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The Correlation Between Preparedness and Burden among Family Caregivers of Cancer Patients Undergoing Chemotherapy Permatasari, Arum Diah; Ike Wuri Winahyu Sari
Jurnal Keperawatan Vol 16 No 4 (2024): Jurnal Keperawatan: Desember 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v16i4.2035

Abstract

As a result of the treatment that requires extended time, family caregivers, therefore, demand preparedness, and more than often the treatment process becomes a burden. This study aimed to determine the correlation between the preparedness and the burden among family caregivers of cancer patients undergoing chemotherapy in Yogyakarta. This study is a descriptive correlative design using a cross-sectional approach. A total of 51 family caregivers of cancer patients undergoing chemotherapy were obtained using a purposive sampling technique. The questionnaires used are the Indonesian version of The Preparedness for Caregiving Scale and the Indonesian version of the Caregiver Reaction Assessment. The data in this study were analyzed using the Spearman Rank correlation test. The results of this study indicate that there is a significant correlation between the preparedness and the burden among family caregivers of cancer patients undergoing chemotherapy in Yogyakarta (p-value <0.001) and a correlation coefficient of -0.710 which shows a strong correlation. Health care professionals require to ensure that family caregivers have the right resources and support so they are prepared to care for their loved ones. This preparedness is useful to reduce the burden they feel in the process of caring for cancer patients.
Penerapan Intervensi Kombinasi Aromaterapi Lemon dan Guided Imagery dalam Asuhan Keperawatan pada Klien dengan Diagnosis Medis Post Operasi Open Reduction Internal Fixation Fraktur Ekstremitas Hari Ke-1 di Bangsal Bedah RSUD Sleman Vernanda, Gilang Adi; Sari, Ike Wuri Winahyu; Pratiwi, Pratiwi
HEALTHY BEHAVIOR JOURNAL Vol. 2 No. 1 (2024): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v2i1.1366

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Background: Bone fracture is one of the most common injuries with a global prevalence in 2020 reaching 2.7% with 1.3 million fracture cases occurring annually in Indonesia. Postoperative pain is one of the impacts felt by patients. One pain management that can be done is non-pharmacological management by providing combination therapy between aromatherapy and guided imagery. However, this pain management needs to be studied further because differences in patient characteristics influence the response to each therapy given. Objective: To find out the application of combination therapy between aromatherapy and guided imagery in reducing pain levels. Case Report: This study is a case report with a 21-year-old male patient who came to the emergency department due to a traffic accident. The nursing diagnosis made in this patient was acute pain related to physical injury agents and the medical diagnosis was post-operative open reduction internal fixation (ORIF) cruris and right clavicle. The non-pharmacological management provided is in the form of aromatherapy using a diffuser containing 50 ml of water and 5 drops of lemon aroma essential oil, as well as guided imagery. Pain level evaluation was carried out before and after the intervention. Results: The application of lemon aromatherapy and guided imagery is effective in reducing post-operative pain, as evidenced by the pain scale being reduced from 8 to 3. Conclusion: The application of combination therapy between aromatherapy and guided imagery is effective in reducing pain levels in post-operative patients.
Hubungan Dukungan Family Caregiver dengan Tingkat Kecemasan Pasien Kanker yang Menjalani Kemoterapi Khumairoh, Nila Nadiyatul; Sari, Ike Wuri Winahyu
MEDIA ILMU KESEHATAN Vol 12 No 3 (2023): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v12i3.1217

Abstract

Background: One of the psychological impacts that often arises in cancer patients undergoing chemotherapy is anxiety. Family caregiver support is needed to reduce the incidence of them.Objective: To determine the correlation between family caregiver support and anxiety levels among cancer patients undergoing chemotherapy.Methods: This research was a quantitative study with a cross-sectional approach. Sampling used purposive sampling technique with a total sample of 52 respondents. This research was conducted at a public hospital in Bantul, Yogyakarta in June 2023. The instruments used in this study were the Family Caregiver Support questionnaire and the Hamilton Rating Scale of Anxiety (HARS-A), which have been valid and reliable. Data were analyzed using descriptive statistical and Pearson correlation analysis.Results: The mean of family caregiver support for cancer patients was 40.69±12.26 from a range of 15-60. The mean of anxiety in cancer patients was 27.54±6.19 from a range of 13-42. The results showed that family caregiver support was related to the level of anxiety in cancer patients (p=0.002, r=-0.414). It means that the higher the family caregiver's support, the lower the level of anxiety experienced by cancer patients.Conclusions: Family caregiver support is very helpful in reducing the anxiety level of cancer patients undergoing chemotherapy.
Pengaruh Edukasi Tantrum dan Manajemen Marah Anak Pra Sekolah Pada Ibu di Tk Sunan Gunung Jati Hidayati, Rizqi Wahyu; Nirmalasari, Novita; Sari, Ike Wuri Winahyu; Rukmi, Dwi Kartika
The Journal of Innovation in Community Empowerment Vol 4 No 1 (2022): Journal of Innovation in Community Empowerment (JICE)
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/jice.v4i1.683

