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KESADARAN AKAN FAKTOR-FAKTOR RISIKO HIV/AIDS MENDORONG PSK UNTUK MELAKUKAN VCT Tyas, Nila Titis; Handayani, Fitria
Jurnal Ilmu Keperawatan dan Kebidanan Vol 11, No 1 (2019): Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Jurnal Ilmu Keperawatan dan Kebidanan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (221.496 KB)

Abstract

VCT merupakan suatu pembinaan dua arah atau dialog yang berlangsung tak terputus antara konselor dan kliennya dengan tujuan untuk mencegah penularan HIV, memberi dukungan moral, informasi, serta dukungan lainnya kepada ODHA, keluarga, dan lingkungannya. Salah satu tujuan utama konseling HIV/AIDS dalam proses VCT adalah mencegah penularan HIV dengan cara mengubah perilaku. Pelayanan klinik VCT bagi para PSK yang meliputi screening berkala yang dikombinasikan dengan tambahan informasi mengenai cara pencegahan IMS dilaporkan telah meningkatkan penggunaan kondom dan mengurangi prevalensi IMS dan HIV di antara para PSK. Jumlah partisipan dalam penelitian ini adalah 7 PSK yang dipilih menggunakan teknik purposive sampling di Lokalisasi Dukuh Sukosari RT 06 RW VI Kelurahan Berokan, Kabupaten Semarang. Pengumpulan data dilakukan dengan wawancara mendalam. Analisa data yang digunakan adalah content analysis. Hasil penelitian menunjukkan bahwa para PSK memutuskan untuk menjalani VCT karena menyadari akan faktor-faktor risiko pekerjaan yang mereka jalani. Kesimpulan penelitian ini adalah VCT dianggap sangat bermanfaat bagi PSK dan mampu mengubah paradigma PSK akan kesehatan serta mampu meningkatkan kewaspadaan dan proteksi diri PSK akan faktor-faktor risiko yang ada. Pemerintah dan LSM terkait hendaknya turut memfasilitasi para PSK untuk mempertahankan perilaku hidup bersih sehat setelah melakukan VCT dengan screening berkelanjutan.
Association of Functional Outcome and Post Stroke Depression among Ischemic Stroke Patients after Three Months Onset: A Preliminary Study Handayani, Fitria; Setyowati, Setyowati; Pudjonarko, Dwi; Sawitri, Dian Ratna; Sakti, Hastaning; Suparyatmo, J.B; Adi, Matius Sakundarno
Jurnal Keperawatan Soedirman Vol 14, No 1 (2019)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2019.14.1.888

Abstract

Background The Post Stroke Depression (PSD) prevalence of stroke survivor after three months onset was ranged from 17% to 37%. Depression led to fatigue, low quality of life, severe morbidity, and mortality.  Functional Outcome influence depression on stroke survivor.  However, correlation between functional state level and depression among stroke survivor after three months onset has not been established. ObjectiveThis study was aimed to investigate the correlation of executive functional outcome and PSD among stroke survivor after three months onset. MethodThis study was a correlation study. The participants were 44 stroke ischemic patients after three months onset. Participants were recruited in an outpatient unit. PSD was measured using The GRID-Hamilton Rating Scale for Depression 17 (GRID-HAMD 17) and Functional Outcome was measured using Barthel Index (BI). The reliability of GRID-HAMD 17 was .776.  Both instruments were conducted on backward translation in to bahasa. Data was examined using simple linier regression analyses.  The ethical approval was obtained from the Ethical Research Committee of the Medical Faculty Diponegoro University and Tugurejo Semarang Hospital. ResultsThe presence of PSD were 56.82. The median of HAMD-GRID-17 was 10.38 ± 7.58, and Barthel Index was 69.56 ± 21.69.  The Barthel Index showed positive correlation with HAMD-GRID-17 (?= -.41 ?=.006). The Functional Outcome determined PSD as much as 16.8 %. ConclusionModerate association demonstrated the correlation between Functional Outcome and PSD. Nursing intervention should consider these two variables for an optimum quality of life among stroke survivors.  
Pengalaman Injecting Drug Users Living With Hiv/Aids (ILWHA) Menjalani Terapi Antiretroviral Saat Terapi Rumatan Metadon Fitria Handayani; Dewi Irawaty; Yati Afiyanti
Jurnal Keperawatan Indonesia Vol 15 No 2 (2012): Juli
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v15i2.34

