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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 400 Documents

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Pengaruh Dukungan Keluarga dalam Meningkatkan Perilaku Adaptif Remaja Pubertas Endang Triyanto; Rahmi Setiyani; Rahmawati Wulansari
Jurnal Keperawatan Padjadjaran Vol. 2 No. 1 (2014): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Periode pubertas merupakan masa kritis bagi remaja. Perubahan akibat pubertas sering menimbulkan berbagai perilaku maladaptive seperti membolos, membangkang, dan tawuran. Keluarga sebagai lingkungan utama remaja memegang peranan penting dalam membentuk perilaku remaja. Tujuan penelitian untuk mengidentifikasi pengaruh optimalisasi dukungan keluarga terhadap perilaku adaptif pada usia pubertas. Desain quasi experimentaldengan pendekatan pre-post test without control group design. Responden dipilih secara purposive samplingdi Rempoah Baturaden. Perilaku adaptif remaja meningkat dari 60% menjadi 97% setelah diberikan perlakuan dukungan keluarga. Kesulitan orang tua dalam memberikan dukungan adalah ketika mengarahkan untuk belajar, menjalin komunikasi terbuka, dan menghadapi emosi remaja. Hasil penelitian menunjukkan terdapat pengaruh optimalisasi dukungan keluarga yang signifikan terhadap peningkatan perilaku adaptif remaja (p value0.001). Orang tua hendaknya selalu meningkatkan pengetahuan untuk melaksanakan dukungan keluarga kepada anak remaja.Kata kunci:Dukungan, keluarga, perilaku, pubertas, remaja Abstract The period of puberty is a critical period for adolescents. The consequence of changing puberty is often arise a dis-adaptif behaviour such as a shirker, protester, gang fighter. Family as the primary environment teenager plays an important role in shaping adolescent behavior. The research objective was to identify the influence of family support for adaptive behavior of adolescent puberty. Quasi-experimental design approach without pre-posttest control group design was applied. Respondents was selected by purposive sampling in Baturaden. Adaptive behavior that increased from 60% to 97% after optimization family support. Difficulties of parents in providing family support when directed to learn, to establish open communication, and teenagers emotional. There is the influence of family support optimization significantly to the increase of adaptive behavior adolescents with p value of 0.001. Parents should always increase their knowledge to implement family support to teenagers.Key words: Behavior, family, puberty, support, teenagers

Perbedaan Efek Kompres Selimut Basah dan Cold-pack terhadap Suhu Tubuh Pasien Cedera Kepala di Neurosurgical Critical Care Unit Sri Hartati Pratiwi; Helwiyah Ropi; Ria Sitorus
Jurnal Keperawatan Padjadjaran Vol. 3 No. 3 (2015): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Peningkatan suhu tubuh pada pasien cedera kepala bisa menyebabkan peningkatan metabolisme yang dapat memperburuk kondisi pasien, meningkatkan lama hari rawat dan menambah resiko kematian. Metode pendinginan yang sering digunakan adalah kompres selimut basah dan cold-pack. Namun belum ada penelitian yang membuktikan efek kedua metoda tersebut terhadap suhu tubuh pasien cedera kepala. Penelitian ini menggunakan rancangan perbandingan tidak berpasangan. Teknik pengambilan sampel yang digunakan adalah consecutive sampling dengan jumlah 24 orang responden. Penelitian ini memberikan hasil tidak terdapat perbedaan yang signifikan antara penurunan suhu tubuh setelah kompres selimut basah dan setelah kompres cold-pack (p=0,371). Oleh karena itu, kompres cold-pack dapat dijadikan alternatif kompres selimut basah yang biasa digunakan.Kata kunci : Cold-pack, cedera kepala, selimut basah, suhu tubuh. Wet Blanket and Cold-pack Application to Reduce Body Temperature among Patients with Head Injury in Neurosurgical Critical Care UnitAbstractThe elevation of body temperature among patients with head injury may lead to increase total metabolism of the body. Such situation may worsen the patient condition, prolonged length of stay and increase risk of death. Cooling methods using wet blanket and cold-pack have been commonly adopted to reduce the body heat. However no empirical studies have proved these methods are effective to reduce high temperature of patients with head injury. This non-paired comparative study seeks to examine the difference of those two methods towards body temperature involving 24 patients with head injury that recruited using consecutive sampling technique. Results indicated that there is no significant difference of the temperature decrease after wet blanket and cold-pack application (p= 0,371). However, cold-pack still can be used as an alternative compress beside wet blanket application.Key words: Cold-pack, head injury, body temperature, wet blanket.