Abstract

Tantrum merupakan ledakan emosi yang dialami oleh anak usia prasekolah yang bersifat alami dengan angka kejadian yaitu 80% dan hal ini terjadi pada usia 2 – 6 tahun. Namun, orang tua sering kali menyalahartikan bahkan merasa hal tersebut adalah perbuatan tercela. Padahal, tantrum merupakan ekspresi anak ketika ia merasa tidak nyaman hingga keinginan tidak terpenuhi. Oleh karena itu, butuh pengetahuan tentang tantrum pada orang tua menjadi dasar agar perkembangan psikologis anak dapat berjalan dengan baik. Sehingga, pengabdian ini bertujuan untuk memberikan pemahaman pada ibu tentang tantrum dan manajemen marah pada anak usia pra sekolah. Pengabdian ini menggunakan metode ceramah, diskusi, dan demonstrasi. Sebelum dan sesudah kegiatan ibu diberikan soal tentang materi terkait. Berdasarkan hasil terdapat perbedaan yang signifikan antara sebelum dan sesudah diberikan edukasi dengan nilai p yaitu 0,001 (p < 0,05). Hal ini berarti bahwa edukasi efektif untuk meningkatkan pemahaman ibu tentang tentrum dan manajemen marah pada anak di usia pra sekolah.
Pelatihan Pemeriksaan Payudara Sendiri (SADARI) untuk Peningkatan Derajat Kesehatan Wanita di Desa Singkil Wetan, Kecamatan Ngombol, Purworejo Rukmi, Dwi Kartika; Hidayati, Rizqi Wahyu; Nirmalasari, Novita; Sari, Ike Wuri Winahyu
The Journal of Innovation in Community Empowerment Vol 4 No 1 (2022): Journal of Innovation in Community Empowerment (JICE)
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/jice.v4i1.684

Abstract

Masalah mengenai kanker payudara masih menjadi tantangan khusus bagi wanita usia subur di Indonesia. Pencegahan yang digalangkan di Indonesia adalah dengan melakukan SADARI (Periksa Payudara Sendiri). Pemerintah Desa Singkil Wetan berusaha untuk mendapatkan informasi terkait kesehatan wanita untuk meningkatkan kualitas kesehatan wanita diwilayahnya. Salah satunya mengenai pelatihan SADARI sebagai tindak lanjut edukasi kanker payudara yang pernah dilakukan. Tujuan pengabdian ini untuk mengetahui tingkat ketrampilan sebelum dan sesudah pelatihan SADARI pada wanita di Desa Singkil Wetan. Hasil kegiatan didapatkan bahwa pelatihan diikuti oleh 26 peserta yang rata rata berusia 43,07 ± 9,82 tahun, berlatar belakang Pendidikan SMA (65,45%) dan memiliki aktivitas sebagai ibu rumah tangga (57,7%). Mayoritas peserta tidak pernah melakukan cek rutin terkait kondisi payudaranya ke dokter (96,2%), tidak dapat melakukan SADARI 61,5%, dan tidak rutin melakukan SADARI (76,9%). Setelah diberikan pelatihan didapatkan bahwa ada perbedaan yang signifikan (pv:0,000) untuk tingkat ketrampilan pemeriksaan payudara sendiri (SADARI) sebelum dan sesudah mendapatkan pelatihan dimana skor ketrampilan sebelum pelatihan untuk para peserta rata rata adalah 7,85 ± 0,97 dan skor ketrampilan setelah pelatihan para peserta rata rata adalah 12,2 ± 1,05. Kategorisasi tingkat ketrampilan dalam melakukan SADARI didapatkan sebelum dilakukan pelatihan semua peserta (100%) berada pada kategori sedang, sedangkan pada hasil kategorisasi setelah dilakukan pelatihan didapatkan bahwa sebanyak 84,6% peserta sudah berada dalam kategori tinggi dan hanya 15,4% yang masih berada dalam kategori sedang. Peningkatan motivasi untuk melakukan SADARI perlu terus diupayakan dengan memanfaatkan hasil pelatihan yang sudah didapatkan.
Indonesian Cross-Culture Validation and Psychometric Testing of The Nurses’ Occupational Stressor Scale 21 (Noss-21) Questionnaire Hidayati, Rizqi Wahyu; Nirmalasari, Novita; Sari, Ike Wuri Winahyu
JENDELA NURSING JOURNAL Vol 9, No 1 (2025): JUNE 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v9i1.12922