Abstract

Penelitian merupakan penelitian kualitatif dengan pendekatan fenomenologi yang bertujuan memahami berbagai pengalamanInjecting Drug User Living with HIV/AIDS (ILWHA) dalam menjalani terapi antiretroviral (ARV) saat terapi rumatan metadon.Partisipan berjumlah 6 orang yang dipilih dengan purposive sampling. Pengumpulan data dengan wawancara mendalam dananalisis menggunakan metode “Colaizzi’s”. Penelitian menyimpulkan setiap ILWHA mengalami kebugaran dan lebih fungsionaldalam hidup. Terdapat berbagai kebutuhan pelayanan kesehatan yaitu pelayanan yang terintegrasi antara ARV dan metadon,informasi penanggulangan efek ARV dan gizi serta informasi HIV, ARV dan metadon bagi masyarakat. Berdasarkan hal tersebut,perawat konselor ARV perlu memahami beban fisik, psikologis, dan sosial serta kedinamisan ILWHA dalam terapi ARV saatterapi rumatan metadon selain itu juga perlu mengidentifikasi dan mengembangkan lebih lanjut kebutuhan pelayanan kesehatanpada ILWHA.
ROM Therapy on Muscle Strength in Post Stroke Patients: Scoping Review Muliyani Yamlean; Chandra Bagus Ropyanto; Fitria Handayani
Indonesian Journal of Global Health Research Vol 3 No 1 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (553.771 KB) | DOI: 10.37287/ijghr.v3i1.314

Abstract

Hemiparesis and hemiplegia are motor deficits found mostly in stroke patients. If the deterioration in muscle strength that occurs is not handled properly, it will cause permanent disability. ROM therapy is a therapy to increase muscle strength which has undergone various developments according to the research that has been done. The aim of this article was to identify interventions using ROM therapy to improve muscle strength in post-stroke patients. The databases used were JCS, PMC, Science Direct, and PubMed. The search was limited to articles published in 2014 to 2019. The study criteria was for adult, quantitative comparisons between before and after intervention ROM therapy and full text article, published in peer-reviewed journal and written in English and Indonesian. This article used the methodological framework by Arksey and O'Malley for the scoping review. The research has conducted a study of 4 articles, in which all of the items discussed the application of ROM therapy to increase muscle strength in post-stroke patients. The results from each articles showed that ROM therapy has helped improve muscle strength in post-stroke patients.
Gambaran Tingkat Pengetahuan Mengenai Stroke pada Keluarga Pasien Pasca Stroke dengan Serangan Terakhir Kurang dari Satu Tahun: Literature Review Septeana Tria Adin Adila; Fitria Handayani
Holistic Nursing and Health Science Vol. 3, No. 2 (2020): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.3.2.2020.38-49

Abstract

Introduction: Stroke patients rely heavily on family on decision-making for health actions should be done. The family members were found to have attitudes that are not right in doing in-home care for it is associated with knowledge of family low. On other side, the family knowledge level would lead in readiness of taking care of family members suffering from stroke with better. Based on the variation of knowledge level and influence, the researchers are interested to do literature review regarding the level of stroke knowledge on the patients families after the stroke last less than 1 year. Methods: The study aimed to review stroke knowledge level on the patients families after the stroke last attack less than 1 year. This study was a literature review conducted based on the issue, methodology, similarities and proposal advanced research. Search articles used EBSCO, google scholar, SINTA (Science and Technology Index), science direct, clinical key, and Scopus with the publication of the last 5-10 years. Results: The result showed that level of knowledge of post-stroke patients families with the last attacked less than a year from the ten articles that have been analyzed, 6 articles majority was still low with the range 63,8%-100% and 4 articles was high knowledge with the range 58%-74%. The majority low level of knowledge 3 articles was from India. Factors that affect the level of family knowledge about stroke were the education provision, education level and age.Conclusion: The stroke knowledge level in patients families post-stroke with the attacks last less than 1 year, the majority still in the low category so that expected health workers especially the nurses in giving health education on patients and families.
Kajian Literatur: Intervensi Religius Islam dan Dampaknya pada Pasien Stroke Suciari Tri Utami; Fitria Handayani
Holistic Nursing and Health Science Vol. 4, No. 2 (2021): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.4.2.2021.116-125

