriptive quantitative by total sampling technique. Respondents in this study were 56 people using distribution frequency analysis. Instruments was adopting Strength and Difficulties Questionnaire (SDQ), as many as 25 items statement. The validity value was 0.012 and the reliability value was 0.773. The results of this study showed 38 respondents (67.9%) had normal behavior, 10 respondents (17.9%) had borderline behavior, and 8 respondents (14.2%) had abnormal behavior. This abnormal behavior was indicated by symptoms of the most respondents who experienced anxiety, worry, and restlessness. A small percentage of respondents were in the category of abnormal and borderline behavior. Therefore, it is necessary to re-take a concern about the adolescents’ behavior aspects in LPKA through coaching activities so that there will be no behavioral problems in those adolescents.
Gambaran Kualitas Hidup Keluarga Dalam Merawat Anak Dengan Leukemia yang Menjalani Kemoterapi di RSUP Dr. Hasan Sadikin, Bandung PRILIANA GAMAYANTI; WINDY RAKHMAWATI; AI MARDHIYAH; SITI YUYUN
Indonesian Journal of Cancer Vol 6, No 1 (2012): Jan - Mar 2012
Publisher : National Cancer Center - Dharmais Cancer Hospital

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v6i1.148

Abstract

Leukemia adalah penyakit neoplastik yang umumnya terjadi pada anak berusia 2-6 tahun dan ditandai dengan akumulasi sel darah putih dalam sumsum tulang. Pengobatan utama pasien leukemia adalah kemoterapi dalam waktu lama sehingga sangat mempengaruhi kualitas hidup anak dan keluarganya sebagai caregiver. Tujuan dari penelitian ini adalah untuk mendapatkan gambaran mengenai kualitas hidup keluarga dalam merawat anak dengan leukemia yang menjalani kemoterapi di RSUP Dr. Hasan Sadikin, Bandung.Penelitian ini menggunakan metode deskriptif kuantitatif dengan modifikasi instrumen yang dikembangkan oleh Munoz et al (2008) tentang kualitas hidup caregiver penderita kanker. Teknik sampling menggunakan accidental sampling selama 1 bulan sehingga diperoleh sampel sebanyak 33 responden. Hasil penelitian dianalisis menggunakan rumus Skor-T, kemudian diinterpretasikan menggunakan persentase dan distribusi frekuensi.Lebih dari setengah responden yang merawat anak leukemia yang menjalani kemoterapi di RSUP Dr. Hasan Sadikin Bandung memiliki kualitas hidup tinggi (54,5%) dan hampir setengah responden memiliki kualitas hidup rendah (45,5%). Tingkat kualitas hidup yang dipersepsikan oleh sebagian besar keluarga pada masing-masing dimensi adalahrendah (60,6%) pada dimensi fisik, tinggi (51,5%) pada dimensi psikologis, rendah (54,5%) pada dimensi sosial, dan tinggi (51,5%) pada dimensi spiritual.Kualitas hidup keluarga tinggi karena keluarga telah beradaptasi dengan tanggung jawab perawatan sejak anak mengalami sakit. Saran yang dapat diberikan adalah keluarga dapat mempertahankan kualitas hidup dengan cara meningkatkan peran hubungan personal dan sosial dengan tenaga kesehatan profesional dalam usaha memperoleh informasi, dukungan, serta pengalaman dalam merawat anak dengan penyakit kronis.Kata Kunci: leukemia anak, kemoterapi, kualitas hidup keluarga
The impact of domestic violence on cognitive and psychological development of children: A scoping review Iyus Yosep; Rohman Hikmat; Ai Mardhiyah
Jurnal Keperawatan Padjadjaran Vol. 10 No. 3 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v10i3.2076

Abstract

Background: Domestic violence is an incident that affects all family members, including children. The impact of domestic violence needs to be identified from the beginning, so that early treatment can be given. The purpose of this study was to describe the impact of domestic violence on child development. Purpose: The purpose of this study was to explore the coping strategies of adolescents with divorced parents.Methods: This study used the Scoping Review method. Literature were sourced from CINAHL, PubMed, and Scopus. The keywords are “domestic violence” AND “child” AND “impact”. The criteria for articles in this study are full text, free access, English language, and the publication period of the last 10 years (2013-2022). Results: Nine articles were found discussing the impact of domestic violence on children's development, namely the psychological impact, social impact, and the impact on school life. Several samples from UK ranged from 8-336 respondents. These impacts occur due to trauma events in children that are not treated immediately. The impact will be even worse if there is no immediate intervention to reduce the impact of domestic violence. Conclusions: Domestic violence can cause disturbances to the development of children including psychological impacts, social impacts, and impacts on school life.
The Description of Alexithymia in Nursing Students at Padjadjaran University with Social Media Addiction Iyus Yosep; Ai Mardhiyah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. 4 (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v8i4.422

