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Gracia Nababan
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+628989916124
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Daerah istimewa yogyakarta
INDONESIA
Jurnal Keperawatan
ISSN : 19785755     EISSN : 26561557     DOI : https://doi.org/10.29238/caring
Core Subject : Health,
HUBUNGAN TINGKAT KECEMASAN DENGAN KADAR GULA DARAH PADA PASIEN PRE GENERAL ANESTESI DI RSUD KOTA YOGYAKARTA , Caring : Jurnal Keperawatan
Articles 121 Documents
The The Relationship of Self Efficacy of Fluid Control and Interdialytic Weight Gain (IDWG) at Hemodialysis Unit, Panti Rapih Hospital, Yogyakarta MARIA DHITA SURYANI LUMBAN GAOL
Caring : Jurnal Keperawatan Vol. 10 No. 2 (2021): September
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v10i2.1074

Abstract

Hubungan Self Efficacy Pengendalian Cairan dengan Interdialytic Weight Gain di Unit Hemodialisa Rumah Sakit Panti Rapih Yogyakarta Maria Dhita Suryani Lumban Gaol1a, Theresia Tatik Pujiastuti1b, Yulia Wardani1c 1 Program Studi Ilmu Keperawatan STIKes Panti Rapih Yogyakarta a dhitakrista@gmail.com b thtatikpujiastuti@gmail.com c danygirlspu@gmail.com The Relationship of Self Efficacy of Fluid Control and Interdialytic Weight Gain (IDWG) at Hemodialysis Unit, Panti Rapih Hospital, Yogyakarta Abstract The changes of fast-paced and practical lifestyles lead people to unhealthy lifestyles such as consuming instant foods and drinks, lack of activities, and lack of health information. This situation results an increasing numbers of non-communicable diseases, including Chronic Kidney Disease (CKD). Stage 5 CKD requires hemodialysis as renal replacement therapy. One of the problems on hemodialysis patients is an increasing Interdialytic Weight Gain (IDWG) which can cause various complications. Therefore, the IDWG of hemodialysis patients must be controlled by performing fluid control which is highly supported by self-efficacy. The objective of this study is to determine the relationship between fluid control self-efficacy and IDWG at the Hemodialysis Unit, Panti Rapih Hospital, Yogyakarta. This study was conducted by using a cross sectional quantitative method. The total sample of 169 respondents were taken by accidental sampling of 292 patients who underwent hemodialysis. Data analysis was conducted by univariate and bivariate using the Spearman Correlation Test. As the results, the study found that the characteristics of respondents are predominantly based on the age range of 45-64 years (54.4%), male (58.6%), college/ university graduated (46.7%), the length of undergoing hemodialysis was less than 2 years (50.9%), has comorbid (71.6%), has a hypertension’s comorbid (44.1%), IDWG ? 3% or severe (58.6%), high fluid control self-efficacy (98.2%) . Statistically there is no significant relationship between self-efficacy of fluid control and IDWG with a p value of 0.776 (> 0.05). Thus it can be concluded that there is no significant relationship between self-efficacy of fluid control and IDWG. Based on the results of the study, the further research on other factors that influence IDWG such as fluid intake, knowledge and compliance with fluid control in patients undergoing hemodialysis are suggested. Patients who undergo hemodialysis are advised to restrict fluids so that the IDWG value does not exceed the tolerance value, namely ?3%. Keywords: Hemodialysis, fluid control, self efficacy, interdialytic weight gain Abstrak Perubahan gaya hidup serba cepat dan praktis menggiring masyarakat saat ini pada pola hidup tidak sehat seperti mengkonsumsi makanan minuman instan, kurang beraktivitas, dan minim informasi kesehatan. Keadaan ini berakibat meningkatnya kejadian penyakit tidak menular, salah satunya gagal ginjal kronis. Gagal ginjal kronis stage 5 membutuhkan hemodialisa sebagai terapi pengganti ginjal. Salah satu masalah pasien hemodialisa adalah peningkatan interdialytic weight gain (IDWG) yang dapat menyebabkan berbagai komplikasi. Oleh karena itu IDWG pasien hemodialisa harus dikendalikan dengan melakukan pengendalian cairan yang sangat didukung oleh self efficacy. Penelitian ini bertujuan mengetahui hubungan self efficacy pengendalian cairan dengan IDWG di Unit Hemodialisa Rumah Sakit Panti Rapih Yogyakarta. Penelitian ini menggunakan metode kuantitatif cross sectional. Jumlah sample 169 responden dari total 292 pasien yang menjalani hemodialisa, diambil secara accidental sampling. Analisa data dilakukan secara univariat dan bivariat menggunakan Uji Korelasi Spearman. Hasil penelitian didapatkan data karakteristik responden berdasarkan usia terbanyak pada rentang usia 45-64 tahun (54,4%), jenis kelamin laki-laki (58,6%), perguruan tinggi (46,7%), lamanya menjalani hemodialisa kurang dari 2 tahun (50,9%), memiliki komorbid (71,6%), komorbid hipertensi (44,1%), IDWG ? 3% atau berat (58,6%), self efficacy pengendalian cairan tinggi (98,2%). Secara statistik tidak terdapat hubungan yang signifikan antara self efficacy pengendalian cairan dan IDWG dengan p value 0,776 (>0,05). Dengan demikian disimpulkan bahwa tidak terdapat hubungan yang signifikan antara self efficacy pengendalian cairan dan IDWG. Berdasarkan hasil penelitian disarankan penelitian lebih lanjut mengenai faktor lain yang mempengaruhi IDWG selain self efficacy seperti asupan cairan, pengetahuan dan kepatuhan pengendalian cairan pada pasien yang menjalani hemodialisa. Bagi pasien yang menjalani hemodialisa disarankan melakukan pembatasan cairan agar nilai IDWG tidak melebihi nilai toleransi yaitu ?3%. Kata kunci : Hemodialisa, pengendalian cairan, self efficacy, interdialytic weight gain
Knowledge and Compliance with Universal Precautions amongst Nurses in Selected Hospitals in Imo State, Nigeria Udemba N. C.; Ezeama M.C
Caring : Jurnal Keperawatan Vol. 10 No. 1 (2021): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (362.153 KB) | DOI: 10.29238/caring.v10i1.1086

