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Perkembangan Konsep dan Alat Ukur Harapan dalam Peningkatan Kualitas Hidup Pasien Penyakit Ginjal Tahap Akhir (PGTA): Analytic Review Nining Puji Astuti; Untung Sujianto; Henni Kusuma
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 2 No. 2 (2019): November 2019
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (518.814 KB) | DOI: 10.32584/jikmb.v2i2.271

Abstract

Pemaparan konsep harapan sebagai ilmu pengetahuan telah dikembangkan sejak dahulu, namun pelaksanaan pengkajian dan intervensi peningkatan harapan pada praktik klinik keperawatan masih sangat minim dilakukan. Perlu pemahaman mengenai konsep dan pengembangan alat ukur harapan pada pasien Penyakit Ginjal Tahap Akhir (PGTA) demi meningkatkan kualitas hidup PGTA. Tujuan analytic review ini untuk mengidentifikasi konsep harapan berdasarkan definisi dan instrumen yang dapat digunakan untuk mengukur harapan PGTA, serta mengidentifikasi faktor yang mempengaruhi harapan PGTA. Metode pencarian melalui database Pubmed, Biomedical Journal, dan Google Scholar dengan kata kunci hope, end stage renal disease, chronic kidney diseases, dan quality of life. Kriteria inklusi pencarian dalam pembuatan analytic review ini yaitu artikel dalam Bahasa Inggris, full text, dipublikasikan tahun 2000-2019 dan menggunakan harapan sebagai tema utama dalam pembahasan. Sejumlah 9 artikel jurnal digunakan dalam pembahasan studi ini. Harapan didefinisikan sebagai kekuatan dalam diri individu yang membantu pasien keluar dari zona sakitnya dan meningkatkan derajat kesehatannya. Alat ukur yang dapat dipakai antara lain Herth Hope Index, The Trait Hope Scale, Adult Hope Scale, Miller Hope Scale, Basic Hope Inventory. Level harapan PGTA dipengaruhi oleh banyak faktor baik dari internal ataupun eksternal yang muncul dari lingkungan. Harapan dapat dilihat dari banyak perspektif namun fokus utama harapan adalah tujuan akan masa depan. Konsep harapan merupakan konsep ilmiah yang dapat dijelaskan secara ilmiah dan dapat diukur.
GAMBARAN RESILIENSI KELUARGA PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISIS Halawati, Dwi Fathun Ary; Kusuma, Henni
Jurnal Perawat Indonesia Vol. 1 No. 1 (2017): May 2017
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (74.863 KB) | DOI: 10.32584/jpi.v1i1.42

Abstract

AbstrakTerapi hemodialisis tidak hanya memberikan masalah pada pasien, namun juga memberikan dampak pada kehidupan keluarga pasien. Tekanan yang dihadapi oleh keluarga menyebabkan stres yang cukup berat, sehingga resiliensi keluarga menjadi sangat dibutuhkan. Penelitian ini bertujuan untuk melihat gambaran resiliensi keluarga yang meliputi system keyakinan, pola organisasi keluarga dan komunikasi antar unit keluarga dalam merawat pasien hemodialisis di Kota Semarang. Penelitian ini menggunakan metode kualitatif fenomenologi dengan metode indepht interview. Informan dalam penelitian ini adalah keluarga pasien hemodialisis yang didapatkan dengan purposive sampling. Data yang dikumpulkan berupa hasil rekaman wawancara dan catatan lapangan yang dianalisis dengan metode analisa Colaizzi. Penelitian ini menghasilkan bahwa resiliensi keluarga bergantung pada sumber-sumber daya yang ada untuk digunakan dalam menyelesaikan permasalahan pasien penyakit ginjal kronik. Keluarga dianggap resilien jika mampu beradaptasi dan mencapai keseimbangan dalam keluarga, sehingga untuk mewujudkan resiliensi keluarga dibutuhkan peran aktif setiap anggota keluarga dalam memberikan perawatan pada pasien. Dukungan perawat juga diperlukan, diharapkan perawat melakukan skrining awal dan memberikan konseling pada keluarga pasien. Kata Kunci: resiliensi, keluarga, hemodialisis AbstractDescription of family resilience which includes belief systems, family organizational patterns and communication between family units in treating hemodialysis patients. Hemodialysis therapy not only gives problems to patients, but also has an impact on the patient's family life. The pressure faced by the family causes considerable stress, so the resilience of the family becomes urgently needed. This study aims to look at description of family resilience which includes belief systems, family organizational patterns and communication between family units in treating hemodialysis patients in Semarang City. This study uses qualitative phenomenological method with indepth interview method. The informants in this study were families of hemodialysis patients who were obtained by purposive sampling. Data collected in the form of interview records and field notes were analyzed by Colaizzi analysis method. This study resulted in family resilience depending on available resources to be used in solving the problems of patients with chronic kidney disease. The family is considered resilient if it is able to adapt and achieve balance in the family, so to realize family resilience it takes an active role for each family member in providing care to patients. Nurse support is also needed, it is hoped that nurses conduct initial screening and provide counseling to the patient's family. Keywords: resilience, family, hemodialysis
Analisis Faktor-Faktor yang mempengaruhi Ambulasi Dini Post ORIF pada Pasien Fraktur Femur Study Retrospektif Giat Wantoro; Muflihatul Muniroh; Henni Kusuma
Jurnal Akademika Baiturrahim Jambi Vol. 9 No. 2 (2020): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v9i2.273

