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Jurnal Keperawatan Padjadjaran

jkp
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Published by Universitas Padjadjaran

ISSN : 23385324 EISSN : 24427276 DOI : -

Core Subject : Health, Science,

Health Professions Neuroscience Nursing Public Health

Jurnal Keperawatan Padjadjaran (JKP) or The Padjadjaran Nursing Journal is a peer review journal providing an open access facility for scientific articles published by the principles of allowing free research available for public to support global scientific exchange. Padjadjaran Nursing Journal (JKP) is published three times a year, specifically in April, August, and December.

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Articles 413 Documents

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Faktor-Faktor yang Berhubungan dengan Kejadian Wound Dehiscence pada Pasien Post Laparatomi Tita Puspita Ningrum; Henny Suzana Mediani; Chandra Isabella H.P
Jurnal Keperawatan Padjadjaran Vol. 5 No. 2 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Wound dehiscence sering terjadi setelah pembedahan mayor abdomen menimbulkan tingkat morbiditas dan mortalitas yang tinggi. Wound dehiscence dapat menimbulkan stress, eviserasi, reoperasi, gangguan citra tubuh, meningkatnya lama rawat dan biaya rawat, menurunkan kualitas hidup pasien serta kematian sehingga perlu menangani faktor yang mempengaruhi kejadian wound dehiscence. Tujuan dari penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kejadian wound dehiscence pada pasien dewasa post laparatomi di RSUP Dr Hasan Sadikin Bandung. Metode penelitian menggunakan analitik korelasi dengan pendekatan cross sectional. Sampel yang digunakan berjumlah 40 orang yang diambil dengan menggunakan consecutive sampling. Pengumpulan data dengan cara wawancara, observasi dan studi dokumentasi. Analisis univariat menggunakan distribusi frekuensi dan analisis bivariat menggunakan uji Chi Square. Hasil penelitian menunjukkan kejadian wound dehiscence terjadi ketika perawatan di rumah (35%). Hasil analisis bivariat menunjukkan adanya hubungan yang signifikan antara infeksi luka (p=0,0001), operasi emergensi (p = 0,020), hipoalbumin (p=0,037), anemia (p = 0,028), status nutrisi (0,010), dan adanya penyakit penyerta (p = 0,008) dengan kejadian wound dehiscence, serta tidak ada hubungan yang signifikan antara faktor usia (p = 0,581) dan jenis kelamin (p= 0,604) dengan kejadian wound dehiscence. Penting bagi perawat untuk mengidentifikasi potensial faktor risiko wound dehiscence pada pasien yang dilakukan operasi laparatomi dan segera melakukan intervensi yang diperlukan untuk mencegah terjadinya komplikasi wound dehiscence, diantaranya dengan melakukan discharge planning terkait perawatan luka dan pentingnya asupan protein yang adekuat supaya bisa dikenali ditahab mana terjadinya wound dehiscence.Kata kunci: Pasien, post laparatomi, wound dehiscence. Factors correlating of Wound Dehiscence in Patients after Laparatomi at Dr Hasan Sadikin General Hospital BandungAbsractWound dehiscence is often occurred after major abdominal surgery which impacts on morbidity and mortality rates and significantly contributes to prolonged hospital stays, implicit and explicit costs, associate with psychosocial stressor on patients, evisceration re-surgical operation, and may affect to quality of life patients. It is therefore necessary to identify factors affecting wound dehiscence. The aims of the study was to analyze factors correlating of post-operative wound dehiscence in adult patients at Dr Hasan Sadikin general hospital. Correlational analytic with cross sectional approach was used in this study. 40 patients were selected to be participated in this study by using consecutive sampling. Observations, interviews and study documents were conducted in data collection process. Univariate and Bivariate analysis with Chi Square were performed to analyze the data. Results of the study identified than wound dehiscence were occurred during patients at home (35%). Result of analysis bivariate showed that there was a significance correlation between wound infection (p=0, 0001), surgical emergency (p = 0,020), hypo albumin (p=0,037), anemia (p = 0,028), nutrition status (0,010), and other illness (p = 0,008) with wound dehiscence. Whereas, there was no correlation significantly between age factor (p = 0,581) and gender (p= 0,604) with wound dehiscence. It is important for nurses to identify potential risk factors of wound dehiscence in patients after post-operative laparotomy and prevent complication of wound dehiscence by doing discharge planning especially in term of wound care and the need of taking protein consumption adequately to avoid wound dehiscence.Key words: Adult patients, post-laparatomi, wound dehiscence.

