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All Journal Journal Of Nursing Practice Jurnal Keperawatan Tropis Papua International Journal of Health Science (IJHS)
Lamria Situmeang
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Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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PSIKOLOGIS PASIEN MULTI DRUG RESISTAN TUBERKULOSIS SELAMA PENGOBATAN DI PUSKESMAS SENTANI KOTA: STUDI FENOMENOLOGI Sulistiyani Sulistiyani; Lamria Situmeang; Qoriah Nur
JURNAL KEPERAWATAN TROPIS PAPUA Vol. 4 No. 1 (2021): 2021
Publisher : Poltekkes Kemenkes Jayapura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/jktp.v4i1.160

Abstract

Pasien TB-MDR yang sedang menajalani pengobatan akan mempunyai gangguan fisik dan psikologis. Pasien TB-MDR mengalami gejala yang tidak enak akibat dari side efek obat TB yang menyebabkan pasien merasa adanya tekanan psikis seperti merasa sedih, cemas hingga depresi. Kondisi psikologis memiliki peranan penting dalam meningkatkan keberhasilan minum obat lini 2. Adanya gangguan psikologis seperti depresi pada pasien TB-MDR yang juga merupakan masalah secara global perlu mendapatkan penanganan dan perawatan secara khusus. Penelitian yang berkaitan tentang TB-MDR banyak dilakukan secara kuantitaif, akan tetapi masalah psikologis bersifat subjektif, sehingga sangat penting untuk mengeksplorasi kondisi psikologis selama menjalani pengobatan. Metode penelitian ini adalah kualitatif dengan desain fenomenologi desktiptif. Populasi penelitian ini adalah pasien TB-MDR yang menjalani pengobatan dengan jumlah partisipan enam orang. Pengambilan sampel dilakukan dengan teknik purposive sampling. Pengambilan data dilakukan dengan metode focus group discussion dengan menggunakan teknik wawancara indepth interview. Analisa data menggunakan teknik Colaizzi. Trustwhortiness dalam penelitian menggunakan 4 metode antara lain Credibility, Dependability, Confirmability, dan Tranferability. Hasil penelitian dari tujuan penelitian sebanyak dua tema yaitu: 1) Merasakan kondisi yang tidak enak ketika pertama minum yang terdiri dari dua kategori: seperti: a) Merasakan tekanan psikis dan fisik, b) Cemas dan takut menularkan penyakit, tema 2) Kendala finansial yang dirasakan selama menjalani pengobatan. Pasien TB-MDR memiliki masalah psikologis yang berkaitan dengan pengobatan maupun biaya. Peran perawat yang dapat dilakukan untuk pengembangan program pengobatan yang mempu meningkatkan status kecerdasan emosional pasien TB-MDR adalah dengan pemberian psikoedukasi, konseling maupun spiritual well-being sangat diperlukan.
NURSING BEHAVIOUR AND PREVENTING COVID 19 TRANSMISSION: A CASE STUDY IN MERAUKE HOSPITAL PAPUA Sulistiyani, Sulistiyani; Lamria Situmeang; Zeth Robert Felle; Eka Sriwahyuni
International Journal Of Health Science Vol. 2 No. 3 (2022): November: International Journal of Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v2i3.788

Abstract

The Merauke hospital became a reference during the COVID-19 era for people living in Southern Papua - Merauke, Mappi, and Boven Digoel regencies. Thus, hospitals must prepare the nursing care staff in terms of cognition, psychomotor, and behavior in managing COVID-19. This research reviewed the nursing care behavior in preventing COVID-19 transmission at the Regional Hospital of Merauke. This cross-sectional study approach applied a total sampling technique, resulting in 60 nurses. The researchers distributed a questionnaire to collect cognitive, psychomotor, and behavioral data. From the findings, the researchers found 31 respondents, 51%, with very excellent behavior. Of those numbers, 22 respondents or 36.7% had excellent prevention while 9 respondents, or 15% had excellent prevention. From the total of 28 respondents, 46.7% had average behavior while sixteen respondents, or 26.7% had very excellent prevention. Respondents with excellent prevention consisted of 9 respondents, 15%. Respondents with average prevention consisted of 3 respondents, 5%. Then, respondents with low behavior and average prevention consisted of a respondent, 1.7%. The Chi-square obtained a p-value of 0.002, lower than 0.05. Conclusion: From the result, the researchers found the nursing behavior and COVID-19 and COVID-19 infection at Merauke Regional Hospital. The results also suggest managerial evaluation and supervision keep and improve the preventive behavior on COVID-19 transmission.
The Hope Therapy Effect Toward Depression, Anxiety, and Stress of Tuberculosis Patients with Multi-Drug Resistance at Jayapura’s Healthcare Center, Papua Sulistiyani; Lamria Situmeang; Mei Rianita Sinaga; Lalu Guntur Payasan
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.v8i1.353

Abstract

Background: Indonesia is the third country with a high-rate case of tuberculosis with multi-drug resistance, for a percentage of 5% per 100.000 population. In Papua, TB-MDR becomes the main problem of health with a successful percentage of medication at 68.7%, an indicator of WHO higher than 85%. The complexity and the prolonged occurrence make the patients to have mental health illnesses, such as depression, anxiety, and stress. The field data of depression cases consisted of 65 patients. 50% with had mild depression, 20% with moderate, and 25.55 with severe. Patients with anxiety ranged from 16.7% to 37.29%. Patients with severe stress consisted of 20%. The mental illness health problems for TB-MDR patients required the roles of the nurses, such as counseling based on HOPE therapy. Purpose: Analyzed the effects of HOPE therapy to manage depression, anxiety, and stress levels. Methods: Quasi-experimental research applied a systematically assigned control group. The population consisted of patients with TB-MDR receiving medication at Jayapura's healthcare center, 40 individuals. Results: HOPE therapy effects for depression, stress, and anxiety levels applied the Wilcoxon test. The obtained result was a p-value lower than 0.05. The results indicated the effect of HOPE therapy medication on depression, stress, and anxiety levels. The intervention group had decreased depression, stress, and anxiety levels with p-values of 0.043 and 0.012. The results contradicted the control group. The obtained p-value was higher than 0.05, indicating no effect. The p-values were 0.721, 0.532, and 0.670. Conclusion: HOPE therapy was useful for TB-MDR patients with mental illness. The administered HOPE therapy for patients could improve their confidence and hopes to live better and recover.
Co-Authors Eka Sriwahyuni Lalu Guntur Payasan Mei Rianita Sinaga Qoriah Nur Sulistiyani SULISTIYANI SULISTIYANI Sulistiyani Sulistiyani Zeth Robert Felle