Abstract

Femur fracture is a loss of continuity of the femur, which can be caused by direct trauma to the thigh or pathological factors. The main treatment for fractures is ORIF. Implementation of early ambulation is important to prevent post ORIF complications. Objective: This study aims to analyze the factors that influence early ambulation post ORIF  in femoral fracture patients. Methods: The study design was a cross-sectional retrospective approach with 82 respondents and data collection using medical record data. The independent variables are education, sex, age, hemoglobin, temperature, blood pressure, pain, fracture location, and time span of operation while the dependent variable is early ambulation. The test used in multivariate is logistic regression test. Results and discussion: Research shows education (p = 0,000), gender (p = 0.028), age (p = 0,000), Hb (p = 0.029), pain (p = 0.001), and location of the fracture (p = 0.007) , is an influential factor. The multivariate model found the fracture location to be the most influencing factor in post ORIF early ambulation in femur fracture patients with p = 0.023 and an OR value of 2.140. Conclusion: This study recommends that nurses first examine the factors that influence early ambulation, especially fracture location factors before providing post ORIF early ambulation interventions in femur fracture patients
LITERATURE REVIEW: UPAYA KEPEMIMPINAN TRANSFORMASIONAL DALAM PENERAPAN METODE MENTORSHIP SEBAGAI PENDUKUNG KESEHATAN PARIPURNA ( Literature Review: Efforts transformational leadership in methods mentorship as a support plenary health) Prasetiani, Abigael Grace; Kusuma, Henni
JURNAL NERS LENTERA Vol. 6 No. 1 (2018): Maret
Publisher : Fakultas Keperawatan, Universitas Katolik Widya Mandala Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/ners.v6i1.1855

Abstract

Background: Nurse has an important role especially in achieving plenary and holistic healthcare service. Nurse is frontline in improves the safety and quality of health in health services. This need leadership in nursing, which part the base of nursing care effective and nurse recognized as a leader in patients care. Health service system will continue to metamorphosis so nurse to adopt the quality of transformational leadership. Transformational leadership allow nurse in developing health policy, transforming the health technologies, and mentorship in new nurses or student. Mentorship can be defined as a process of knowledge, attitude, and skill by professional nurse (mentor) to new nurses/student (mentee). Aim: Explain transformational leadership in mentorship method as an effort to plenary health. Method: The search this article through Google search and CINAHL with keyword mentorship, new nurses, nursing, leadership, and transformational leadership. The search got 14 article appropriate inclusion and exclusion criteria, among published in 2007-2017, in full text which are in criteria, then analysis in narrative. Results: The search data used keywords and criteria on electronic database, got 14 articles. The articles were grouped in transformational leadership, leadership in nursing, and mentorship. Conclusion: Mentorship very effective to give positive impacts to organizations health services.