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Self-Compassion dan Psychological Well-Being pada Pasien Kanker Sihombing, Ratna M.; Nuraini, Tuti; Afiyanti, Yati
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.10321

Abstract

This study aims to examine the relationship between self-compassion and the psychological well-being of cancer patients. The method used in this research is a systematic review, where we conducted journal searches in the ScienceDirect, PubMed, ProQuest, Springer, and EBSCOhost databases using the keywords' cancer patients', 'psychological well-being, 'and 'self-compassion. ' The research results show that self-compassion influences levels of depression, stress, anxiety, quality of life, body image disturbance, body shame, stigma, and other things that affect the psychology of cancer patients. In conclusion, there is a relationship between self-compassion and psychological well-being in cancer patients.This study aims to examine the relationship between self-compassion and the psychological well-being of cancer patients. The method used in this research is a systematic review, where we conducted journal searches in the ScienceDirect, PubMed, ProQuest, Springer, and EBSCOhost databases using the keywords' cancer patients', 'psychological well-being, 'and 'self-compassion. ' The research results show that self-compassion influences levels of depression, stress, anxiety, quality of life, body image disturbance, body shame, stigma, and other things that affect the psychology of cancer patients. In conclusion, there is a relationship between self-compassion and psychological well-being in cancer patients. Keywords: Cancer Patients, Psychological Well-Being, Self-Compassion
Implementasi Evidence Based Nursing Practice Latihan Autogenik untuk Mengurangi Kecemasan dan Meningkatkan Kualitas Tidur Prasestiyo, Hamudi; Nurachmah, Elly; Nuraini, Tuti
Jurnal Kesmas Asclepius Vol 6 No 2 (2024): Jurnal Kesmas Asclepius
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jka.v6i2.11723

Abstract

Tujuan penelitian ini untuk mengimplementasikan evidence-based nursing practice berupa latihan autogenik untuk mengurangi kecemasan dan meningkatkan kualitas tidur pada pasien kanekr limfoma yang menjalani kemoterapi. Metode studi kasus dilakukan pada enam pasien kanker limfoma yang menjalani kemoterapi. Tingkat kecemasan diukur menggunakan penilaian kecemasan Depression, Anxiety, And Stress Scales-42 (DASS-42) dan kualitas tidur diukur secara kualitatif sebelum dan sesudah intervensi. Hasil studi kasus dari penerapan Latihan Autogenik pada pasien Limfoma yang sedang menjalani program Kemoterapi menunjukan bahwa terjadi penurunan kecemasan dengan rerata skor dari 17,8 menjadi 6,5. Masalah gangguan tidur juga teratasi dari laporan pasien merasa lebih lebih baik tidurnya dari sebelum intervensi. Kesimpulan pada implementasi latihan autogenik sebagai evidence-based nursing practice efektif dalam mengurangi kecemasan dan meningkatkan kualitas tidur pada pasien kanker limfoma yang menjalani kemoterapi. Perawat onkologi dapat mempertimbangkan penggunaan teknik ini sebagai intervensi non-farmakologis. Penelitian lebih lanjut harus dilakukan dengan jumlah partisipan dengan skala yang lebih bersar serta metode penelitian lain dapat berupa RCT sebagai metode yang lebih tinggi. Kata Kunci: Gangguan Tidur, Kanker Limfoma, Kecemasan, Kemoterapi, Latihan Autogenik.
Pentingnya Kewaspadaan Perawat Terhadap Universal Precaution Di Masa Pandemi Covid-19 Asna Dewi, Nani; Utami, Yuli; Manurung, Sondang; Pramestiyani, Mustika; Nuraini, Tuti
Profesi (Profesional Islam) : Media Publikasi Penelitian Vol. 19 No. No.2 (2022): Jurnal PROFESI (Profesional Islam): Media Publikasi Penelitian
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) ITS PKU Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26576/profesi.v19iNo.2.93

