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The Healthcare Needs of Families Caring for Patients with Pulmonary Tuberculosis Astuti Yuni Nursasi; Nadya Tiara Sabila; Muhamad Jauhar
Jurnal Keperawatan Indonesia Vol 24 No 2 (2021): July
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v24i2.1076

Abstract

Tuberculosis (TB) is a global public health problem. Families need to meet healthcare needs during the treatment of TB sufferers. This study aims to identify healthcare needs of families caring for patients with the disease. The cross-sectional study involved 83 families caring for TB patients. The research was conducted at a Primary Healthcare Center in an urban area in West Java. The results revealed that 60.2% of caregivers were 18–40 years old, 60.2% were female, 51.8% were senior high school educated, 43.4% were housewives, 86.7% had an income under the regional minimum wage, and 55.4% had cared for the TB patients for 3–6 months. The families had healthcare needs for emotional support (mean 33.72, SD 4.16); information support (mean 33.28, SD 4.09); instrumental support (mean 32.4, SD 3.73); and appraisal support (mean 28.01, SD 5.93). The greatest support need was how to encourage clients to take treatment completely (Score: 140); TB treatment information (Score: 138); financial support for chest x-ray costs (Score: 114); and how to assess patient behavior in maintaining health (score: 133). Based on the study result, the families need to improve their ability to give appraisal support during the patient's treatment. The identification of families’ healthcare needs in caring for patients with pulmonary TB can provide primary data for developing innovative programs integrated with DOTS programs in healthcare services to improve family support. Abstrak Kebutuhan Perawatan Kesehatan Keluarga yang Merawat Pasien Tuberkulosis. Tuberkulosis (TB) merupakan masalah kesehatan masyarakat global. Keluarga harus memenuhi kebutuhan perawatan kesehatan selama pengobatan pada pasien TB. Penelitian ini bertujuan untuk mengidentifikasi kebutuhan perawatan kesehatan pada keluarga yang merawat pasien TB. Penelitian cross-sectional ini melibatkan responden sebanyak 83 keluarga yang merawat pasien TB. Penelitian ini dilaksanakan di sebuah Puskesmas di Kota Depok, Jawa Barat. Penelitian ini melaporkan sebanyak 60,2% berusia 18–40 tahun, 60,2% perempuan, 51,8% lulus sekolah menengah atas, 43,4% ibu rumah tangga, 86,7% pendapatan di bawah upah minimum regional, 55,4% merawat pasien TB selama 3–6 bulan. Keluarga memiliki kebutuhan perawatan kesehatan untuk dukungan emosional (rerata 33,72, SD 4,16), dukungan informasi (rerata 33,28, SD 4,09), dukungan instrumental (rerata 32,4, SD3,73), dukungan penghargaan (rerata 28,01, SD 5,93). Kebutuhan tertinggi yaitu bagaimana mendorong pasien melakukan pengobatan secara tuntas (140), informasi pengobatan TB (138), dukungan keuangan untuk biaya pemeriksaan rontgen (114), dan bagaimana mengkaji perilaku pasien dalam mempertahankan kesehatan (133). Keluarga membutuhkan peningkatan kapasitas dalam memberikan dukungan penghargaan selama pengobatan pasien. Kebutuhan akan perawatan kesehatan pada keluarga yang merawat pasien TB dapat dijadikan data dasar dalam mengembangkan program inovatif terintegrasi dengan program DOTS di fasilitas layanan kesehatan dalam meningkatkan dukungan pada pasien TB. Kata kunci: keperawatan keluarga, sistem dukungan, Tuberkulosis paru
PERSPEKTIF CAREGIVER DALAM MERAWAT KELUARGA DENGAN OBESITAS: STUDI FENOMENOLOGI Rohayati Rohayati; Wiwin Wiarsih; Astuti Yuni Nursasi
Jurnal Mitra Kesehatan Vol. 2 No. 1 (2019): Jurnal Mitra Kesehatan
Publisher : STIKes Mitra Keluarga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47522/jmk.v2i1.26