Exposure of Mental Health Nurses to Violence in Mental Hospital : a Systematic Review Iyus Yosep; Zabidah Putit; Helmy Hazmi; Henny Suzana Mediani
Jurnal Keperawatan Padjadjaran Vol. 4 No. 3 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Shortage of nurses and declining interest in becoming a mental health nurse are often attributed to workplacedistress and violence. These have become global issues and believed that shortage of nurses decreases the qualityof health care services. It leads distress among nurses, which is exposure to violence and traumatic experiences.In addition, nurses are also accused of seizing the rights of patients and committing violence against a patient.This paper focuses on the violence that occurred in mental health nurses during working in unpredictablesituation. A literature search of systematic review through the CINAHL, Medline, Google scholars and PsycInfodatabases, the empirical report using a nursing sample includes data on rates of violence exposure includingviolence, aggressive behavior, bullying, and sexual harassment. The result, a total of 400 articles provide dataon 2742 publications indicates near all of nurses in mental health experienced verbal abuse in the past month,furthermore, most of respondents’ ever experienced psychological abuse, and less of respondents experiencedphysical violence and sexual harassment. Rates of exposure vary by world region (Developed countries, Asia,Europe and Middle East), with the highest rates for physical violence and sexual harassment in the USA,Australia, United Kingdom, New Zealand region, and the highest rates of psychological violence and bullyingin the Middle East. The presence of violence signals an "alarm" that violence against nurses calls for specialattention in many countries. Essentially, the world must give a "priority" to handling violence against nurses.

Hubungan Lama Menjalani Hemodialisis dengan Inter-Dialytic Weight Gain (IDWG) pada Pasien Hemodialisis Bayhakki Bayhakki; Yesi Hasneli
Jurnal Keperawatan Padjadjaran Vol. 5 No. 3 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Inter-Dialytic Weight Gain (IDWG) atau peningkatan berat badan diantara dua tindakan hemodialisis (HD) menjadi salah satu indikator keberhasilan terapi pasien HD. Semakin tinggi IDWG, maka semakin banyak cairan yang menumpuk di dalam tubuh pasien dan semakin berat dampak yang ditimbulkan. Semakin lama seseorang menjalani HD, semestinya semakin banyak yang diketahuinya tentang penyakitnya dan cara mencegah komplikasi sehingga IDWG semestinya semakin turun. Penelitian ini bertujuan untuk mengetahui hubungan antara lama waktu menjalani hemodialisis dengan IDWG. Penelitian korelasional ini dilakukan secara cross sectional dengan melibatkan 34 pasien yang telah menjalani hemodialisis minimal 1 tahun di RSUD Dumai, dapat berkomunikasi secara verbal, dan dapat berdiri untuk menimbang berat badan. Data lama waktu menjalani hemodialisis dilihat dari catatan medis pasien. Adapun IDWG dihitung dalam periode siklus satu minggu menjalani hemodialisis menggunakan timbangan dan dicatat di lembar observasi. Data dianalisis menggunakan uji Spearman. Hasil penelitian menunjukkan median 22 serta nilai minimum dan maksimum yaitu 12 dan 86 bulan. Untuk data IDWG median adalah 3 serta nilai minimum dan maksimum yaitu 1 dan 4,5 kilogram. Analisis hubungan menunjukkan tidak ada hubungan antara lama waktu menjalani hemodialiasis dengan IDWG pada pasien hemodialisis di RSUD Dumai (p value = 0,952) dengan nilai r = 0,01. Diharapkan perawat menganalisis pengetahuan serta pemahaman pasien tentang perlunya mengontrol asupan cairan dan berat badan terutama pada pasien yang telah lama menjalani hemodialisis untuk mencegah kenaikan IDWG yang dapat memperberat kondisi pasien.Kata kunci: Cairan, IDWG, lama hemodialisis AbstractInter-Dialytic