Abstract

Universal precaution merupakan upaya yang diharapkan dapat mengurangi risiko penularan infeksi kepada tenaga kesehatan, terutama pada masa pandemi saat ini. Hal ini bertujuan untuk mengetahui hubungan antara pengetahuan dan sikap perawat dengan kualitas universal precaution. Sebuah studi korelasional deskriptif cross-sectional dilakukan dengan 114 perawat. Sampling acak sederhana digunakan untuk perekrutan peserta. Data dikumpulkan dengan kuesioner yang dianalisis menggunakan uji korelasi Pearson. Dalam penelitian ini, perawat memiliki kualitas pengetahuan dan sikap yang baik tentang universal precaution. Ada hubungan yang kuat antara kualitas pengetahuan dan sikap universal precaution (p = 0,001; r = 0,391; r = 0,247). Penelitian ini mengkonfirmasi hubungan pengetahuan perawat dan kualitas sikap universal precaution. Tingkat pendidikan tampaknya memiliki pengaruh terbesar, hasilnya menyiratkan kebutuhan perawat untuk memiliki pendidikan tinggi.
Remote Learning for Nursing Education in Indonesia during The Covid-19 Pandemic: Efforts and Recommendations Haryanti, Fitri; Nuraini, Tuti; Sukartini, Tintin; Hidayati, Wahyu; Nursalam, Nursalam; Arofiati, Fitri; Purwati, Nyimas Heny; Nursanti, Irna; Prabawati, Dewi; Trisyani, Yanny; Hadi, Muhammad
Jurnal Keperawatan Soedirman Vol 17 No 1 (2022): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.486 KB) | DOI: 10.20884/1.jks.2022.17.1.5297

Abstract

The COVID-19 pandemic had an impact on nursing students’ academic and clinical performance. Nursing institutions have provided remote learning to continue the learning process. However, students have met several obstacles that caused a decrease in the quality of learning. Remote learning for education requires the support of information and communication technology. However, studies related to how the COVID-19 pandemic affected nursing education in Indonesia are still rarely done. Accordingly, this study was conducted to evaluate the implementation of remote learning for nursing education during the COVID-19 pandemic. A cross-sectional study was conducted with 331 members of the Association of Indonesian Nurse Education Center (AINEC). The instrument used was the Guidelines of Filling Out Remote Learning. The results showed that 51% of the study programs implemented remote learning, while 69% of the regulations for remote learning were created by rectors. The most common teaching materials were visual, text, and audio-visual content. These materials were distributed through WhatsApp Group, Learning Management System (LMS), and video conference. To support the process of remote learning, nursing institutions need to improve information technology staff and cooperate agreement with other institutions. Overall, the remote learning process needs to be further improved to increase the students’ learning quality.
BEBAN PERAWATAN, KESIAPAN MERAWAT, DAN KECEMASAN PADA FAMILY CAREGIVER ANAK DENGAN KANKER DI INDONESIA Harahap, Nurlelasari; Waluyo, Agung; Nuraini, Tuti; Sutarni , Nani
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 2 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i2.1719

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ABSTRACT Background: Family caregivers (FCs) of children with cancer experience various psychological stresses. Objective: This study aims to identify the relationship between burden of care and readiness to care on family caregiver anxiety of children with cancer. Methods: The design in this study is correlative analytic with a cross sectional approach. We recruited 127 study subjects from the inpatient and outpatient ward of the National Cancer Centre, Jakarta from March to April 2023 using purposive sampling technique. Anxiety and factors affecting the psychological distress of family caregivers of children with cancer were identified with the Generalised Anxiety Disorder-7 (GAD-7), Zarit Burden Interview (ZBI) and Preparedness for Caregiving Scale (PCS) instruments. The data from this study were analyzed using the chi-square test and binary logistic regression. Results: Of the 132 family caregivers recruited for this study in the initial phase, 127 family caregivers completed the research questionnaire where the majority were female, aged between 18-45 years old, graduated from secondary education, had more than equal income, caring for children with high risk, were in outpatient or paediatric care, experienced mild care burden, said they were not prepared to provide care to a child with cancer, and experienced mild anxiety. Family caregiver anxiety levels tended to be significantly influenced by age (18-45 years) (p=0.004), cancer category (p=0.018) and burden of care (0.001). Conclusion: the heavier the burden of care and the unpreparedness of family caregivers in providing care to children with cancer, the level of anxiety will increase. Suggestion: there is a need to design and target psychosocial interventions to reduce the burden of care, increase care readiness which can reduce family caregiver anxiety levels.
The effect of therapeutic regimen education on improving the self-efficacy in cancer patients undergoing haemodialysis: a quasi-experimental study Susilowati, Indah; Nuraini, Tuti; Gayatri, Dewi; Afiyanti, Yati
Jurnal Ners Vol. 19 No. 3 (2024): AUGUST 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i3.54116