Perbedaan Penurunan Suhu Tubuh Anak Bronchopneumonia yang diberikan Kompres Hangat di Axilla dan Frontal Rahmawati R; Sari Fatimah; Ikeu Nurhidayah
Jurnal Keperawatan Padjadjaran Vol. 1 No. 3 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Bronchopneumoniapada anak saat ini menjadi penyakit yang paling sering terjadi pada anak. Masalah keperawatan utama yang terjadi pada anak dengan pneumonia adalah terjadinya demam yang sangat berbahaya jika tidak ditangani dengan tepat. Tujuan penelitian untuk mengetahui perbedaan penurunan suhu tubuh pada anak demam dengan bronchopneumonia yang diberikan intervensi kompres hangat di axilladan frontaldi Ruang Anak RS “X”. Desain yang digunakan dalam penelitian ini adalah kuasi eksperimen dengan rancangan pretest and posttest two group before after design. Sampel berjumlah 30 orang dengan usia 0–12 bulan, diambil secara purposivesampling. Alat ukur yang digunakan termometer digital. Analisis data dilakukan dengan dependent sample t testdan independent sample t test. Hasil penelitian menunjukkan rata-rata suhu tubuh pada anak demam dengan bronchopneumoniasebelum diberikan intervensi kompres hangat di daerah axilla38,51ºC sedangkan di frontal38,34ºC. Rata- rata suhu tubuh setelah diberikan intervensi di axilla37,89ºC dan di frontal37,98ºC. Rata-rata penurunan suhu tubuh setelah diberikan intervensi di axilla0.62ºC sedangkan di daerah frontal0.36ºC (nilai p=0.000; α=0.05), sehingga dapat disimpulkan ada perbedaan yang signifikan antara pemberian kompres hangat di axilladan di frontalterhadap penurunan suhu tubuh pada anak demam. Saran berdasarkan hasil penelitian, pemberian kompres hangat di axilladapat dijadikan intervensi dalam menurunkan suhu tubuh anak yang mengalami demam. Kata kunci: Axilla, bronchopneumonia, demam, frontal, kompres hangat AbstractBronchopneumonia is the most common diseases in children. The primary nursing problems occurred in children with bronchopneumonia is fever. This could be danger if could not treated appropriately. The aimed of this study was to identified the differences between warm compress intervention in axilla and frontal to reduce fever in children with bronchopneumonia in hospital X in Bandung. The method used in this study was quasi experiment with two group pre and post test design. Purposive sampling was used as sampling technique in this study, with 30 respondents were participated in this study. Data was analysed using dependent t test and independent t test. Result of this study showed the average of body temperature in febrile children with bronchopneumonia before warm compress intervention in axilla is 38.51 º C , while in the frontal 38.34º C. The average of body temperature after a given intervention in the axilla is 37.89º C, while in the frontal is 37.98ºC. There was a significant temperature’s decreases between frontal and axilla after intervention (p = 0.000; α = 0.05). There was a significant difference between giving a warm compress in the axilla and in the frontal the decrease in body temperature in febrile children. Based on this study, it can be concluded axillary warm compress can be used as an effective intervention to reduce fever in children.Key words:Axilla, bronchopneumonia, fever, frontal, warm compresses

Kebutuhan Psikososial Keluarga yang Mempunyai Anggota Keluarga MenderitaTB Paru Noor Indyah Rachmawati; Suryani S; Chandra Isabella
Jurnal Keperawatan Padjadjaran Vol. 3 No. 1 (2015): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