Weight Gain (IDWG) becomes an indicator of successful of hemodialysis patients treatment. More IDWG indicates more fluid accumulates in the patient’s body and more impact caused by the excess fluid. This study aimed to investigate relationship between length of undergoing hemodialysis and Inter-Dialytic Weight Gain (IDWG) in Hemodialysis Patients. The study was correlational study with cross sectional approach. Samples of the study were 34 patients. Samples were recruited from hemodialysis patients who have been undergoing hemodialysis at least 1 year in Dumai General Hospital, were able to communicate verbally and to stand up for measuring body weight, and willing to participate in the study. Length of undergoing hemodialysis was taken from medical records. IDWG was measured in one week period of cycle of undergoing hemodialysis using a scale and observation sheet. The result showed the average length of time undergoing hemodialysis was 26.65 months, SD was 15.55, median was 22 and minimum and maximum values were 12 and 86 months respectively. The mean of IDWG was 2.73 kilograms with SD was 1.046, median 3 and minimum and maximum values were 1 and 4.5 kilograms respectively. Result of the study showed that there was no relationship between length of time undergoing hemodialysis and IDWG (p value = 0.952) with r = 0.01. Nurses are expected to further analyze patients’ knowledge as well as understanding about the need to control intake of fluid and body weight to prevent problems caused by kidney damage which suffered by hemodialysis patients.Keywords: Fluid excess, hemodialysis patients, IDWG

Pengalaman Ibu dalam Melakukan Perawatan Metode Kanguru Santi Wahyuni; Dwi Putri Parendrawati
Jurnal Keperawatan Padjadjaran Vol. 1 No. 3 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Bayi Berat Badan Lahir Rendah (BBLR) merupakan salah satu penyebab tingginya kematian bayi dalam satu bulan pertama kehidupan di Indonesia. Bayi BBLR rentan terhadap hipotermia. Salah satu penanganannya dengan Perawatan Metode Kanguru (PMK). Metode ini tak sekedar menggantikan peran inkubator tapi juga memberi peluang bayi untuk beradaptasi baik dengan lingkungan ekstrauterin. Tujuan penelitian kualitatif deskriptif fenomenologi ini untuk mengeksplorasi pengalaman ibu dalam melakukan PMK. Delapan partisipan terpilih dengan metode purposive dan memenuhi kriteria memiliki bayi BBLR dan berpengalaman melakukan PMK selama dirawat di rumah sakit serta menindaklanjuti di rumah. Data dikumpulkan melalui wawancara mendalam sebanyak dua kali yang dilengkapi dengan catatan lapangan, baik yang dilakukan di rumah ataupun di tempat lain yang disepakati oleh partisipan. Wawancara direkam kemudian dibuat transkrip verbatim dan dianalisis dengan metode Colaizzi. Hasil penelitian mengungkapkan kelahiran bayi BBLR menimbulkan ekspresi emosional baik positif dan negatif. Makna, perasaan, alasan dan motivasi yang diungkapkan partisipan adalah mempertahankan kelangsungan hidup bayi, memberi kehangatan, melakukan yang terbaik untuk bayinya. Gambaran cara ibu melakukan PMK mengikuti cara yang diajarkan di rumah sakit, PMK secara kontinu dengan posisi pronasi. Bentuk dukungan berupa dukungan edukasi, emosional dan fisik. Harapan partisipan adanya peningkatan kualitas pelayanan kesehatan, sosialisasi PMK, dan pemantauan perkembangan bayi BBLR. Hasil penelitian ini memberikan implikasi berupa informasi yang bermanfaat untuk mempromosikan posisi lateral dekubitus yang dapat memperbaiki kondisi psikologis ibu dan neuromotor bayi, meningkatkan pelayanan konseling dan memfasilitasi pembentukan kelompok pendukung PMK. Kata kunci: beratbadan lahir rendah, fenomenologi, perawatan metode kanguru AbstractLow birth weight (LBW) baby is one of the causes of high infant mortality rate, especially in the first one month of birth, in Indonesia. LBW