Abstract

Pendahuluan: Peningkatan prevalensi obesitas yang terus meningkat membutuhkan penanganan komprehensif dengan pendekatan multisektor. Peran keluarga sebagai caregiver  utama sangat penting dalam penanganan obesitas. Tujuan penelitian adalah mengetahui persepsi dan pengalaman keluarga dalam merawat anggota keluarga dengan obesitas. Metode: Penelitian ini menggunakan pendekatan kualitatif dengan desain fenomenologi deskriptif. Partisipan berjumlah 7 orang yang diperoleh secara purposive sampling. Hasil: Dua tema yang dihasilkan yaitu dampak fisik dan psikososial yang dipersepsikan keluarga serta pengetahuan keluarga tentang kelebihan berat badan. Kesimpulan: Perawat diharapkan mengajarkan penilaian  status berat badan yang benar dan cara menghadapi dampak fisik serta psikologis yang mungkin terjadi pada keluarga dengan meningkatkan mekanisme koping.
PENINGKATAN PENGETAHUAN DAN KEBIASAAN SARAPAN PAGI SISWA MELALUI PROGRAM SARAPAN PAGI MUMULUK ISUK Astuti Yuni Nursasi; Azwar Azwar; Fonny Veronika Runtulalo; Clara Caroline; Asep Abdurrahman Hidayah; Nita Yunita Sri Ayu
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 5 (2023): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i5.17547

Abstract

Abstrak: Sarapan pagi merupakah hal yang sangat penting dan tidak boleh dilewatkan oleh anak usia sekolah sebelum memulai aktivitas di pagi hari, banyak dampak yang akan diakibatkan dari tidak sarapannya siswa di pagi hari seperti konsentrasi belajar menurun, peningkatan asam lambung dan tubuh akan merasa lemas yang secara tidak langsung akan menghambat prestasi. Tujuan dari pengabdian masyarakat ini adalah agar siswa mengetahui dan mampu untuk mempraktekkan kegiatan sarapan pagi sebelum ke sekolah di SDN Sukadamai 1 Bogor. Metode yang digunakan adalah Community Based Research (CBR). Dilakukan intervensi berupa program Sarapan Pagi Mumuluk Isuk yang diikuti oleh 56 siswa kelas VI. Hasil menunjukkan bahwa terjadi peningkatan pengetahuan siswa mengenai sarapan pagi sebelum ke sekolah. Rerata tingkat pengetahuan sebelum pelaksanaan program yaitu 6.17 dan rerata pengetahuan setelah pelaksanaan program yakni 8.82 sehingga dapat disimpulkan bahwa terjadi peningkatan pengetahuan siswa setelah pelaksanaan program.Abstract:  Breakfast is a very important thing and should not be missed by school-age children before starting activities in the morning, many impacts will result from not having breakfast in the morning such as decreased learning concentration, increased stomach acid and the body will feel weak which will indirectly hamper achievement. The purpose of this community service is for students to know and be able to practice breakfast activities before going to school at SDN Sukadamai 1 Bogor. The intervention was conducted in the form of Sarapan Pagi Mumuluk Isuk programme which was attended by 56 grade VI students. The results showed that there was an increase in students' knowledge about breakfast before school. The mean level of knowledge before the implementation of the programme was 6.17 and the mean knowledge after the implementation of the programme was 8.82 so it can be concluded that there was an increase in student knowledge after the implementation of the programme. 
Peningkatan Pengetahuan, Sikap, Tindakan Pengobatan dan Perawatan Klien Tuberkulosis Menggunakan Model Penguatan Kapasitas Pemuda: Increasing Knowledge, Attitudes, Actions on Treatment and Care of Tuberculosis Clients Using Youth Capacity Strengthening Models Kristina Lisum; Agung Waluyo; Astuti Yuni Nursasi; Sudibyo Supardi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 9: SEPTEMBER 2023 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v6i9.3608