Abstract

This study assessed the knowledge and compliance with universal precautions amongst nurses in selected hospitals in Imo State, Nigeria. Four research questions and objectives guided the study. The study adopted a cross sectional descriptive design. Stratified and simple random sampling techniques were adopted in selecting sample size of 290 which was determined by the use of Taro Yamane. Data were collected using a self-developed structured questionnaire validated by the project supervisor. The Data were analyzed using descriptive statistics and Statistical Package for Social Sciences (SPSS) version 21.0.The findings revealed that majority of the nurses possessed high knowledge of universal precautions. An overall mean value of 3.26, ±0.9 showed majority of nurses has high level of compliance with universal precautions. The result further revealed that overall mean of 2.58,and ±1.034agreed that there are many barriers to compliance with universal precautions which includes, lack of available equipment, overall mean 2.83 and ±.98.The study also revealed that overall mean of 2.22 and ± 0.518 showed that nurses always practices different universal precautions. There exists no significant relationship between level of knowledge and compliance (x2=2.347; P>0.05, c=094; Sig = 672). Socio-demographic characteristics and level of compliance (x2=220;P>0.05, c=029; Sig = .974). Recommendations were made, pertinent among which are there is urgent need for targeted mass education and mobilization of nurses on the public health implications of non-compliance with Universal Precautions. Nursing and self-help groups in the campaign against barriers to compliance with universal precautions should be formed; professional guidelines on universal precaution for healthcare providers should be defined. Lastly compliance with Universal Precautions should be encouraged among nurses irrespective of their socio-economic profiles.
Knowledge of Cervical Cancer and Utilization of Screening Services among Female Nurses in Federal Medical Center Owerri, Imo State, Nigeria Nwabueze A.E; Ezeama M.C
Caring : Jurnal Keperawatan Vol. 10 No. 1 (2021): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (617.926 KB) | DOI: 10.29238/caring.v10i1.1087