Abstract

Introduction: Stroke becomes the main factor of longterm disability. Changes in physical condition increase the risk of psychological disorders. Indonesian citizen has Islam religion mostly. The study of Islamic religious intervention was few. Religious interventions had been conducted however no review described the Islamic religious interventions and the impacts. This study aimed to describe the intervention of Islamic religious and its impacts among stroke patients. Methods: The research method used scoping review using databases such as Sciendirect, CINAHL, Medline, Taylor & Francis, JSTOR, PubMed, and search engine Google Advance. The criteria for the articles reviewed were articles in English or Indonesian with the SINTA index 1-2, articles published on 2010-2020, articles accessed in full text, method was quasi experiment or randomized control trial, articles were original research. The key words were Islamic spiritual or religious and stroke. Search results obtained five articles that required the inclusion criteria. Results: Review found that memorizing of Al Qur’an, listening Al Qur’an, motivation and prayer, salah prayer and Quranic teaching. Impacts of Islamic spiritual and religious intervention have positive impact in patient’s physiological and psychological such as increased functional communication, independence, improvement of neurological clinical outcome, motoric function, balance, motivation, quality of life, and decreased the anxiety and depression. Conclusion: Islamic spiritual or religious intervention in stroke survivor was the part nursing care that promising improved clinical outcome.
Hubungan Pengetahuan Keluarga dan Perilaku Keluarga pada Penanganan Awal Kejadian Stroke Marina T. N Rosmary; Fitria Handayani
Holistic Nursing and Health Science Vol. 3, No. 1 (2020): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.3.1.2020.32-39

Abstract

Introduction: Early intervention of stroke would be reduced mortality and risk of disability. Early intervention was supported by the knowledge of risk factors and early symptoms of stroke. This study was aimed to determine the relationship between family knowledge and behavior in the initial treatment of stroke events. Methods: This study used a correlational descriptive design with cross-sectional approach. The researchers employed a non-probability sampling i.e. accidental sampling. The study was conducted at a hospital in Semarang in May 2019. The respondents were 77 families of patients during the stroke. The knowledge tool used the Stroke Recognition Questionnaire (SRQ) consisting of 30 questions and a behavioral questionnaire involving nine questions. Data analysis used Spearman Rank. Results: The result of bivariate analysis indicates there is a correlation between family knowledge and behavior with the value P = 0.000 and r = 0.83. Conclusion: The study concluded there was a correlation between knowledge and behavior. Correlation between the two variables was strong and indicated the positive direction of correlation which the higher of knowledge influenced the better of Family behavior. Nursing interventions needs to be developed to increase knowledge about the risk factors and early symptoms of stroke and management at home at the stroke outbreak.
Tingkat Depresi Mahasiswa Keperawatan di Tengah Wabah COVID-19 Agus Santoso; Wandria Robi Ardi; Rikhan Luhur Prasetya; Meidiana Dwidiyanti; Diyan Yuli Wijayanti; Muhammad Mu'in; Sarah Ulliya; Fitria Handayani; Madya Sulisno; Maftukhatun Ni’mah; Nur Aas Aisah
Holistic Nursing and Health Science Vol. 3, No. 1 (2020): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.3.1.2020.1-8