Abstract

Latar belakang: Indonesia menduduki peringkat kedua kasus Tuberkulosis tertinggi di dunia, untuk itu dibutuhkan pelibatan peran serta anggota masyarakat, termasuk pemuda. Pemuda sering kali diabaikan untuk menjadi agen pembaharu dalam keluarga, karena dianggap memiliki gaya hidup berisiko terhadap masalah kesehatannya. Tujuan: Penelitian ini bertujuan untuk menguji model penguatan kapasitas pemuda terhadap pengetahuan, sikap, tindakan pengobatan dan perawatan klien Tuberkulosis. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain kuasi eksperimental. 104 responden penelitian adalah klien tuberculosis yang memiliki pemuda kontak serumah berusia 15 – 24 tahun. Penelitian dilakukan pada Februari - September 2022. Analisis dilakukan menggunakan uji regresi logistic Hasil: Pengaruh model penguatan kapasitas pemuda terhadap peningkatan pengetahuan yang dikontrol dengan variabel sumber informasi sebesar 2.83 kali; terhadap peningkatan sikap sebesar 71,4 kali setelah dikontrol oleh variabel sumber informasi, lama pengobatan dan skor pengetahuan klien. Walaupun pengaruh model penguatan kapasitas pemuda tidak signifikan terhadap perubahan tindakan secara langsung, namun perubahan tindakan pengobatan dan perawatan klien TBC paru setelah tiga bulan intervensi terjadi 3.13 kali lebih besar dibanding kelompok kontrol Kesimpulan: Model penguatan kapasitas pemuda secara efektif dapat meningkatkan pengetahuan, sikap klien TBC paru; termasuk dalam tindakan pengobatan dan perawatan TBC paru. Perubahan tersebut membutuhkan waktu untuk beradaptasi dari pelaku model.
“I’m Not Satiety Without Rice”: Phenomenological Study of Barrier and Weight Loss Efforts in Home Settings Rohayati Rohayati; Wiwin Wiarsih; Astuti Yuni Nursasi
Unnes Journal of Public Health Vol 12 No 1 (2023): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v12i1.48661

Abstract

Background: The prevalence of obesity around the world is quite high. Obesity management takes a long time and is highly disciplined. This can increase the noncompliance to obesity treatment. Family is a support system that can help obesity management. The study was to explored family experiences regarding the efforts and barriers to obesity management in a home setting. Methods: This study used a descriptive phenomenological research design. The seventh family who lived in Depok City were selected using purposive sampling. Inclusion criteria include 1) having family members who are overweight/obese, 2) obese family members who do not have comorbid diseases, 3) participants who do not have a chronic disease A semi-structured interview was used to collect data. The data analysis used Colaizzi’s method. Results: Four themes emerged, including 1) nutrition management efforts, 2) weight loss efforts, 3) unhealthy nutritional behavior patterns, 4) desire to achieve normal conditions. Conclusion: Family plays an important role in obesity management in the home setting. Nurses can optimize the family by providing support for positive efforts that have been made. Family counseling is needed to reduce perceived barriers.
Self-awareness as the key to successful adherence to antiretroviral therapy among people living with HIV in Indonesia: A grounded theory study Sri Yona; Chiyar Edison; Astuti Yuni Nursasi; Rita Ismail
Belitung Nursing Journal Vol. 9 No. 2 (2023): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2480

Abstract

Background: Adherence to antiretroviral therapy (ART) continues to pose a significant challenge for people living with HIV (PLWH). Non-adherence to ART can have far-reaching implications for patient well-being, particularly in increasing the risk of opportunistic infections when medication is not taken as prescribed. Objective: This study aimed to develop a theoretical model that explains how PLWH in Indonesia adhere to their ART regimen and the strategies they follow to maintain adherence. Methods: The study used a grounded theory approach. Data were collected through face-to-face in-depth interviews with 21 PLWH who had been taking ART for six months or more at a non-governmental organization (NGO) in Jakarta, Indonesia, between July 2019 and November 2019. Theoretical sampling was used, and the data analysis method of Corbin and Strauss was utilized, including open coding, axis coding, and selective coding. Results: Three stages were identified as a process of adherence to the ART regimen: 1) initiating ART, 2) missing the connection, and 3) taking control. Self-awareness was identified as the central core theme describing the ART adherence process. Conclusion: Having adequate self-awareness to take ART regularly is crucial to improving adherence to ART. Moreover, social support from one’s spouse and family members can help patients maintain adherence. Therefore, self-awareness and support systems should be included as components in nursing interventions when starting ART therapy. In addition, nurses can help identify potential support persons and provide information related to ART therapy.
Improving adolescents’ HIV/AIDS prevention behavior: A phenomenological study of the experience of planning generation program (GenRe) ambassadors as peer educators Diah Ratnawati; Agus Setiawan; Junaiti Sahar; Widyatuti; Astuti Yuni Nursasi; Tatiana Siregar
Belitung Nursing Journal Vol. 10 No. 1 (2024): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2883

