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Chandra Isabella
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Health Professions Neuroscience Nursing Physics Public Health

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Pengalaman Ketidakpatuhan Pasien Terhadap Penatalaksanaan Diabetes Mellitus: Studi Fenomenologi Chandra Isabella; Ratna Sitorus; Yati Afiyanti
Jurnal Keperawatan Indonesia Vol 12 No 2 (2008): Juli
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i2.205

Abstract

AbstrakStudi fenomenologi ini menggali pengalaman ketidakpatuhan pasien terhadap penatalaksanaan Diabetes Mellitus (DM). Delapan partisipan dipilih dengan metode convenience sampling di salah satu RS di Jakarta. Data dikumpulkan melalui wawancara, dianalisis dengan metode Collaizz. Hasil penelitian mengidentifikasi tujuh tema utama yaitu: makanan diit tidak menyenangkan, tidak memahami manfaat diit menyebabkan ketidakpatuhan, tidak memahami manfaat latihan fisik untuk penatalaksanaan DM, alasan usia sudah lanjut, keterbatasan fisik untuk melakukan latihan fisik, pemahaman keliru tentang manfaat obat, gagal mematuhi minum obat karena alasan ekonomi. Alasan utama ketidakpatuhan adalah tidak memahami manfaat penatalaksanaan DM, sehingga perlu pendidikan kesehatan berkelanjutan untuk meningkatkan kepatuhan pasien. Peneliti menyarankan penelitian fenomenologi lanjutan untuk menggali kepatuhan masing-masing pilar tatalaksana DM secara khusus. AbstractThis phenomenological study attempted to explore the experiences of patient’s non-adherence to the Diabetes Mellitus (DM) treatment. Eight participants were selected by convenience method from a hospital in Jakarta. Data were collected and then analyzed with the Collaizz’s method. The results identified seven major themes which consisted of less pleasure of diet, less understanding about the benefits of diet, less understanding about the benefits of physical exercise, old age, physical disability, incorrect understanding about the benefits of medicine, fail to adhere taking medicine because of economic’s reason. This study concluded the most common reason of non-adherence was lack of understanding about the benefit of the treatment adherence. Therefore, it is the necessary to give adequate health education continuously to promote patient’s adherence. Further research may explore patient’s adherence specific to each four DM treatment’s pillars.
Kebutuhan Psikososial Keluarga yang Mempunyai Anggota Keluarga MenderitaTB Paru Noor Indyah Rachmawati; Suryani S; Chandra Isabella
Jurnal Keperawatan Padjadjaran Vol. 3 No. 1 (2015): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.252 KB) | DOI: 10.24198/jkp.v3i1.96