TB paru masih menjadi masalah kesehatan di Indonesia dan dunia. Upaya pengendalian TB paru menjadi perhatian dunia dan menjadi salah satu indikator dalam pencapaian tujuan pembangunan global. Peran keluarga dalam pengobatan TB paru sangat besar yaitu sebagai PMO, pemberi dukungan psikis dan menciptakan lingkungan yang sehat untuk mencegah penularan. Keluarga yang mempunyai anggota keluarga menderita TB paru sering mendapat stigma negatif sehingga bisa menyebabkan kegagalan dalam merawat pasien. Penelitian ini dilakukan untuk mengetahui gambaran kebutuhan psikososial keluarga yang mempunyai anggota keluarga menderita TB Paru di RS X. Jenis penelitian deskriptif kuantitatif dengan total sampling keluarga pasien TB Paru yang sedang dirawat sebanyak 57 orang. Hasil penelitian menunjukkan bahwa seluruh responden membutuhkan kebutuhan psikososial yang meliputi kebutuhan interaksi sosial, emosi, pengetahuan dan spiritual. Kebutuhan psikososial yang paling banyak dibutuhkan adalah dalam hal pengetahuan. Hal ini menunjukkan bahwa pengetahuan sangat berpengaruh terhadap peran keluarga sebagai PMO dan dalam merawat anggota keluarganya yang menderita TB paru. Kebutuhan dengan nilai persentase tertinggi adalah dalam hal spiritual pada item adanya harapan untuk kesembuhan anggota keluarga yang menderita TB paru. Berdasarkan hasil penelitian ini, diharapkan RS X berupaya meningkatkan pemenuhan kebutuhan psikososial keluarga, dengan cara menambah frekuensi penyuluhan, mengembangkan metode pemberian informasi untuk menguatkan pengetahuan atas informasi yang diberikan, kemudahan konsultasi dengan teknik konseling dapat diberikan untuk meningkatkan pengetahuan dan partisipasi keluarga dalam program pengobatan. Kata kunci: Kebutuhan psikososial, keluarga, TB Paru. Family’s Psychosocial Needs of Pulmonary Tuberculosis Patients AbstractPulmonary TB is still a public health problem in Indonesia and the world. Efforts in controlling TB desease are becoming a focus of the world and become one of the indicators in achieving global development goals. A families roles in TB treatment is very important as Supervisors to take medicine, giving psychological support and create a healthy environment to prevent desease spread. A family that has a member with TB desease oftenly receaved negative stigma hance it could result in treatment failure. This study was conducted to describe family’s psychosocial needs among pulmonary tuberculosis patients at X Hospital. This study is descriptive quantitative, using total sampling technique with family respondents pulmonary TB patients are being cared for as many as 57 people. The results showed that all respondents required psychosocial needs include the need for social interaction, emotional, knowledge and spiritual. This shows that the knowledge is very influential toward a families roles as Supervisor to take medicine and in caring for family members who suffer from tuberculosis. Needs with the higest percentage in terms of spiritual item is hope to recover from TB. Based on these results, it is expected X Hospital seeks to improve the fulfillment of the families psychosocial needs by way of to increase the frequency of health information, developed a method of providing information to strengthen knowledge on the information provided, ease of consultation with counseling techniques can be given to increase family participation in treatment programs. Key words: Family, psychosocial needs, pulmonary TB.