Abstract

Background: Adolescents face increased vulnerability to HIV/AIDS due to factors such as insufficient knowledge and awareness, stigma, and restricted access to information. The Indonesian government initiated a peer education program through the Planning Generation Program (GenRe) ambassadors. These ambassadors are tasked with educating their peers about HIV/AIDS. However, their experiences are largely underexplored. Objective: This study aimed to explore the GenRe ambassadors’ experience in improving adolescents’ HIV/AIDS prevention behavior. Methods: This study employed a qualitative phenomenological approach, with in-depth and semi-structured interviews of GenRe ambassadors who had served for at least three to six months within the South Jakarta Health Sub-Department, Indonesia. Purposive sampling and data saturation techniques were utilized. Data were collected from 13 May to 31 August 2022, and Colaizzi’s steps were used to guide the data analysis. Results: Nineteen GenRe ambassadors participated, predominantly female university students ages 18–22. Six themes were developed: 1) the impact of GenRe ambassadors’ roles in improving HIV/AIDS prevention behavior, 2) activities to improve HIV/AIDS prevention behavior, 3) enhancement of self-concept as GenRe ambassadors, 4) obstacles to activities for improving HIV/AIDS prevention behavior, 5) support for activities to improve HIV/AIDS prevention behavior, and 6) hope for improving the GenRe ambassador program’s implementation. Conclusion: GenRe ambassadors are influencers who play a critical role in promoting HIV/AIDS prevention behaviors and fostering positive change in the broader youth community. Despite their positive self-concept, they encounter challenges in fulfilling their roles. Utilizing their insights, community health nurses can create effective peer-led HIV/AIDS prevention programs and contribute to a model of health promotion for adolescents. Leveraging the role of GenRe ambassadors as peer educators is recommended to enhance HIV/AIDS prevention efforts among adolescents.
The Effect of Nutritional Management in the Nutritional Status of Patients with Pulmonary Tuberculosis: A Systematic Review Literature Adi Brando M Sagala; Etty Rekawati; Astuti Yuni Nursasi
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3085

Abstract

Pulmonary Tuberculosis (TB) incidence and mortality rates in 2021 are higher than in 2020. The main risk factor for TB is malnutrition. Conversely, TB patients with malnutrition will experience obstacles in the healing process. The aim of this study was to review the results of research on the effect of nutritional management on the nutritional status of clients. The study design was a systematic literature review with PRISMA protocol. The literature search was limited to the last 10 years (2013-2023) in six databases, namely: Pubmed, Proquest, Science Direct, Scopus, Sage Journal, Wiley, and supplemented with hand searched in Google Scholar. All literature obtained has been reviewed for quality by each researcher using the Joanna Bridge Institute checklist for critical appraisal, then summarizing evidence, and interpreting the results. The initial search obtained 2688 literatures. The final result was seven literatures in this study. The results of these studies show that nutritional management has a positive effect on the nutritional status of TB patients. The types of nutrition management activities are individual diet, provision of high-calorie and high-protein supplementary foods, nutrition counseling, and supplementation. It was concluded that the intervention of individualized diet preparation had a statistically significant effect on improving nutritional status.
Stress Ibu dengan Anak Usia Sekolah di Masa Pandemi COVID-19 Arnindya Kanti Prasasti; Widyatuti; Astuti Yuni Nursasi
Jurnal Kesehatan Vol 11 No 2 (2022): Jurnal Kesehatan
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v11i2.91

Abstract

The COVID-19 pandemic has brought various changes to people's lives as well as created stressors in various aspects of life. The mothers with school-aged children could feel quite heavy stress, because at that age the child already has his own desires but does not yet have the autonomy so that the mother must exercise a tight control. This study aims to determine the description of stress in mothers with school-aged children during the COVID-19 pandemic. The research design used was quantitative research with analytical descriptive method. The sampling method was probability sampling with cluster sampling. After analysing the data, the results showed that the general stress variable for mothers was classified as mild with a mean of 0.83 and a standard deviation of 0.77, with a minimum and maximum value of 0 and 5. Meanwhile, specific stress was classified as high, with a mean of 3.95 with a standard deviation. 0.72, and a minimum-maximum value of 1-5. Further analysis showed that the specific stress which appears on mothers is mostly caused by economic difficulties (30.3%) and accompanying children during online school (41.8%). This study is expected to provide an overview for nurses about the stress experienced by school-age mothers and their risk factors.
Hubungan Pengetahuan Tugas Perkembangan Keluarga dengan Penerapan Stimulasi Perkembangan pada Anak Usia Pra Sekolah Tressia, Tressia Febrianti; Nursasi, Astuti Yuni; Fitriyani, Poppy
Jurnal Kesehatan Vol 11 No 2 (2022): Jurnal Kesehatan
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v11i2.94