Abstract

Cervical cancer is a scourge among women but female nurses are not paying attention to this menace. This study set out to determine the knowledge of cervical cancer and utilization of cervical cancer services among female nurses in Federal Medical Center Owerri, Imo state, Nigeria. Five objectives were set to guide the study. Descriptive survey design was adopted. Target population was the 820 female nurses working at the centre at the time of the study. Sample size of 326 was statistically determined using Taro Yamen formula. Sampling technique used was stratified and random sampling technique. Instrument of data collection was a pretested self-administered structured questionnaire. Data was analyzed using descriptive statistics of frequencies, percentages, bar and pie charts. Hypothesis was tested using inferential statistics of Pearson Chi-square and Statistical Package for Social Sciences (SPSS) 21.0 version at P-value of 0.005 level of significance (p<0.05). The result showed that awareness of screening services 315 (96.6%) and knowledge of cervical cancer 283(86.8%) are adequate but the utilization of screening services is very poor 94 (29%). There was statistical association between knowledge of cervical cancer, availability of screening services(p<0.05) and utilization of cervical screening services but no significant statistical association with Age, Educational level and Religious affiliation(p>0.05).Fear of result 90(38.8%) and lack of time 60(25.9%) ranked high among others in the factors militating against utilization of cervical cancer screening. Recommendations were made that hospital management and allied educators should organize and re-invigorate enlightenment programs to allay the fears of the nurses and step it down to colleges/schools of nursing in a bid to keep this preventable scourge in check among nurses which will dove-tail to the community.
Hubungan Tingkat Pengetahuan dengan Sikap Ibu Nifas Post Sectio Caesarea Tentang Mobilisasi Dini di Rumah Sakit Ibu dan Anak (Rsia) Bunda Arif Purwokerto Damayanti, Evi; Tin Utami; Trisno Putri, Noor Rochmah Ida Ayu
Caring : Jurnal Keperawatan Vol. 11 No. 1 (2022): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v11i1.1100

Abstract

Faktor yang mempengaruhi mobilisasi antara lain gaya hidup yang di pengaruhi oleh pendidikan dan pengetahuan, proses penyakit dan injury. Ibu post partum dengan sectio caesarea sering kali mengeluh nyeri daerah operasi sehingga ibu enggan melakukan mobilisasi dini. Pengetahuan tentang mobilisasi dini yang kurang pada ibu post sectio caesarea dapat mempengaruhi berlangsungnya pelaksanaan mobilisasi sehingga dapat menyebabkan terjadinya resiko tirah baring lama seperti gangguan sirkulasi darah. Tujuan penelitian ini untuk mengetahui hubungan tingkat pengetahuan dengan sikap dan perilaku ibu nifas post sectio caesarea tentang mobilisasi dini. Penelitian ini menggunakan pendekatan Cross Sectional terhadap 47 ibu nifas post sectio caesarea di Rumah Sakit Ibu dan Anak (RSIA) Bunda Arif Purwokerto dengan menggunakan rumus slovin. Instrumen yang di gunakan yaitu kuesioner. Analisa data menggunakan spearman rank. Hasil penelitian ini menunjukan bahwa adanya hubungan tingkat pengetahuan dengan sikap dan perilaku ibu nifas post sectio caesarea tentang mobilisasi dini dengan p value 0,017 (?<0,05).
The Relationship Between Knowledge Levels and Social Support For the Implementation of the Covid-19 Vaccine at STIKES Harapan Ibu Jambi: Hubungan Tingkat Pengetahuan Dan Dukungan Sosial Terhadap Pelaksanaan Vaksin Covid-19 di STIKES Harapan Ibu Jambi Ayu Nopita; Dasukii; Ani Astuti
Caring : Jurnal Keperawatan Vol. 11 No. 1 (2022): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v11i1.1110

Abstract

One of the Indonesian government's efforts to prevent the spread of COVID-19, but the target for implementing the vaccine has not yet met the national target. Factors that influence it are knowledge and social support. This study aims to clarify the relationship between the level of knowledge and social support for the implementation of the covid-19 vaccine. This research uses quantitative research with cross sectional research design. The sample population in this study were all employees of STIKES Harapan Hawa Jambi in 2021, totaling 76 people using the total sampling method. This research was carried out on August 3 to August 11, 2021 at STIKES Harapan Ibu Jambi. The instrument used is a questionnaire sheet. The data obtained were analyzed by univariate and bivariate using chi-square test. The results of the univariate analysis showed that there were 52 (68.4%) respondents who had knowledge in the good category, there were 47 (61.8%) respondents who had social support in the good category and there were 67 (88.2%) respondents who took the covid-19 vaccine. in the positive category at STIKES Harapan Ibu Jambi in 2021. Bivariate analysis shows that there is a relationship between knowledge (p=0.000) and social support (p=0.025) in administering the covid-19 vaccine. It can be concluded that knowledge and social support are related to the implementation of the covid-19 vaccine
Hubungan Faktor Koping, Dukungan Keluarga Dan Dukungan Teman Sejawat Dengan Kualitas Hidup Perawat Di Ruang Isolasi Covid-19: The Relationship of Coping Factors, Family Support and Peer Support With Nurses' Quality of Life in the Covid-19 Isolation Room Lestari, Sofia; Sari Candra Dewi; Agus Sarwo Prayogi
Caring : Jurnal Keperawatan Vol. 12 No. 1 (2023): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v12i1.1180