Pengaruh Senam Rematik terhadap Perubahan Skala Nyeri pada Lanjut Usia dengan Osteoarthritis Lutut Vivi Meliana Sitinjak; Maria Fudji Hastuti; Arina Nurfianti
Jurnal Keperawatan Padjadjaran Vol. 4 No. 2 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Proses degeneratif tubuh yang terjadi seiring dengan pertambahan usia akan meningkatkan risiko terjadinya nyeri sendi akibat osteoarthritis lutut, terutama pada lansia. Nyeri sendi yang dialami akan menurunkan aktivitas fisik lansia dan berdampak pada penurunan lingkup gerak sendi. Salah satu tindakan nonfarmakologi yang dapat digunakan untuk mengurangi skala nyeri sendi adalah senam rematik. Gerakan aktif dan ringan tanpa menggunakan beban dalam senam rematik menjadi pemicu pengeluaran beta-endorfin, neuromudulator alami tubuh yang dapat menghambat pelepasan impuls nyeri sehingga skala nyeri sendi lansia berkurang. Tujuan penelitian ini untuk mengetahui pengaruh senam rematik terhadap perubahan skala nyeri pada lansia dengan osteoarthritis lutut. Desain penelitian quasi experimentaldengan pendekatan pretest-posttest with control group design. Responden dipilih menggunakan teknik purposive sampling di Panti Werdha Sinar Abadi Kota Singkawang kemudian dibagi menjadi kelompok perlakuan dan kelompok kontrol. Instrumen penelitian adalah Pain Assessment in Advanced Dementia Scaledengan analisis data menggunakan Paired T Testdan Independent T Test.Uji hipotesis dengan Paired T Testpada kelompok perlakuan p-value= 0,000 dan pada kelompok kontrol p-value= 0,017. P-valuekedua kelompok < 0,05 yang berarti terdapat penurunan skala nyeri setelah pemberian senam rematik pada kelompok perlakuan dan kelompok kontrol. Uji beda mean posttestantara kelompok perlakuan dan kelompok kontrol menggunakan Independent T Test menunjukkan p-value= 0,000 (p<0,05) yang berarti penurunan skala nyeri dengan senam rematik lebih bermakna daripada penurunan skala nyeri yang tidak diberikan senam rematik. Terdapat pengaruh senam rematik terhadap perubahan skala nyeri pada lansia dengan osteoarthritis lutut berupa penurunan skala nyeri pada kelompok perlakuan dan kelompok kontrol, tetapi hasil uji beda mean kedua kelompok menunjukkan adanya perbedaan perubahan skala nyeri, skala nyeri kelompok perlakuan lebih rendah daripada kelompok kontrol. Penurunan skala nyeri lebih efektif pada kelompok menggunakan senam rematik daripada kelompok yang tidak diberikan senam rematik.Kata kunci:Lansia, nyeri sendi, osteoarthritis lutut, senam rematik, skala nyeri.The Effect of Rheumatoid Physical Exercises to Reduce Pain Intensity among Elderly Diagnosed with Knee Osteoarthritis AbstractIt is known that arthritis pain can reduce physical activities and join mobility among elderly. A rheumatoid physical exercise is considered as one of non-pharmacologic treatment to minimise their pain intensity. This activity stimulates the release of beta endorphin which inhibits pain impulse modulation that contributed to the reduction of pain intensity. This study aimed to examine the effect of structured physical exercises towards pain intensity among knee osteoarthritis. A quasi experimental with pretest-posttest with control group design was designed. Two groups of elderly were assigned in control and intervention groups. Respondent were recruited using purposive sampling from Panti Werdha Sinar Abadi in Singkawang Kalimantan. Data was assessed using Pain Assessment in Advanced Dementia Scale and then analysed by employing Paired T-test and Independent T-test. Findings indicated there was a different of pain intensity within the intervention group (p-value = 0,000) and controlled group (p-value=0,017). Thus, the reduction of pain score was more effective among the intervention group compared to the controlled group. Keywords: Arthritis pain, elderly, knee osteoarthritis, rheumatoid physical exercise, pain scale.