babies are vulnerable to hypothermia. The kangaroo mother care method can be used to prevent hypothermia in LBW babies. This method is not only replacing the incubator, but also giving the chance for babies to adapt well with extra-uterine environment. The aim of this descriptive phenomenology study is to explore the mothers’ experience in performing the kangaroo mother care method. Eight participants were chosen using purposive method and fulfilled criteria of having LBW baby and has been performing the kangaroo mother care method in the hospital and continuing this method of care at home. The data were collected twice through in-depth interview in the mothers’ house or elsewhere that has been agreed by participants. The interview is recorded and then transcribed verbatim and analyzed using Colaizzi method. The result shows that the baby, who was born with LBW, caused positive and emotional expression for the mothers. The reason and motivation that is expressed by participants are maintaining the baby survival, giving the warmth for the baby, and doing the best for her baby. The mothers followed the kangaroo method as shown in the hospital which is continuous kangaroo mother care method in prone position. The mothers perceived that they have received support in terms of educational, emotional and physical. The mother are hoping that there will be improvement in health care service quality, socialization of kangaroo mother care method, and monitoring of LBW babies’ development .This study can be used to give information to promote lateral decubitus position that could improve mothers’ psychological condition as well as improve neuromotor of babies , to improve the counseling service, and to facilitate the establishment of support group for kangaroo method. Key words: Low birth weight baby, kangaroo mother care method, phenomenology

ingkat Kecemasan Pasien Post Operasi yang Mengalami Fraktur Ekstremitas Seviya Gani Maisyaroh; Urip Rahayu; Siti Yuyun Rahayu
Jurnal Keperawatan Padjadjaran Vol. 3 No. 2 (2015): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Kecemasan merupakan salah satu masalah psikologis yang dialami oleh pasien fraktur ekstremitas setelah dilakukannya pembedahan. Kecemasan yang tidak teratasi akan berdampak pada lamanya proses penyembuhan, akan tetapi data kecemasan pasien post operasi masih belum jelas. Penelitian ini bertujuan untuk mengetahui tingkat kecemasan pasien post operasi fraktur ekstremitas berdasarkan karakteristik pasien. Metode dalam penelitian ini adalah deskriptif kuantitatif dengan jumlah sampel 46 orang yang diambil dengan teknik consecutive sampling. Pengumpulan data menggunakan kuesioner STAI (State-Trait Anxiety Inventory). Tingkat kecemasan dikategorikan menjadi ringan, sedang, dan berat. didapatkan bahwa state anxiety paling banyak berada pada tingkat sedang 54,3% dan trait anxiety paling banyak berada pada tingkat ringan 60,9%. Terdapat 46,4% responden yang memiliki state anxiety sedang berasal dari trait anxiety ringan. Berdasarkan karakteristik baik pada state anxiety ataupun trait anxiety, kecemasan berat dialami oleh pasien usia dewasa awal, perempuan, berpendidikan terakhir SMP dan SMA, bekerja sebagai pegawai swasta, belum pernah menjalani operasi sebelumnya, lokasi fraktur pada bagian ekstremitas bawah, dan merasakan nyeri sedang. Kondisi post operasi fraktur ekstremitas menjadi faktor yang dapat memengaruhi kecemasan. Terlihat dari pasien yang memiliki state anxiety yang sedang, memiliki trait anxiety yang ringan. Maka disarankan bagi perawat untuk melakukan pengkajian dan penanganan kecemasan terhadap state anxiety dan trait anxiety.Kata kunci: Fraktur ekstremitas, post operasi, state anxiety, trait anxiety.Anxiety Levels of Patients with Extremity Fractures after SurgeryAbstractAnxiety is one of the psychological problems