Abstract

Introduction: The emergence of the COVID-19 pandemic affected the mental health of students. Students feel stressed and sad, anxious, frustrated, confused and do not know how to overcome their conditions. Depression occurs because of negative thinking about oneself and others, so special management is needed in the midst of a COVID-19 pandemic. The aim of this study was to provide an overview of the depression levels of students in the pandemic.Methods: The method in this study was a quantitative research with cross sectional approach. Descriptive analysis is used to provide a description of the level of depression that occurs in students. Data collection used the Beck Deperession Inventory II (BDI II), sampling used a total sample of 148 respondents (students with an average age of 18-20 years old). The process of collecting data is done by using the google form survey method.Results: Students experienced mild mood disorders (25.7%), severe depression (12.2%), low depression (8.1%), moderate depression (0,7%) and extreme (0.7%).Conclusion: Depression in the pandemic of COVID-19 requires special attention in management to prevent mental disorders.
Hubungan Koping Spiritual dengan Post Stroke Depression pada Pasien Stroke Iskemik setelah Tiga Bulan Serangan Fitria Handayani
Holistic Nursing and Health Science Vol. 2, No. 2 (2019): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (433.625 KB) | DOI: 10.14710/hnhs.2.2.2019.26-32

Abstract

Background: The prevalence of Post Stroke Depression (PSD) among ischemic stroke survivor after three months onset is high. PSD is influenced by biological, psychological, and social factors. Spiritual coping was correlated with good mood among chronic illness patient. However, correlation study between spiritual and PSD was not exist. The aim of the study was to examine the correlation between spiritual coping and PSD among ischemic stroke survivor after three months onset.Method: The design of the study was correlational design. There were 68 respondents involved. The inclusion criteria were ischemic stroke after three months onset, no aphasia, no hearing impairment, and the total score of Mini Mental Status Examination (MMSE) was more than 12. The tools were HAMD-GRID 17 (PSD) and Spiritual Coping Questionaire (SCQ). Validation language conducted in two cycles and the test reliability used alpha cronbach (.776). Ethical approval was conducted by ethical committee of Medicine Faculty. The data collection used was survey. The statistical analyze used the Spearman-rho. Results: The results of the study show that demographic characteristic were equal between male and female. The age ranged 51 to 60 was 42.6%, unemployment patient was 61.8%, and the income less than Rp 1,000,000 was 63.2%. Statistical analyses showed that no correlation between spiritual and PSD (r -.155,  p .205). Discussion: Spiritual transformation process is a complex process and diverse among social situation. Transformation in spiritual responses should be gained in advance study to identify the developing of PSD.
TERAPI “PAKET BAHAGIA” BERBASIS TEKNOLOGI INFORMASI SEBAGAI TATALAKSANA PERAWATAN PASIEN STROKE DI RUMAH BAGI KELUARGA YANG MERAWAT DAN KADER KESEHATAN DI KELURAHAN PUDAK PAYUNG : PENGABDIAN KEPADA MASYARAKAT Fitria Handayani; Rita Hadi Widyastuti; Dania Eridani
Jurnal Ilmu Keperawatan Komunitas Vol. 3 No. 1 (2020)
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (491.601 KB) | DOI: 10.32584/jikk.v3i1.562

Abstract

D Insiden stroke di Kota Semarang adalah 5798 pada tahun 2018. Kelurahan Pudak Payung memiliki pasien stroke 40 orang. Hasil penelitian menunjukan bahwa Terapi “Paket BAHAGIA” efektif untuk meningkatkan psikososial pasien. Keluarga dan Kader memerlukan ketrampilan dalam merawat pasien stroke di Kelurahan Pudak Payung. Tujuan kegiatan Pengabdian Kepada Masyarakat adalah meningkatkan ketrampilan kader dan keluarga dalam merawat pasien stroke. Metode kegiatan adalah pelatihan terapi “Paket BAHAGIA” kepada keluarga dan kader dalam merawat pasien stroke dirumah. Pelatihan 60 jam kepada 40 kader Kelurahan Pudak Payung dilakukan oleh tim keperawatan dan tim tehnologi Informasi Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Diponegoro. Pelatihan berbentuk pemberian materi, demonstrasi dan aktifitas mandiri. Hasil aktifitas Pengabdian Kepada Masyarakat menunjukan adanya peningkatan pengetahuan kader dan keluarga tentang stroke dan ketrampilan perawatan pasien stroke di rumah (p<0.05). Pengabdian Kepada Masyarakat dalam pelatihan terapi “Paket BAHAGIA” dapat diaplikasikan kepada masyarakat dalam merawat pasien di rumah