Pengaruh Pijat Punggung terhadap Skor Kelelahan Pasien Gagal Jantung Bambang Aditya Nugraha; Sari Fatimah; Titis Kurniawan
Jurnal Keperawatan Padjadjaran Vol. 5 No. 1 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Kelelahan merupakan salah satu masalah serius pada pasien dengan gagal jantung karena dapat menurunkanproduktivitas dan meningkatkan angka kesakitan. Pijat punggung merupakan salah satu intervensi yang berpotensiefektif mengatasi kelelahan dan relatif sederhana, mudah dan murah dalam pengaplikasiannya. Meski demikian,belum ada studi yang membuktikan pengaruh terapi ini dalam mengatasi kelelahan pasien gagal jantung. Tujuanpenelitian ini adalah mengidentifikasi pengaruh pijat punggung terhadap skor kelelahan pasien gagal jantung di RSUdr. Slamet Garut. Penelitian quasi experiment ini menggunakan rancangan one group pretest and postest denganmelibatkan 30 pasien gagal jantung yang diambil secara consecutive sampling. Kelelahan pasien gagal jantungdikumpulkan menggunakan Functional Assessment of Chronic Illness Therapy (FACIT) skala kelelahan. Datadianalisis secara deskriptif dan uji inferensial dilakukan menggunakan paired t test. Hasil penelitian menunjukanrerata skor kelelahan pasien sebelum diberikan intervensi pijat punggung sebesar 24,67 (SD=7,078) dan setelahdiberikan intervensi pijat punggung sebesar 15,9 (SD=5,75). Terdapat penurunan skor kelelahan yang bermaknasesudah dilakukan intervensi pijat punggung dengan nilai p=0,000 (p<0,005). Selain itu, didapatkan skor kelelahansetelah intervensi hari ketiga secara bermakna lebih rendah dibanding skor kelelahan hari kedua (p=0,006) dan haripertama (p=0,000). Simpulan penelitian ini adalah terdapat pengaruh pijat punggung terhadap skor kelelahan padapasien dengan gagal jantung di RSU dr. Slamet Garut, semakin sering frekuensi pijat punggung semakin besarpenurunan skor kelelahan. Berdasarkan hal tersebut menjadi penting bagi petugas kesehatan untuk menjadikan pijatpunggung sebagai salah satu upaya terapi komplementer dalam pengelolaan kelelahan pada pasien gagal jantung.