Abstract

  The Covid-19 pandemic has had various impacts on all levels of society and health workers. Nurses are one of the frontline health workers who treat Covid-19 patients. It was reported that more than a thousand nurses in the world were infected with the Covid-19 virus, however nurses are required to continue to provide optimal services during this pandemic. Nurses who work in Covid-19 isolation rooms can experience stress that weakens nurses' coping and self-efficacy. Lack of family support, peer support and stigma are separate problems for nurses. All of these factors can affect the quality of life of nurses. To determine the factors that affect the quality of life of nurses in the Covid-19 isolation room at Nyi Ageng Serang Hospital Kulon Progo. This type of research is correlational analytic with a cross-sectional approach. The total sample was 37 nurses who worked in the Covid-19 Isolation Room at the Nyi Ageng Serang Hospital Kulon Progo with a total sampling. Collecting data using quality of life questionnaire, coping questionnaire, self stigma questionnaire, self efficacy questionnaire, family support questionnaire and peer support questionnaire. Data analysis used bivariate analysis with chi-square test. The data collection period is 6-20 September 2021. There are 3 factors that influence the quality of life, namely coping factors (p= 0.013), family support factors (p = 0.00) and peer support factors (p = 0.026). Coping, family support and peer support affect the quality of life of nurses in the Covid-19 isolation room at Nyi Ageng Serang Hospital Kulon Progo.   Pandemi Covid-19 memberikan berbagai dampak pada semua lapisan masyarakat dan petugas kesehatan. Perawat merupakan salah satu garda terdepan petugas kesehatan yang menangani pasien Covid-19. Dilaporkan bahwa lebih dari seribu perawat di dunia terinfeksi virus Covid-19, walaupun demikian perawat dituntut tetap memberikan pelayanan secara optimal selama masa pandemi ini. Perawat yang bertugas di ruang isolasi Covid-19 dapat mengalami stres yang melemahkan koping dan self efficacy perawat. Kurangnya dukungan keluarga, dukungan teman sejawat dan stigma menjadi permasalahan tersendiri bagi perawat. Semua faktor ini dapat mempengaruhi kualitas hidup perawat. Penelitian ini bertujuan untuk : mengetahui faktor-faktor yang mempengaruhi kualitas hidup perawat di ruang isolasi Covid-19 RSUD Nyi Ageng Serang Kulon Progo. Jenis penelitian analitik korelasional dengan pendekatan cross-sectional. Jumlah sampel sebanyak 37 orang perawat yang bekerja di ruang Isolasi Covid-19 RSUD Nyi Ageng Serang Kulon Progo dengan total sampling. Pengumpulan data menggunakan kuesioner kualitas hidup, kuesioner koping, kuesioner self stigma, kuesioner self efficacy, kuesioner dukungan keluarga dan kuesioner dukungan teman sejawat. Analisis data menggunakan analisis bivariat dengan uji chi-square. Periode pengambilan data tanggal 6 – 20 September 2021. Hasil : Terdapat 3 faktor yang berpengaruh terhadap kualitas hidup, yaitu faktor koping  (p= 0,013), faktor dukungan keluarga (p = 0,00) dan faktor dukungan teman sejawat (p= 0,026).  Kesimpulan : Faktor koping, dukungan keluarga dan dukungan teman sejawat berpengaruh terhadap kualitas hidup perawat di ruang isolasi Covid-19 RSUD Nyi Ageng Serang Kulon Progo.
Pengetahuan Tentang Covid-19 Terhadap Kepatuhan Perawat Dalam Penggunaan Alat Pelindung Diri (APD) Guna Mencegah Penularan Covid-19 Di Ruang Isolasi Covid RSAU dr. Esnawan Antariksa Jakarta Timur I Gusti Putu Dewi; Setiyadi, Agung; Aliana Dewi
Caring : Jurnal Keperawatan Vol. 11 No. 1 (2022): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v11i1.1202