experienced by patients with extremity fractures after undergoing surgery. Anxiety that is not managed well will have an impact on the recovery process. However, anxiety in patients with extremity fractures is not well understood. The aim of this study was to determine the anxiety level of patients with extremity fractures after surgery based on the patients’ characteristics. This study used descriptive quantitative method. Fourty six patients were recruited in this study by consecutive sampling technique. The data was collected by STAI (State-Trait Anxiety Inventory) quetionnaires. Anxiety levels were categorized into mild, moderate, and severe. The results showed that 54.3% of patients experienced state anxiety at a moderate level, and 60.9% had trait anxiety at a mild level. There were 46.4% of the patients whose moderate state anxiety originated from mild trait anxiety. Based on the characteristics of both state and trait anxiety, severe anxiety was experienced by young adults, women, patients with secondary school-level educational background, private employees, patients who have never had surgery before, patients with lower extremity fractures and patients in moderate pain. The postoperative state of extremity fractures is a factor that affects anxiety. Patients who had moderate state anxiety were found to also have mild trait anxiety. Thus, assessment and intervention of anxiety should be conducted on both state and trait anxiety. Key words: Extremity fracture, post-operative, state anxiety, trait anxiety.

Pengaruh Pendidikan Kesehatan tentang Menopause terhadap Perubahan Kualitas Hidup Perempuan Klimakterik Yanita Trisetiyaningsih; Elsi Dwi Hapsari; Shofwal Widad
Jurnal Keperawatan Padjadjaran Vol. 4 No. 2 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Perubahan fisik dan psikologis yang terjadi pada masa klimakterium akan mempengaruhi kualitas hidup perempuan. Untuk itu diperlukan proses adaptasi terhadap berbagai masalah dan perubahan selama masa klimakterium sehingga akan meningkatkan kualitas hidup perempuan klimakterik. Kurangnya pengetahuan dan akses informasi merupakan tantangan besar yang dihadapi oleh wanita menopause. Salah satu upaya yang bisa dilakukan untuk meningkatkan pengetahuan adalah melalui pemberian pendidikan kesehatan. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan tentang menopause terhadap perubahan kualitas hidup perempuan klimakterik. Penelitian ini merupakan penelitian quasy experimentdengan rancangan pretest and posttest nonequivalent control group design. Penelitian dilakukan di Dusun Gamping Kidul Ambarketawang bulan Desember 2013-April 2014. Jumlah populasi sebanyak 271 orang. Sampel terdiri dari 44 orang kelompok intervensi dan 44 orang kelompok kontrol. Kelompok intervensi diberikan pendidikan kesehatan sebanyak 4 kali ceramah dan diskusi kelompok kecil, serta 1 kali praktik relaksasi dan senam yoga. Kelompok kontrol diberikan booklet tentang perubahan masa menopause, tanda dan gejala, nutrisi masa menopause, dan penatalaksanaan menopause. Instrumen yang digunakan adalah WHOQOL-BREF. Analisis yang digunakan adalah uji Paired t-test, Independent Samples t-Testdengan α 0.05.Nilai rata-rata kualitas hidup pretest pada kelompok intervensi sebesar 51,9 dan posttest sebesar 66,5. Hasil uji paired t-test menunjukkan ada perbedaan skor kualitas hidup sebelum dan sesudah diberikan pendidikan kesehatan pada kelompok intervensi (t =14,436, p=0,001). Namun tidak bermakna pada kelompok kontrol (t=1,059, p= 0,0295) dengan perubahan skor kualitas. Berdasarkan hasil penelitian dapat disimpulkan bahwa program pendidikan kesehatan tentang menopause dapat meningkatkan kualitas hidup perempuan selama periode klimakterium.Kata kunci: Klimakterium, kualitas hidup, menopause, pendidikan kesehatan.Influence of Health Education about Menopause towards