Studi Kasus Ketidakpatuhan Orang Kontak Serumah terhadap Anjuran Pemeriksaan Tuberkulosis Herawati H; Rovina Ruslami; Ahmad Yamin
Jurnal Keperawatan Padjadjaran Vol. 1 No. 2 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Ketidakpatuhan orang kontak serumah terhadap anjuran pemeriksaan Tuberkulosis (TB) merupakan fenomena kompleks, dinamis dari faktor yang berkaitan dengan perilaku. Penelitian ini bertujuan untuk menggali perilaku ketidakpatuhan orang kontak serumah terhadap anjuran pemeriksaan TB dengan menggunakan Health Belief Model(HBM). Penelitian ini adalah studi kasus yang dilakukan di Kelurahan Pajajaran Kota Bandung. Subjek penelitian adalah sembilan orang kontak serumah dan enam orang perawat Puskesmas Pasirkaliki. Pengumpulan data dilakukan dengan studi dokumentasi, observasi pasif tidak berstruktur, wawancara mendalam, dan diskusi kelompok terarah. Data dianalisis dengan menggunakan model Miles dan Huberman, yaitu reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian meliputi persepsi kerentanan, persepsi keseriusan, persepsi manfaat pemeriksaan orang kontak serumah, dan isyarat untuk melakukan tindakan berdasarkan HBM. Persepsi orang kontak serumah tentang kerentanan TB meliputi adanya perasaan takut tertular, melakukan pemisahan, dan menerima takdir. Persepsi orang kontak serumah mengenai keseriusan penyakit TB yaitu kematian, perasaan malu atau minder. Persepsi orang kontak serumah tentang manfaat skrining yaitu akan diketahui apakah orang kontak serumah terkena TB atau tidak. Isyarat untuk melakukan tindakan pemeriksaan TB menurut orang kontak serumah yaitu apabila mereka sudah sakit atau muncul gejala-gejala TB. Hasil penelitian dari perawat menunjukkan bahwa perawat mengetahui bahwa salah satu standar program penanggulangan TB (P2TB) adalah pemeriksaan TB pada orang kontak serumah penderita TB paru terutama yang basil tahan asam (BTA) positif dan anak dengan TB. Pemeriksaan TB tersebut dilakukan dengan pemeriksaan dahak sewaktu-pagi-sewaktu (SPS). Persepsi perawat mengenai hambatan dalam menjalankan peran dan fungsinya yaitu adanya keterbatasan jumlah tenaga di puskesmas, pendidikan perawat masih rendah, dan perawat mendapat tugas limpahan di klinik. Kata kunci:Ketidakpatuhan, kontak serumah, pemeriksaan TB, studi kualitatif. AbstractNon-adherence of household contacts to undergo screening for Tuberculosis (TB) is a dynamic and complex phenomenon of the various factors related to behaviour. The objective of this study was to explore the behaviours related to non-adherence of household contacts to undergo screening for TB. This study is a descriptive case study that was conducted at the Pajajaran village, Bandung city. Participant were 9 household contacts of smear positive TB patients and 6 nurses who is working in the Pasirkaliki Community Health Center (CHC). Data collection was performed with the study documentation, non-structured passive observation, in-depth interview, and focus group discussion (FGD). Data analysis was according to Miles and Huberman model, which consist of data reduction, data display and drawing conclusions. The result includes perception of vulnerability of TB, perceptions of seriousness of TB, perceptions of benefits of TB screening, and cues to action for the TB patients household contact. The result showed that perceptions of the household contact of TB vulnerability were: fear of infection, make the separation and accept fate. Perceptions of the seriousness of TB were that TB could cause death and feelings of shame or inferiority. As for the perception of benefits was by doing screening,it will be known whether household contacts are exposed to TB or not. While the cues to action for household contact to perform screening for TB was if they are sick or have emerging symptoms of TB. The nurses knew that according to P2TB (TB management program) standards, the household contacts of TB patients should undergo screening for TB, especially for smear-positive pulmonary TB patients and paediatric TB. They knew that TB screening was done through sputum smear microscopy. Nurses’ perceptions about the barriers in carrying out their role and function were limited number of human resources in CHC, lack of education, and the presence of abundance tasks at the clinic. . Key words:Household contact, non-adherence, qualitative study, TB screening.

Development of Team Cohesiveness Measurement Instruments in Interprofessional Collaborative Practice in Health Care francisca sri susilaningsih; Henny Suzana Mediani; Titis Kurniawan
Jurnal Keperawatan Padjadjaran Vol. 6 No. 1 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

AbstractHealth care management has an obligation to always provide safe, sustainable, comprehensive, quality and satisfactory health care for both the service user and care provider. The management and culture are built through the Interprofessional Health Care Collaborative Practice Model (MPIPK), which are implemented through four model components, i.e. the clinical pathway of patient management, team management of patients, patient care integrated documentation, and interdisciplinary patient problem solving through interdisciplinary case conference forums. In order to realize interprofessional collaboration practices, a cohesive climate is required that supports group functions and performances, and an instrument is needed to measure the team cohesiveness of this model. This research was conducted to develop a team cohesiveness measurement instrument in the interprofessional collaboration of health care. The instrumentation research design was carried out through the following steps: 1) Preparations of the instrument design commenced from the synthesis theory related to collective culture and individual culture on four components of the model; 2) Validation of the contents of the instrument with related experts; 3) Construct validation with 237 healthcare practitioners in an accredited hospital setting. Expert judgment results on instrument relevance (CVI) ranged from 0.77 to 0.91, the essence of instrument contents (CVR) was in range (+) 0.27 - 0.63, CVI and CVR scores indicated the relevant and essential content of the instrument. Test results of all constructed items were valid (0.283 - 0.847) and reliable, α Cronbach on 4 components (0.792 - 0.963) so, it is feasible to be used to measure the team cohesiveness.