Abstract

Aim: People’s inability to recognize and express their emotions (alexithymia) seems to be a risk factor in causing social media addiction, where the higher level of social media addiction, the higher level of alexithymia. This study aims to determine the prevalence of alexithymia among nursing students at Padjadjaran University who experience social media addiction. Method: This study used a quantitative descriptive design. The research samples were 216 nursing students at Padjadjaran University who experienced social media addiction after being screened using the IAT instrument, with a total sampling technique. The instrument used to see alexithymia was TAS-20 instrument. In this study, the data are analyzed by univariate analysis and presented in the form of frequency distribution tables. Result: The result of this study showed that less than half of the respondents, which were 94 (43.5%) experienced a high level of alexithymia, with alexithymia subscales average scores were 20,68 + 7.90 for DIF, DDF 16 + 5.54, and EOT 22,52 + 8.32. Conclusion: The conclusion of this study is that respondents who experienced moderate and severe social media addiction have higher alexithymia scores. Therefore, it is necessary to have preventive and promotive solutions for nursing students who don’t or have alexithymia.
Spiritual Intervention to Improve Psychological Wellbeing on Cancer Patient: A Scoping Review Iyus Yosep; Rohman Hikmat; Linlin Lindayani; Ai Mardhiyah
Journal of Nursing Care Vol 5, No 2 (2022): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v5i2.38690

Abstract

Cancer occurs due to the addition of mass in body cells that can spread and cause death. The problems arising from cancer are physical, psychological, and spiritual problems. Spiritual intervention is essential and valuable as one of the treatment efforts in dealing with issues caused by cancer. However, there are obstacles where nurses still need to be exposed to much information about spiritual intervention. The purpose of this study was to obtain an overview of spiritual intervention in cancer patients. This study uses the Scoping Review method. Literature review through Ebsco, Pubmed, Science Direct, and Sage Journals databases. The keywords used in English are Cancer, Spiritual intervention,” AND “Spiritual needs OR spiritual experience OR spirituality”. The criteria for articles in this study are full text, free access, randomized control trial or quasi-experiment research design, English language, population and samples of cancer patients, and the publication period of the last ten years (2013-2022). Found ten articles with different spiritual interventions on cancer patients. Two papers with mindfulness intervention, an article with a spiritual counselling intervention, 3 with spiritual intervention, 2 with spiritual therapy intervention, and 2 with spiritual care intervention. Five spiritual interventions for cancer patients can overcome problems caused by cancer, namely mindfulness, spiritual counselling, spiritual intervention, spiritual therapy, and spiritual care. Spiritual counselling is a very effective intervention because it is carried out intensively and comprehensively to maximize the psychological well-being of cancer patients.
Gambaran Dampak Kemoterapi pada Anak Menurut Orang Tua di Rumah Cinta Bandung : Overview of the Impact of Chemotherapy on Children According to Parents at Rumah Cinta Bandung Ridha Ranailla; Ai Mardhiyah; Nur Oktavia Hidayati
NERS Jurnal Keperawatan Vol. 12 No. 2 (2016): NJK Volume 12, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v12i2.268

Abstract

Cancer is one of the most frequently diseases among children. Chemoteraphy as primary intervention for cancer in children has so many impacts that effect physical and psychological children. This study aimed to identify the most impact of chemotherapy that children felt severe and bothersome. It was done by assessment to parents in “Rumah Cinta Bandung”. Descriptive quantitative method was used in this research and accidental sampling was used for 45 days to 30 respondent. The data was collected using Symptom assessment in childen receiving cancer therapy: the parent perspective from Lee Dupuis. The data contained of two items those were severe and bothersome with 69 questions for each. Data analysis used frecuency distributive to describe the proportion percentage severe and bothersome impact on chemotherapy and also rank of the most severe and bothersome on chemotherapy impact based on mean score by the assessment to parents. The result was 40% children felt the impact of chemotherapy was severe and 36,7% children felt bother with the impact of chemotherapy based on the assessment to the parents. Psychologial aspect in sub variable for children mood and feeling especially emotional aspect (mood swings and feeling angry) were the most severe mpact that children felt. Meanwhile, the item of physical impact that identified as the most bothersome impact that chidren felt were loss of appetite, nausea, and vomiting. Impact of chemotherapy needed more concerned from parents and care provider because for could bother the children quality of life during the treatment. This result was expected to help in finding the priority of intervention to decrease chemotherapy impact that effect children’s physical, psychology and quality of life.