Abstract

The development of a child is a fundamental part of human development; this emphasizes the architecture of a person's brain formed at the beginning of life, which comes from genetic and environmental influences. There are two important factors that influence a child's development, namely genetic factor and environmental stimulation factor. Stimulation has an important role in the growth and development of children because the child's brain develops very quickly when it is stimulated. The main task of a family that determines the child's ability is on the task of family in every stage of family development. This study aims to determine the correlation between knowledge of family development tasks and the application of developmental stimulation in preschool-aged children. The research design used was quantitative research with a correlational descriptive method and a cross sectional study approach. The data obtained from 242 respondens and then analyzed using bivariate analysis (chi-square test). After analyzing the data, the results showed that the value of p=0.000 (<α 0.05). Hence, there is a significant correlation between knowledge of family development tasks and the application of developmental stimulation in pre-school-aged children. Families who have good knowledge of family development tasks have the ability to perform developmental stimulation 22.6 times greater than families who have less knowledge. Family knowledge about good family development tasks will have an impact on meeting children's needs. The children who get good stimulation could have a better impact on their development. The result of this study is expected to be the basis for Community Nurses who work in primary health services to be able to carry out promotive and preventive efforts with a family approach.
Co-Authors Adi Brando M Sagala Adiatman Adiatman Agung Waluyo Agung Waluyo Agus Setiawan Agustina Rahmawati Amirudin, Ikhwan Andi Pranata Arman Harahap Arnindya Kanti Prasasti Asep Abdurrahman Hidayah Astuti, Verra Widhi Azwar Azwar Cahyani, Kadek Dewi Clara Caroline Dewi Gayatri Diah Ratnawati Dian Ayubi Dwi Budi Prastiani Dwi Cahya Rahmadiyah Dwi Cahya Rahmadiyah Elfi Syahreni Ella Nurlaella Hadi Elly Nurachmah Enie Novieastari Etty Rekawati Etty Rekawaty, Etty Fahri Gunawan Fonny Veronika Runtulalo Henny Permatasari Herni Rejeki Indah Permata Sari Junaiti Sahar Kadek Dewi Cahyani Kristianingrum, Niko Dima Kristina Lisum Kristina Lisum Lola Illona Elfani Kausar, Lola Illona Elfani M Sagala, Adi Brando Martiningsih Martiningsih, Martiningsih Marwah Marwah Matanari, Tety Nikasia Mega Hasanul Huda Mu'in, Muhammad Muhamad Jauhar Mulyana, Rezky Nadya Tiara Sabila Ni Wayan Putriana Dewi Agustina Nita Yunita Sri Ayu Nur Akbar Pasaribu, Jesika Poppy Fitriyani Prasasti, Arnindya Kanti Putri, Rini Pratiwi Rachmawati, Utami Rahmasari, Syifa Widya Ratnawati, Diah Rita Ismail Rohayati, Rohayati Roma Tao Toba MR S., Chiyar Edison Saras Anindya Nurhafid Sartika Sartika Sigit Mulyono Siregar, Tatiana Sri Ayu Rahayu S. Paneo Sri Yona Sri Yona Subekti, Kusdiah Edy Subekti, Kusdiah Edy Sudibyo Supardi Sukihananto Sukihananto Sukihananto Sukihananto Sukihananto, Sukihananto Syifa Widya Rahmasari Tressia, Tressia Febrianti Tri Budiati Tris Eryando Verra Widhi Astuti Vesdiana Vesdiana Wahyudi, Chandra Tri Widyatuti Widyatuti Widyatuti Wirawati, Desmon Wiwin Wiarsih Yeni Rustina