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Introduction: Cancer treatments often comes with varying adverse effects on both functional and physiological status of cancer patients, such as reduced kidney function, necessitating haemodialysis. The aim of this study was to determine the effect of therapeutic regimen education on the treatment self-efficacy of cancer patients undergoing haemodialysis. Methods: This study used a quasi-experimental method, involving 136 participants divided into control and intervention groups. The intervention group was given therapeutic regimen education that lasted for 4 weeks. The self-efficacy score was measured before and after intervention in both groups. Pre- and post-intervention scores were measured using the Chronic Kidney Disease Self-Efficacy instrument (r = 0.845). Paired t-test and independent t-test were used, respectively. Results: The results show that the patients who received therapeutic regimen education had significant increases in self-efficacy scores (p < 0.001). The mean (SD) score for all sub-variables increased after treatment: autonomy, from 15.07 (4.29) to 26.50 (1.74); personal integrity, from 11.63 (3.92) to 23.68 (2.59); problem-solving, from 10.66 (3.98) to 18.85 (0.82); and seeking social support, from 7.13 (2.38) to 14.06 (1.62). From the statistical test results, a significant difference in each dimension of self-efficacy was found between before and after treatment (p < 0.001). When the post test scores between intervention and control were compared, it showed significant different between them (p < 0.001). Conclusions: Therapeutic regimen education can increase treatment self-efficacy in cancer patients undergoing haemodialysis treatment, which can affect the patient’s healing process. Keywords: cancer patients, haemodialysis, self-efficacy, therapeutic regimen education
The unmet needs of palliative care among patients with non-malignant chronic illness in Indonesia: A phenomenology study Merduaty, Rona Cahyantari; Nuraini, Tuti; Sihwastuti, Sihwastuti
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2397

Abstract

Background and Objectives: People with chronic illness tend to report multiple and complex symptoms that decrease their ability to meet their needs and quality of life (QoL). As an approach to address people with chronic illness, palliative care is still shortly focused on people with chronic malignancies in Indonesia. Eventually, that paradigm makes the spectrum of palliative care interpreted narrowly only for cancer or end-of-life (EOL) patients. This study explores the experience and needs of patients diagnosed with non-malignant chronic illness towards their illness to identify the need for palliative care. This study used a qualitative method with a phenomenological approach. Material and Methods: A total of seven (7) participants were involved in semi-structured interviews that were previously selected based on screening using an adult palliative patient score developed by Cipto Mangunkusumo Hospital (RSCM), Jakarta. Only participants with a score above or equal to 4 (four) are selected to participate. All qualitative data is recorded, transcribed, and analyzed using Colaizzi's approach. Results: There are seven major interrelated themes emerging from this qualitative study that uniquely match with the illness trajectory of non-malignant chronic patients. The themes are: (1) negative feelings that cannot be described at the time of diagnosis, (2) ignorance of the disease process, (3) late realization that illness cannot be cured, (4) helplessness during the medication/treatment process, (5) shame of being a burden to family and surroundings, (6) limited access, (7) family and God as motivation and hope reinforcement to recover at the end of illness stage. Conclusions: People with non-malignant chronic complain of several challenges, which are not much different from those with cancer. Therefore, patients with non-malignant chronic illness (PWNMCI) also have a similar need for palliative care. A deeper and broader assessment of palliative care should also be implemented in patients with non-malignant chronic illness from the early diagnostic process.
Pengaruh Pemberdayaan terhadap Self-Efficacy pada Pasien Kanker Payudara: Systematic Review Purnomo, Purnomo; Nuraini, Tuti; Putri, Yossie Susanti Eka; Maria, Riri
Faletehan Health Journal Vol 12 No 01 (2025): Faletehan Health Journal, Maret 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i01.794