Tingkat Kecemasan Orangtua dengan Anak yang akan Dioperasi Putri Yani Lubis; Efri Widianti; Afif Amir Amrullah
Jurnal Keperawatan Padjadjaran Vol. 2 No. 3 (2014): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Orangtua dengan anak yang akan dioperasi sering mengalami kecemasan karena sebagian besar orangtua masih berpikir bahwa operasi adalah prosedur invasif yang berisiko tinggi terhadap anak. Kecemasan ini dapat memengaruhi perawatan praoperasi pada anak. Tujuan penelitian ini untuk mengetahui gambaran tingkat kecemasan state(sesaat) dan kecemasan trait (bawaan) pada orangtua dengan anak yang akan dioperasi di ruang bedah anak Kemuning lantai 2 RSUP Dr Hasan Sadikin Bandung. Penelitian ini menggunakan metode penelitian deskriptif kuantitatif dengan sampel 31 responden, menggunakan teknik purposive sampling.Penelitian ini menggunakan kuesioner STAI for adults form Y dan dianalisis dengan distribusi frekuensi. Hasil penelitian gambaran tingkat kecemasan statemenunjukkan bahwa hampir setengah responden (48,38%) mengalami kecemasan berat. Untuk gambaran tingkat kecemasan traitmenunjukkan bahwa sebagian besar (51,61%) responden mengalami kecemasan ringan. Disarankan bagi perawat untuk meningkatkan asuhan keperawatan pada orangtua pasien dengan mengembangkan intervensi kecemasan sebelum operasi seperti melakukan pengkajian dan memberikan dukungan psikologis terhadap orangtua serta pemberian informasi mengenai prosedur operasi yang lebih jelas sehingga dapat mengurangi state anxietypada orangtua.Kata kunci:Operasi, orangtua, state anxiety, tingkat kecemasan, trait anxiety AbstractParents with children who will undergoing surgical procedures frequently experienced anxiety because most parents still thought that surgery is invasive procedures, high risk to children, and anxiety could affect preoperative treatment of children. The purpose of this study was to describe the state and trait’s anxiety levels of parents with children who will undergoing surgical procedures in the pediatric surgery ward, kemuning 2nd floor RSUP Dr Hasan Sadikin Bandung. This study used a descriptive quantitative research methods, with 31 respondents were taken using purposive sampling. This study used STAI for Adults Form Y questionnaire and the data were analyzed by frequency distribution. The research about state anxiety’s level showed that nearly half of the respondents (48.38%) experienced severe anxiety. For trait anxiety’s level showed that the majority (51.61%) of respondents experienced mild anxiety. So it’s suggested the nurses to improve nursing care to parents with develop pre operative anxiety interventions such as conduct psychological assessments, and provide support to parents as well as providing information on surgery procedures more clearly so could reduce parent’s state anxiety.Key words:Surgery, parents, state anxiety, anxiety’s level, trait anxiety