Abstract

Coronavirus Disease 2019 (COVID-19) adalah penyakit menular yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). SARS-CoV-2 merupakan coronavirus jenis baru yang belum pernah diidentifikasi sebelumnya pada manusia. Virus ini ditemukan di Wuhan, China yang terdeteksi di Indonesia pada Maret 2020. Covid-19 ini menginfeksi manusia melalui saluran pernafasan dengan mekanisme terberatnya kesulitan bernafas. Coronavirus menyebar secara cepat ke berbagai negara didunia termasuk di Indonesia. Meningkatnya prevalensi penderita Covid-19 yang menjadi rantai penularan COVID-19 menuntut tenaga kesehatan khususnya perawat untuk dapat melindungi diri dari penularan covid-19. Sebagai garda terdepan rumah sakit, perawat harus memiliki pengetahuan yang baik dan penggunaan APD dengan benar. Penelitian ini bertujuan untuk menganalisis hubungan tingkat pengetahuan tentang Covid-19 terhadap kepatuhan perawat dalam penggunaan APD yang baik dan benar guna mencegah penularan Covid-19 di RSAU        dr.Esnawan Antariksa. Metode penelitian ini menggunakan pendekatan Cross-sectional dengan jumlah sampel 67 perawat. Analisa data menggunakan Spearman rho dengan hasil nilai p-value=0,000 (p<0,05) dan nilai Correlation Coefisient sebesar 0,702 yang menunjukkan ada hubungan yang kuat dengan arah positif antara pengetahuan terhadap kepatuhan penggunaan APD. Diharapkan perawat meningkatkan pengetahuan dan kepatuhan dalam penggunaan APD melalui pendidikan, pelatihan guna mencegah terpapar Covid-19.
Hubungan Pola Komunikasi Keluarga Terhadap Tingkat Kesepian (Loneliness) Pada Lansia: Hubungan Pola Komunikasi Keluarga Terhadap Tingkat Kesepian (Loneliness) Pada Lansia Sari, Amalia; Herlina; Elita, Veny
Caring : Jurnal Keperawatan Vol. 11 No. 1 (2022): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v11i1.1238

Abstract

Lanjut usia adalah bagian dari proses tumbuh kembang yang pada masa ini seseorang akan mengalami kemunduran fisik, mental dan sosial secara bertahap. Keluarga merupakan orang terdekat lansia yang mendampingi lansia dimasa tuanya. Penelitian ini bertujuan untuk mengetahui hubungan antara pola komunikasi keluarga terhadap tingkat kesepian (loneliness) pada lansia. Penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan cross sectional. Sampel penelitian adalah 100 orang lansia di Kecamatan Payung Sekaki yang diambil berdasarkan kriteria inklusi menggunakan teknik cluster sampling. Analisis yang digunakan adalah analisis bivariat menggunakan uji Chi-Square. Hasil uji statistik menunjukkan ada hubungan yang signifikan antara pola komunikasi keluarga terhadap tingkat kesepian (loneliness) pada lansia dengan p value (0,000) < ? (0,05). Pola komunikasi keluarga mempunyai hubungan yang signifikan terhadap tingkat kesepian (loneliness) lansia. Berdasarkan hasil penelitian ini diharapkan setiap anggota keluarga lansia menerapkan pola komunikasi yang fungsional agar mengurangi tingkat kesepian lansia.
Pengaruh Terapi Perilaku Kognitif Terhadap Tingkat State Anxiety Pada Mahasiswa Keperawatan Selama Menjalani Praktik Klinik Suci Ramadhani; Donsu, Jenita Doli Tine; Laasara, Nurun
Caring : Jurnal Keperawatan Vol. 12 No. 1 (2023): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v12i1.1335