the Quality of Life Changes in Climacteric Women AbstractPhysical and psychological changes that happen at the climacterium period would influence the quality of life in climacteric women. Therefore, the adaptation process is needed to overcome problems and changes during this period so that the quality of life of climacteric women could be increased. Lack of knowledge and access to information are major challenger that were faced by menopause women. One of efforts that can be done to improve their knowledge is through health education. This study aimed to identify the influence of health education about menopause towards the quality of live changes in climacteric women. The study used quasi experiment design with pretest and posttest nonequivalent control group. The location of this study was in Gamping Kidul Ambarketawang Village in December 2013 to April 2014. The total population is 271 people. Sample consisted of 44 people in the intervention group and 44 people in the control group. The intervention group received 4 times health education and small group discussion, as well as once relaxation and Yoga. Participants in control group received a booklet about menopause, signs and symptoms, nutrition during menopause period, and management of menopause. The quality of life was measured using WHOQOL-BREF. Analysis used paired t-test, independent samples t-test with α = 0.05. The mean scores of quality of life for intervention group were 51.0 (pretest) and 66.5 (posttest). The paired t-test showed that there was a significant difference of quality of life score before and after health education in the intervention group (t =14,436, p=0,001). However, there was no significant difference of quality of life in the control group (t=1,059, p= 0,0295). Based on this results, it can be concluded that health education program about menopause can increase quality of life of climacteric women. Keywords: Climacterium, health education, menopause quality of life.

Pengaruh Terapi Psikoedukasi Keluarga terhadap Self Efficacy Keluarga dan Sosial Okupasi Klien Schizophrenia Rina Kartikasari; Iyus Yusep; Aat Sriati
Jurnal Keperawatan Padjadjaran Vol. 5 No. 2 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Klien schizophrenia mengalami penurunan kemandirian dalam perawatan diri, fungsi sosial, sehingga membutuhkan bantuan keluarga. Self efficacy dapat memengaruhi keyakinan keluarga ketika merawat klien schizophrenia. Penelitian bertujuan untuk mengetahui pengaruh terapi psikoedukasi keluarga terhadap self efficacy keluarga dan sosial okupasi klien schizophrenia di Kecamatan Kersamanah Garut. Metode penelitian menggunakan quasi eksperimen dengan pre-post test with control group. Populasi yaitu keluarga yang merawat (caregiver) klien schizophrenia di Desa Nanjungjaya, Sukamaju, Mekaraya, Sukamerang dan Girijaya. Jumlah sampel 32 responden dibagi menjadi kelompok kontrol (16) dan intervensi (16), Teknik pengambilan sampel menggunakan quota sample. Pada kelompok intervensi dilakukan terapi psikoedukasi keluarga, kemudian sebelum dan sesudah intervensi dilakukan pengukuran self efficacy keluarga dan sosial okupasi klien schizophrenia. Kelompok kontrol tidak diintervensi, hanya mendapat pendidikan kesehatan dengan metode ceramah tentang perawatan klien schizophrenia. Penelitian menggunakan Perceived Collective Family Efficacy Quisioner dan Social Occupational Functioning Assessment Scale. Hasil penelitian menunjukkan terdapat perubahan bermakna self efficacy keluarga dengan sosial okupasi klien schizophrenia setelah diberikan terapi psikoedukasi p<0,05) dan terdapat perbedaan perubahan bermakna pada kelompok kontrol dan intervensi (p<0,05). Peneliti merekomendasikan penggunaan terapi psikoedukasi keluarga sebagai terapi modalitas pada keluarga yang merawat klien schizophrenia.Kata kunci: Keluarga, okupasi, psikoedukasi, self efficacy, schizophrenia. The Influence of Family Psychoeducation Therapy on Self Efficacy Family And Social Occupations Schizophrenia’s ClientsAbstractSchizophrenic clients have decreased in self-sufficiency in self-care, social functions,and thus those clients require family assistance. Self-efficacy, in this matter, can affect family beliefs when taking care the schizophrenic clients. Therefore, the study aims to determine the influence of family psychoeducation therapy on family self-efficacy and social occupation of schizophrenic clients in Kersamanah sub-district, Garut. The research method used is quasi experiment with pre-test and posttest with control group. The population is the caregiver family of schizophrenic clients in Nanjungjaya, Sukamaju, Mekaraya, Sukamerang and Girijaya villages. The sample size of 32 respondents are divided into control group (16) and intervention group (16), sampling technique used is quota sample. In the intervention group, family psychoeducation therapy is performed before and after the intervention (treatment), measuring the family self-efficacy and social occupation of schizophrenic clients. The control group is not intervened, they only received a health education with a lecture method on how to take care of a schizophrenic client. The study used the Perceived Collective Family Efficacy Quisioner and Social Occupational Functioning Assessment Scale. The results show that there are significant changes in family self-efficacy with social occupational schizophrenia patients after psychoeducation therapy aplllied p <0.05) and there are significant differences in control and intervention group of (p <0.05). Thus, the researcher recommends to use of family psychoeducation therapy as a modal therapy in families to treat their schizophrenic family.Keywords: Family, occupational, psychoeducation, self-efficacy, schizophrenia.

Analisis Faktor Risiko Reproduksi yang Berhubungan dengan Kejadian Kanker Payudara pada Wanita Ardiana A; Hudayat Wijaya Negara; Ma'mun Sutisna
Jurnal Keperawatan Padjadjaran Vol. 1 No. 2 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Kanker payudara paling banyak ditemui pada perempuan dan merupakan penyebab kematian kedua setelah kanker leher rahim.Penyebab kanker payudara tidak diketahui dengan jelas karena multifaktor. Bukti epidemiologi menunjukkan bahwa terdapat tiga faktor penyebab terjadinya kanker payudara yaitu faktor hormonal, faktor genetik dan faktor lingkungan. Provinsi Sumatera Utara menempati urutan kelima kejadian kanker payudara di antara seluruh provinsi yang ada di Indonesia. Tujuan penelitian ini adalah untuk menganalisis hubungan antara faktor risiko reproduksi dengan kejadian kanker payudara. Jenis penelitian ini adalah kasus kontrol dengan pendekatan retrospektif. Subjek penelitian adalah perempuan penderita kanker payudara yang mendapatkan perawatan dan pengobatan di Rumah Sakit Umum Pemerintah H.Adam Malik dan Rumah Sakit Umum Daerah dr.Pirngadi Medan. Jumlah sampel 100 responden yang terdiri dari 50 kasus dan 50 kontrol. Analisis yang digunakan adalah analisis bivariat menggunakan uji chi-square dan analisis multivariat menggunakan regresi logistik ganda. Hasil penelitian menunjukkan bahwa faktor risiko yang berhubungan dengan kejadian kanker payudara berdasarkan analisis bivariat adalah usia menarche (p=0.001), paritas (p=0.001), usia kehamilan pertama (p=0.001) dan menyusui (p=0.002). Pada analisis multivariat menunjukkan bahwa keempat faktor risiko yang diteliti secara statistik bermakna (p<0.05), yaitu usia menarche (OR=4,41;95%CI: 1,33 ̶14,63), paritas (OR=6,38;95%CI: 1,57–25,90), usia kehamilan pertama (OR=7,91;95%CI; 1,86−33,60) dan menyusui (OR=4,24;95%CI:1,22–14,76). Dapat disimpulkan bahwa faktor risiko reproduksi yang berhubungan dengan kejadian kanker payudara