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Breast cancer is the second most prevalent type of cancer and one of the leading causes of mortality. Efforts to reduce mortality rates can be achieved by empowering patients to manage symptoms caused by cancer and the side effects of treatment therapies. This study aimed to evaluate the effectiveness of empowerment education in increasing self-efficacy in breast cancer patients. The study employed a systematic review of eight articles sourced from various databases, including ProQuest, SpringerLink, ScienceDirect, Sage Journal, Google Scholar, and PubMed. A total of 8,693 articles were retrieved from seven databases. After screening based on inclusion criteria, 638 articles were deemed eligible. Based on the selection of titles, abstracts, and full texts, 22 articles were chosen, and after duplicate elimination, 10 articles were analyzed using the Joanna Briggs Institute (JBI) quality assessment tool. The analysis results indicated that the empowerment approach is effective in improving self-efficacy and quality of life in breast cancer patients. By utilizing empowerment education, healthcare professionals can provide holistic support to patients, improve therapeutic outcomes, and reduce breast cancer mortality rates. This study recommended the integration of empowerment education as an essential component of breast cancer management in various healthcare facilities.
Management oral care mengatasi mucositis pada pasien kanker yang menjalani terapi kemo dan radiasi: A systematic review Siregar, Ngolu; Putri, Yosie Susanti Eka; Nuraini, Tuti
Holistik Jurnal Kesehatan Vol. 19 No. 1 (2025): Volume 19 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i1.765

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Background: Oral mucositis (OM) is a common and highly symptomatic complication of cancer therapy that affects the quality of life function. Chemotherapy and radiation are the most widely used interventions in cancer treatment. The prevalence of oral mucositis side effects among 294 head and neck cancer patients was 93.9%. Purpose: To analyze oral care management to overcome mucositis in cancer patients undergoing chemotherapy and radiation therapy. Method: Literature review study using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and PICOS approach, P: cancer patients undergoing chemotherapy and radiation, I: oral care management, C: no specific treatment or other standard care, O: reducing severity and accelerating healing, S: randomized controlled trial (RCT). Literature search using keywords “management” AND "oral mucositis" OR “stomatitis” OR “oromucositis” OR “oromucositides” AND "cancer", “management” AND “mucositis” OR “oral mucositis” OR “mucosa inflammation” OR “stomatitis” AND “cancer treatment”. Results: Various methods have been used to treat oral mucositis in cancer patients undergoing chemotherapy and radiation. Although there are differences in the timing, method, and frequency of mouthwash use, most of the literature shows that mouthwash is effective in reducing oral mucositis in patients. Conclusion: Management of oral mucositis can be done to treat and prevent oral mucositis in cancer patients currently receiving chemo and radiation therapy.   Keywords: Cancer; Chemotherapy; Mucositis Oral; Radiotherapy.   Pendahuluan: Oral mucositis (OM) merupakan komplikasi umum dan sangat simtomatik dari terapi kanker yang memengaruhi fungsi kualitas hidup. Kemoterapi dan radiasi adalah intervensi paling banyak digunakan dalam pengobatan kanker. Prevalensi efek samping mukositis oral diantara 294 pasien kanker kepala dan leher adalah 93.9%. Tujuan: Untuk menganalisis management oral care mengatasi mucositis pada pasien kanker yang menjalani terapi kemo dan radiasi. Metode: Penelitian literature review menggunakan panduan Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) dan pendekatan PICOS, P: pasien kanker yang menjalani kemoterapi dan radiasi, I: manajemen perawatan oral, C: tidak ada perawatan khusus atau perawatan standar lainnya, O: mengurangi keparahan dan mempercepat penyembuhan, S: randomized control trial (RCT). Pencarian literatur menggunakan kata kunci “management” AND "oral mucositis" OR “stomatitis” OR “oromucositis” OR “oromucositides” AND "cancer", “management” AND “mucositis” OR “oral mucositis” OR “mucosa inflammation” OR “stomatitis” AND “cancer treatment”. Hasil: Berbagai metode telah digunakan untuk mengatasi mukositis oral pada pasien kanker yang menjalani kemoterapi dan radiasi. Meskipun terdapat perbedaan dalam waktu, cara, dan frekuensi penggunaan obat kumur, sebagian besar literatur menunjukkan bahwa obat kumur efektif dalam mengurangi mukositis oral pada pasien. Simpulan: Manajemen penanganan mukositis oral dapat dilakukan untuk mengatasi dan mencegah mukositis oral pada pasien kanker yang menjalani terapi kemo dan radiasi.   Kata Kunci: Kanker; Mukosisitis Oral; Radiasi; Terapi Kemo.
EMPOWERMENT KEPALA RUANGAN TERHADAP KOMPETENSI PERAWAT PELAKSANA DI RUMAH SAKIT : SYSTEMATIC REVIEW Astuty, Mazly; Hariyati, Rr. Tutik Sri; Nuraini, Tuti; Sekarsari, Rita
Menara Medika Vol 7, No 2 (2025): VOL 7 NO 2 MARET 2025
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v7i2.6544