Abstract

State anxiety in nursing students occurs of being triggered by stress during clinical practice. The problems decreasing student performance. Therefore, an intervention is needed to create an adaptive coping strategy, one alternative is using Cognitive Behavioral Therapy. The aim of this study is to determine the effect of Cognitive Behavioral Therapy on the level of state anxiety. The type of this study uses a quasi-experimental research with purposive sampling thechnique. The study was conducted on April 18-26, April 2022. The research respondent were student of the 4th term on Anesthesiology Nursing students who are undergoing clinical practice. Total population consist of 95 respondents with the sample used is 54 respondents. P-value show 0.000, it means there is a significant influence on the Cognitive Behavioral Therapy intervention on the level of state anxiety. State anxiety that occurs in nursing student during clinical practice can be overcome by using Cognitive Behavioral Therapy intervention.   State anxiety mahasiswa keperawatan muncul akibat adanya peningkatan stres selama menjalani praktik klinik. Problematika yang terjadi menurunkan kinerja mahasiswa. Oleh karena itu, dibutuhkan intervensi yang ditujukan untuk menciptakan strategi koping yang adaptif, salah satu alternatifnya dengan menggunakan Terapi Perilaku Kognitif. Diketahuinya pengaruh Terapi Perilaku Kognitif terhadap tingkat state anxiety. Jenis penelitian yang digunakan adalah kuasi eksperimental dengan teknik purposive sampling. Penelitian dilakukan pada 18-26 April 2022. Responden penelitian yaitu mahasiswa Keperawatan Anestesiologi semester 4 yang sedang menjalani praktik klinik. Total populasi terdiri dari 95 responden dengan sampel yang digunakan adalah sebanyak 54 responden. Nilai p-value menunjukkan 0.000, artinya terdapat pengaruh Terapi Perilaku Kognitif terhadap tingkat state anxiety. State anxiety yang terjadi pada mahasiswa keperawatan selama menjalani praktik klinik dapat diatasi dengan menggunakan intervensi Terapi Perilaku Kognitif.
Penerapan Terapi Kognitif Terhadap Kondisi Harga Diri Rendah Pada Pasien Gagal Ginjal Kronik Di RSUD Kabupaten Temanggung Alivia Rustiani; Suharsono; Erna erawati
Caring : Jurnal Keperawatan Vol. 12 No. 1 (2023): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v12i1.1397

Abstract

Patients who have experienced chronic kidney failure will have changes from various aspects, both from physical, psychological, role and financial conditions so that they are at risk of experiencing a decrease in self-esteem or low self-esteem. To reduce the condition of low self-esteem experienced by patients with chronic kidney failure, it is necessary to provide non-pharmacological nursing interventions using cognitive therapy, so that patients are able to recognize aspects of positive assessment that exist in themselves so that they are able to think positively and increase self-esteem. The purpose of this final paper is to describe the application of cognitive therapy in patients who have psychosocial problems with low self-esteem. The method used is a case study. Three patients were given cognitive therapy nursing actions. The results of the application of cognitive therapy nursing interventions showed an increase in RSES scores and patient self-esteem. Based on the results of the application, it can be concluded that cognitive therapy can be performed on patients with chronic kidney failure who have low self-esteem problems.   Pasien yang sudah mengalami gagal ginjal kronik akan memiliki perubahan dari berbagai macam aspek, baik dari keadaan fisik, psikologis, peran maupun finansial sehingga beresiko mengalami penurunan harga diri atau harga diri rendah. Untuk mengurangi kondisi harga diri rendah yang dialami oleh penderita gagal ginjal kronik perlu diberikan intervensi keperawatan non farmakologis dengan menggunakan terapi kognitif, agar pasien mampu mengenali aspek penilaian positif yang ada pada dirinya sehingga mampu berpikir secara positif serta meningkatkan harga diri. Tujuan Karya Ilmiah Akhir ini untuk menggambarkan penerapan terapi kognitif pada pasien yang mempunyai masalah psikososial harga diri rendah. Metode yang dipakai adalah studi kasus. Pada 3 pasien diberikan tindakan keperawatan terapi kognitif. Hasil penerapan intervensi keperawatan terapi kognitif menunjukkan ada peningkatan skor RSES dan harga diri pasien. Berdasarkan hasil penerapan tersebut maka dapat disimpulkan bahwa terapi kognitif dapat dilakukan pada pasien gagal ginjal kronik yang memiliki masalah harga diri rendah.

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