Abstract

Background: Currently, many nurses experience stress because they have a lot of work. Even though the impact of stress on nurses can affect health services to patients. Therefore, a tool is needed to measure the level of stress at work in nurses.Purpose: The purpose of this research is to transcribe and cross validate the NOSS-21 into Indonesian, and conduct psychometric tests on nurses in Indonesia.Methods: The study used quantitative methods. This study used Brislin's Classic Model for translation and validation. Tests conducted using Pearson product moment and Cronbach Alpha as a construct test. The sample used amounted to 168 nurses who worked for at least 1 year in Islamic hospitals in Yogyakarta. Respondents who were excluded were nurses who worked in polyclinics and pediatric wards.Result: Based on the results, the average value of I-CVI is 1.00, while based on the Pearson product moment test, it can be seen that 18 items are considered valid and 3 items are invalid. Although 3 items were invalid, but based on the importance of the questionnaire domain, the researcher decided to include these 3 items in the study. The reliability of the questionnaire is strongly reliable as the value is 0.899.Conclusion: The Indonesian Nurses' Occupational Stressor Scale 21 (INOSS-21) questionnaire can be used as a questionnaire to measure nurses' occupational stress. The limitation of this study is that the study respondents were only from Islamic hospitals. In addition, not all nurses were included in the study, for example, polyclinic and pediatric ward nurses were excluded.
Key Predictors for Reducing Chemotherapy-Induced Nausea and Vomiting Among Cancer Patients Sari, Ike Wuri Winahyu; Rukmi, Dwi Kartika; Yulaikhah, Lily
Indonesian Journal of Cancer Vol 19, No 2 (2025): June
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i2.1289

Abstract

Background: Chemotherapy-induced nausea and vomiting (CINV) is a common and distressing side effect for many cancer patients. Given its high prevalence, it is essential to investigate additional factors associated with CINV. This study aimed to identify key predictors for reducing CINV in cancer patients undergoing chemotherapy.Method: This study used a descriptive-analytical design with a cross-sectional approach conducted in one of the public hospitals in Yogyakarta from March to September 2023. Of the 100 samples purposively selected, they joined the study. Inclusion criteria were patients with any cancer type undergoing chemotherapy, aged 18 years or older, and who had signed informed consent. Exclusion criteria included patients experiencing sudden emergencies or families not consenting to data collection. Demographic characteristics and CINV moments were measured during chemotherapy sessions using the Index of Nausea, Vomiting, and Retching (INVR), which measures experiencing symptoms over the previous 12 hours. The collected data were then analyzed using descriptive statistics. The correlation between demographic characteristics and CINV was analyzed using bivariate and multivariate analyses to identify the predictors of CINV.Results: The average INVR score among patients experiencing CINV was 9.20 ± 7.29, with a range of 0–32, and most patients experienced moderate CINV. Bivariate analysis revealed that cancer stage and the type of family caregiver were significantly correlated with CINV (both with p 0.001). Multivariate analysis confirmed that cancer stage (β = 0.440; p 0.001) and family caregiver type (β = 0.255; p = 0.004) were strong predictors of CINV. Patients in advanced cancer stages and those cared for by child caregivers were at higher risk for more severe CINV symptoms.Conclusion: The findings highlight key factors associated with CINV among cancer patients. Understanding these predictors can help in developing targeted interventions to manage CINV better. Educating patients and their families about CINV management and incorporating patient feedback into care practices could improve patient outcomes and overall well-being.
JICE-Implementasi Mitigasi dan Kesiapsiagaan Bencana Gunung Berapi di Wilayah Kerja Puskesmas Kalasan.docx Nirmalasari, Novita; Sari, Ike Wuri Winahyu; Yuliasari, Hesty
The Journal of Innovation in Community Empowerment Vol 7 No 1 (2025): Journal of Innovation in Community Empowerment (JICE)
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/jice.v7i1.1494