Abstract

Abstract Backgound: Nurse competence can be influenced by the empowerment of head nurse. Empowerment is how head nurse conditions the climate and work culture in the nursing ward that can improve nurse competences. The existing literature is still very varied, therefore a systematic review is needed to determine the specific empowerment carried out by the head nurse based on published scientific evidence.Purpose: The study was aimed to know how the empowerment of head nurse affected nursing staff competences in the hospitalMethods: Conducted a systematic review of the literature from 2013 to 2023. Data were collected from 6 databases (EMBASE, EBSCOHost, Sage Journals, ScienceDirect, Scopus, and PubMed), using the keywords “empowerment”, “empowerment of head nurses”, and “empowerment AND head nurses”. The literature study was limited to English-language, as well as literature that had abstracts and full text. The systematic review was organized using PRISMA. The quality of the articles was assessed using JBI critical appraisal tools.Results: There were 8 articles included in the review category. The results showed that there are four actions of the head nurse to empower the staff, including: 1) providing training to increase skills and knowledge, 2) providing autonomy, 3) being open, communicative and caring, and 4) being a shelter.Conclusion: The head nurse played an important role in managing the ward by setting policies to coordinate nursing staff tasks, and solve problems with the staff. Empowerment can improve the organization climate and culture to sharpen the quality of nursing care.Keywords: empowerment, head nurse, nursing staff, systematic review Abstrak Latar belakang: Kompetensi perawat dapat dipengaruhi oleh beberapa factor, salah satunya dalah empowerment dari kepala ruangan. Empowerment yang dimaksud dalam hal ini adalah bagaimana kepala ruangan mengkondsikan iklim dan budaya kerja di ruangan yang dapat meningkatkan kompetensi perawat. Literatur yang ada tentang topik ini masih sangat bervasiasi, oleh karenanya dibutuhkan sistematik review untuk mengetahui empowerment yang spesifik dilakukan kepala ruangan berdasarkan bukti-bukti ilmiah yang telah dipublikasikan.Tujuan: Untuk mengetahui bagaimana empowerment kepala ruangan dalam mempengaruhi kompetensi perawat pelaksana di rumah sakit.Metode: Melakukan tinjauan literatur secara sistematis dari tahun 2013 sampai dengan 2023. Data dikumpulkan dari 6 database (EMBASE, EBSCOHost, Sage Journals, ScienceDirect, Scopus, dan PubMed), dengan menggunakan kata kunci empowerment, empowerment of head nurse, dan empowerment AND head nurse. Studi literatur terbatas hanya pada literatur yang berbahasa Inggris, serta literatur yang memiliki abstrak dan full text. Sistematik review disusun dengan menggunakan PRISMA. Kualitas artikel yang dihasilkan dinilai dengan menggunakan JBI critical appraisal tools.Hasil: Terdapat 8 artikel yang masuk kedalam kategori review. Hasil review menunjukkan terdapat empat tindakan kepala ruangan untuk memberdayakan staf perawat, antara lain: 1) memberikan pelatihan untuk menambah skill dan pengetahuan, 2) memberikan otonomi, 3) bersikap terbuka, komunikatif dan caring, dan 4) menjadi tempat bernaung bagi perawat dalam bekerja.Kesimpulan: Kepala ruangan berperan penting dalam mengelola unit ruangan dengan menetapkan kebijakan untuk mengkordinasikan tugas dari staf perawat, dan bersama-sama dengan staf perawat memecahkan masalah. Empowerment yang dilakukan kepala ruangan terhadap staf perawat dapat meningkatkan iklim dan budaya organisasi untuk mempertajam kualitas asuhan pelayanan keperawatan.Kata Kunci: empowerment, kepala ruangan, perawat, systematic review