Kualitas Hidup pada Anak dengan Kanker Ikeu Nurhidayah; Sri Hendrawati; Henny S. Mediani; Fanny Adistie
Jurnal Keperawatan Padjadjaran Vol. 4 No. 1 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Kanker anak merupakan penyakit yang memerlukan pengobatan dan perawatan berkelanjutan. Pengobatan kemoterapi yang berkelanjutan pada anak dengan kanker, selain memiliki efek terapeutik juga menyebabkan berbagai efek samping. Hal ini dapat berdampak terhadap kualitas hidup anak, meliputi fungsi fisik, emosi, sosial, psikologis, sekolah, dan kognitif. Tujuan penelitian ini untuk mengidentifikasi kualitas hidup pada anak dengan kanker. Penelitian ini menggunakan mixed method dengan strategi eksplanatoris sekuensial. Sampel penelitian kuantitatif dengan 60 responden. Kualitas hidup pada anak diukur dengan menggunakan instrumen PedsQoL Generic 4.0 dan PedsQoL Cancer Module 3.0. Analisis data dilakukan menggunakan nilai mean. Penelitian kualitatif menggunakan 10 partisipan dan pengumpulan data dengan pedoman wawancara. Analisis data menerapkan teknik analysis interactive model dengan tahapan pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan. Penelitian ini dilaksanakan di RSUP Dr. Hasan Sadikin Bandung. Hasil penelitian menunjukkan 32 orang (53,3%) anak kanker memiliki kualitas hidup buruk, dengan nilai terendah pada fungsi sekolah dan kekhawatiran anak dalam menghadapi pengobatan dan penyakit.Kualitas hidup yang buruk ini berpengaruh terhadap fungsi fisik, emosi, sosial, psikologis, sekolah, dan kognitif sehingga tumbuh kembang anakpun terganggu. Salah satu upaya untuk meningkatkan kualitas hidup pada anak dengan menyediakan kesempatan bagi anak untuk tetap belajar dan saling berinteraksi dan dukungan dari perawat.Kata kunci: Anak, kanker, kualitas hidup. Quality of Life of Children Living with CancerAbstractCancer in children is an illness that needs continuous medication and treatment so that it has to be managed with high quality care. Continuous chemotherapy treatment in children with cancer, besides giving therapeutic effect, it also causes various side effects. These side effects could have negative effect for quality of life of the children, including physical, emotional, social, psychological, school, and cognitive functions. The aim of this study was to identify quality of life of children living with cancer. This study used mixed method design with sequential explanatory strategy. The quantitative study recruited 60 samples of children living with cancer. The quality of life of the children was measured using PedsQol Generic 4.0 and PedsQoL Cancer Module 3.0. Data were analyzed using mean score. The qualitative study recruited 10 participants and the data were collected using semi-structured interview. Qualitative data analysis used interactive analysis model which consisted data collection, data reduction, data presentation, and conclusion phases. Both of the studies were conducted at Dr. Hasan Sadikin Hospital Bandung. The results showed that based on PedsQol Generic 4.0, most of the children (53.3%) has low quality of life, with the school function as the lowest score. Based on PedQoL Cancer Module 3.0, most of children (61.7%) also has low quality of life, particularly in children’s worriedness aspect when dealing with treatment and their illness which has lowest score. This low quality of life would have negative impact towards children’s physical, emotional, social, psychological, school and cognitive function, so that it disturbed the children’s growth and development. One of efforts that can be done is to provide opportunities for children to continue studying and interaction in hospital, as well as an additional schedule for psychology therapies to help children overcome the negative emotion during their treatment.Keywords: Cancer, children, quality of life.

The Factors that are Related to Self-Care Agency in Patients with Hypertension Dendy Kharisna; Helwiyah Ropi; Urip Rahayu
Jurnal Keperawatan Padjadjaran Vol. 6 No. 1 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Uncontrolled hypertension leads to complex problems experienced by patient as the complication of the hypertension. The patient’s ability to do self-care (self-care agency) is essential and recommended to control hypertension. Age, sex, education, occupation, marital status, decision making, duration of hypertension, lifestyle, and insurance availability are contributed to the self-care agency. Nurses and patients should be able to know and understand these self-care agency related factors. The aim of this study was to identify self-care agency relating factors of hypertension patients in Pekanbaru. This study conducted using a quantitative approach with cross sectional design and involving 100 hypertension patients who recruited using purposive sampling techniques. Self-care agency was measure using exercise of self-care agency (ESCA) questionnare. Data were analyzed using Spearman test and Chi Square test to determine the relation of each factors on self-care agency and multivariate logistic regression test to determine the most related factors on self-care agency. The result showed that there were a significant different of age (p=0.048), education (p=0.002), gender (p= 0.025), health insurance (p=0.027), and life style (p=0.003) with self-care agency. Meanwhile, there were no signifcant different of occupation (p=1.000), decision making (p=0.800), marital status (p=1.000), and duration of hypertension (p=0.567) with self-care agency. Multivariate analysis revealed that the most influence factor for self-care agency is life style. This study suggest the nurses in improving self-care agency of hypertension patients must concern about patient lifestyle and help patient to modify their lifestyle.

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Novita Kamaruddin

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