Abstract

Daerah Istimewa Yogyakarta juga rawan dengan letusan gunung api dengan adanya gunung api aktif yaitu Gunung Merapi. Kabupaten Sleman menjadi salah satu kawasan rawan bencana (KRB) gunung Merapi. Data Badan Nasional Penanggulangan Bencana (BNPB) mencatat dampak yang cukup besar dari peristiwa meletusnya Gunung Merapi. Wilayah kerja Puskesmas Kalasan yang merupakan bagian dari Kabupaten Sleman masih banyak masyarakat yang kurang memahami mitigasi dan kesiapsiagaan bencana. Metode yang dilakukan adalah edukasi dan pelatihan mitigasi dan kesiapsiagaan bencana gunung berapi. Tujuan dari kegiatan tersebut sebagai upaya peningkatan pengetahuan untuk mencegah dampak bencana. Peserta kegiatan adalah remaja yang berada di wilayah kerja Puskesmas Kalasan yang berjumlah 44 remaja. Hasil kegiatan yaitu pada aspek pengetahuan dan mobilisasi sumber daya memiliki rata rata penilaian cukup tinggi. Sedangkan pada aspek rencana tanggap darurat dan sistem peringatan bencana memilki rata rata penilaian cukup rendah. Implementasi kegiatan memberikan dampak yang baik dibuktikan adanya peningkatan sebelum dan sesudah PkM, yaitu pada aspek pengetahuan, aspek rencana tanggap darurat, aspek sistem peringatan bencana, dan aspek mobilisasi sumber daya. Hal ini berarti terdapat peningkatan keberdayaan masyarakat dalam mitigasi dan kesiapsiagaan bencana gunung berapi. Kesimpulan dari kegiatan terdapat peningkatan pengetahuan yang dilihat dari aspek pengetahuan, rencana tangap darurat, sistem perigatan bencana dan mobilisasi sumber daya.
Caregiver Burden on Caregiver with Chronic Disease Novita Nirmalasari; Ike Wuri Winahyu Sari
Journal Of Nursing Practice Vol. 8 No. 2 (2025): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i2.509

Abstract

Background: The prevalence of chronic diseases in Indonesia increases every year with various accompanying physical and psychological problems. In this state, patients require the assistance of their families as caregivers. Family caregivers are an important source of care for patients which faced physical, psychological, social, and economic challenges when providing care. Purpose: The purpose of this study was to identify the burden among family caregivers of chronic diseases patients. Methods: This cross-sectional study was conducted from April 2021 to November 2021 in the Hospital and Community Health Center. Purposive sampling was used to determine the inclusion and exclusion criteria for the 180 respondents in this study. The Caregiver Reaction Assessment-Indonesian Version (CRA-ID) was used to measure their burden. Data were analyzed using descriptive and bivariate analyses with independent t-tests and Pearson correlation. Results: The results of the research showed a significant relationship between caregiver burden and age (p-value=0.000), but no relationship was found between gender, marital status, relationship with patients, caregiver education, caregiver job, and income with each p-value 0.756; 0.725; 0.791; 1.000; 0.354 and 0.301. Conclusion: Age was significantly related to caregiver burden in caring for family members who suffered from chronic diseases. Health services were expected to provide adequate information for caregivers about caring for chronic disease patients to reduce caregiver burden.
Spiritual Well-Being of Cancer Patients Undergoing Chemotherapy in Yogyakarta Ike Wuri Winahyu Sari; Deby Zulkarnain Rahadian Syah
Journal Of Nursing Practice Vol. 8 No. 1 (2024): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i1.523

Abstract

Background: In order to provide holistic care and advance spiritual well-being, it is essential to identify and meet the patient's spiritual well-being. Purpose: This study aimed to determine the spiritual well-being of cancer patients undergoing chemotherapy in Yogyakarta. Methods: This study used a cross-sectional approach with a sample of 50 cancer patients undergoing chemotherapy at the One Day Care (ODC) oncology clinic, a private hospital in Yogyakarta, which was taken using a purposive sampling technique. The measurement tool used is the Spiritual Well-Being Scale (SWBS) questionnaire which consists of 20 items. Data analysis in this study used descriptive statistics and cross tabulation to determine the comparison between spiritual well-being of cancer patients undergoing chemotherapy based on their demographic characteristics. Results: Spiritual well-being has a higher score in patients who are female (92.53±10.49), have higher education (92.67±10.84), are widowers/widows (97.00 ± 4.24), receive treatment of the partner (93.81 ± 10.30), and had stage III disease (92.88 ± 9.54). Conclusion: An accurate assessment of spirituality in patients can be a clinical guide in establishing nursing diagnoses of spiritual distress or readiness to improve spiritual well-being.