Abstract

TB paru masih menjadi masalah kesehatan di Indonesia dan dunia. Upaya pengendalian TB paru menjadi perhatian dunia dan menjadi salah satu indikator dalam pencapaian tujuan pembangunan global. Peran keluarga dalam pengobatan TB paru sangat besar yaitu sebagai PMO, pemberi dukungan psikis dan menciptakan lingkungan yang sehat untuk mencegah penularan. Keluarga yang mempunyai anggota keluarga menderita TB paru sering mendapat stigma negatif sehingga bisa menyebabkan kegagalan dalam merawat pasien. Penelitian ini dilakukan untuk mengetahui gambaran kebutuhan psikososial keluarga yang mempunyai anggota keluarga menderita TB Paru di RS X. Jenis penelitian deskriptif kuantitatif dengan total sampling keluarga pasien TB Paru yang sedang dirawat sebanyak 57 orang. Hasil penelitian menunjukkan bahwa seluruh responden membutuhkan kebutuhan psikososial yang meliputi kebutuhan interaksi sosial, emosi, pengetahuan dan spiritual. Kebutuhan psikososial yang paling banyak dibutuhkan adalah dalam hal pengetahuan. Hal ini menunjukkan bahwa pengetahuan sangat berpengaruh terhadap peran keluarga sebagai PMO dan dalam merawat anggota keluarganya yang menderita TB paru. Kebutuhan dengan nilai persentase tertinggi adalah dalam hal spiritual pada item adanya harapan untuk kesembuhan anggota keluarga yang menderita TB paru. Berdasarkan hasil penelitian ini, diharapkan RS X berupaya meningkatkan pemenuhan kebutuhan psikososial keluarga, dengan cara menambah frekuensi penyuluhan, mengembangkan metode pemberian informasi untuk menguatkan pengetahuan atas informasi yang diberikan, kemudahan konsultasi dengan teknik konseling dapat diberikan untuk meningkatkan pengetahuan dan partisipasi keluarga dalam program pengobatan. Kata kunci: Kebutuhan psikososial, keluarga, TB Paru. Family’s Psychosocial Needs of Pulmonary Tuberculosis Patients AbstractPulmonary TB is still a public health problem in Indonesia and the world. Efforts in controlling TB desease are becoming a focus of the world and become one of the indicators in achieving global development goals. A families roles in TB treatment is very important as Supervisors to take medicine, giving psychological support and create a healthy environment to prevent desease spread. A family that has a member with TB desease oftenly receaved negative stigma hance it could result in treatment failure. This study was conducted to describe family’s psychosocial needs among pulmonary tuberculosis patients at X Hospital. This study is descriptive quantitative, using total sampling technique with family respondents pulmonary TB patients are being cared for as many as 57 people. The results showed that all respondents required psychosocial needs include the need for social interaction, emotional, knowledge and spiritual. This shows that the knowledge is very influential toward a families roles as Supervisor to take medicine and in caring for family members who suffer from tuberculosis. Needs with the higest percentage in terms of spiritual item is hope to recover from TB. Based on these results, it is expected X Hospital seeks to improve the fulfillment of the families psychosocial needs by way of to increase the frequency of health information, developed a method of providing information to strengthen knowledge on the information provided, ease of consultation with counseling techniques can be given to increase family participation in treatment programs. Key words: Family, psychosocial needs, pulmonary TB.
Spiritual Needs of Patients with a Colostomy in a Public Hospital Rahmatia Mozaike; Chandra Isabella; Atlastieka Praptiwi
Journal of Nursing Care Vol 1, No 2 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1246.441 KB) | DOI: 10.24198/jnc.v1i2.16520

Abstract

An intestinal stoma is an opening of the intestinal tract into the abdominal wall for patients with feces production problems. The process might change patients’ physical, psychological, social, and spiritual. Patients have limitations in daily activities, changes in elimination, depression, feeling hopeless, ashamed with the colostomy bag, and may also affect to their religious and spiritual. For example their religious rituals and belief in God. The aim of this study was to identify the spiritual need of patients with a colostomy in a public hospital in Bandung. This was a descriptive quantitative study, The population was patients with a colostomy who hospitalized in a public hospital in Bandung. The samples were chosen using the accidental sampling (n=42) technique. The study instrument was Spiritual Needs Questionaire (SpNQ), that consists of 19 questions with 4 dimensions (religious needs, inner peace, existential, and actively giving). Data were analyzed using statistics descriptive and presented in a table of distribution frequency. The study found that patients with a colostomy had the spiritual need for all dimension including the religious dimension (88,1%), inner peace (57,1%), existential (54,8%), and actively giving (52,4%). Patients with a permanent colostomy had higher scores on the spiritual needs than those temporary colostomy patients. It can be concluded that the religious dimension is the highest relevance of the spiritual needs. According to this study results, it is expected that nurses can improve the spiritual services in nursing care including assessing patients’ spiritual needs and facilitating patients to fulfill their spiritual needs. The facilitation includes providing an opportunity for praying together, spiritual books, helping patients for ritual worship, establishing therapeutic communication, giving patients their own time, and creating a quiet place.
Co-Authors Atlastieka Praptiwi Noor Indyah Rachmawati Rahmatia Mozaike Ratna Sitorus Suryani S Yati Afiyanti