adalah usia menarche<12 tahun, paritas 1–2, usia kehamilan pertama 20–30 tahun dan tidak menyusui. Faktor risiko yang paling dominan dalam penelitian ini adalah usia kehamilan pertama.Kata kunci: Faktor risiko, kanker payudara, reproduksi AbstractBreast cancer is most commonly found in women, and is the second leading cause of death after cervical cancer. Due to its multifactorial nature, the cause of breast cancer is indeterminate. Epidemiological evidence suggests that there are 3 possible factors contributing to the occurrence of breast cancer, namely hormonal, genetic and environmental factors. North Sumatra is the 5th province having the highest breast cancer prevalence among all other provinces in Indonesia. The purpose of this study was to analyze various reproductive risk factors contributing to breast cancer incidence in women. The study was a retrospective case-control. Subjects were women with breast cancer who received care and treatment in H.Adam Malik General Hospital and dr.Pirngadi Medan General Hospital. The sample size was N=100 (n=50 – case group; n=50 – control group). The data were analyzed using bivariate analyses (Chi-square tests) and multivariate analyses (multiple logistic regressions). Bivariate analyses showed that reproductive risk factors associated with breast cancer were menarche period (p=0.001), parity (p=0.001), age of first pregnancy (p=0.001) and breastfeeding (p=0.002). Moreover, multivariate analyses showed statistically significant correlations (p <0.05) between the four reproductive risk factors and breast cancer incidence, including menarche period (OR=4.41, 95% CI: 1.33 ̶ 14.63), parity (OR=6.38, 95% CI : 1.57 ̶ 25.90), age of first pregnancy (OR=7.91, 95% CI: 1.86 to 33.60) and breastfeeding (OR= 4.24, 95% CI: 1.22 ̶ 14.76). In conclusion, the reproductive risks associated with breast cancer incidence in women were the menarche period of <12 years, parity of 1 ̶ 2 times, first pregnancy age of 20 ̶ 30 years old and non-breastfeeding status. In this study, the age of the first pregnancy was found to be the most dominant factor. Key words: Breast cancer, reproductive, risk factor

Spiritual Emotional Freedom Technique (SEFT) terhadap Kualitas Hidup Penderita Tuberkulosis Paru Kusnanto Kusnanto; Retnayu Pradanie; Inas Alifi Karima
Jurnal Keperawatan Padjadjaran Vol. 4 No. 3 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Tuberkulosis paru (TB) merupakan penyakit kronik yang dapat memengaruhi kualitas hidup seseorang.Spiritual Emotional Freedom Technique (SEFT) merupakan salah satu terapi non-farmakologis untukmengatasi hal tersebut. Penelitian ini bertujuan untuk menjelaskan pengaruh terapi SEFT terhadap peningkatanQuality of Life (QoL) pada penderita TB di Puskesmas Perak Timur Surabaya. Metode yang digunakandalam penelitian ini adalah quasi-eksperimental dengan jumlah sampel yang memenuhi kriteria inklusisebanyak 22 orang. Analisis data dilakukan dengan menggunakan uji Wilcoxon dan Mann Whitney dengantingkat kemaknaan α<0,05. Hasil penelitian menunjukkan adanya peningkatan kualitas hidup pasien TBsecara signifikan pada aspek kesehatan fisik (p=0,003), psikologis (p=0,003), dan sosial (p=0,046) setelahdilakukan intervensi SEFT. Sedangkan hasil tidak signifikan terdapat pada aspek lingkungan (p=1,000).Pada uji Mann Whitney didapatkan hasil signifikan pada aspek kesehatan fisik (p=0,000), aspek psikologis(p=0,000), dan aspek fungsi sosial (p=0,015). Hasil uji Mann Whitney tidak signifikan pada aspek lingkungan(p=0,167). Kesimpulan yang didapatkan adalah SEFT mampu meningkatkan kualitas hidup responden secaraumum, karena mampu mengatasi “psychological reversal” dan karena pengaruh dari “electrical active cells”.

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Novita Kamaruddin

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