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Idea Nursing Journal

INJ
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Published by Universitas Syiah Kuala

ISSN : 20872879 EISSN : 25802445 DOI : -

Core Subject : Health,

Nursing

Idea Nursing Journal (INJ) adalah suatu media yang dapat digunakan untuk, mendiseminasi, dan mengarsipkan karya perawat peneliti di Indonesia. Karya yang dipublikasikan dalam jurnal ini secara tidak langsung diakui sebagai karya kecendekiawanan penulis dalam bidang keperawatan. Artikel antara lain meliputi sub bidang keperawatan dasar, keperawatan dewasa, keperawatan anak, keperawatan maternitas, keperawatan jiwa, keperawatan gerontik, keperawatan keluarga, keperawatan komunitas, manajemen keperawatan, dan pendidikan keperawatan.

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HUBUNGAN KARAKTERISTIK NYERI DENGAN KECEMASAN PADA PASIEN KANKER PAYUDARA YANG MENJALANI KEMOTERAPI DI RSUD Dr. PIRNGADI MEDAN Doortua Butar-Butar; Ida Yustina; Ikhsanuddin A.Harahap
Idea Nursing Journal Vol 6, No 3 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRACTBreast cancer is a disease of malignant neoplasm derived from cells parenchym. Breast cancer and treatment of physical and psychological impact on sufferers of pain and anxiety. This study aimed to analysis the relationship characteristics of pain (pain intensity, pain interference, quality of pain, duration of pain, and pain location) with anxiety in breast cancer patients undergoing chemotherapy in Dr. Pirngadi Medan. This study design was cross-sectional. Samples numbered 52 breast cancer patients undergoing chemotherapy, which is taken by consecutive sampling technique. Results of the study there is a significant correlation between the stage of the cancer with anxiety (r = 0.69; p.value = 0,000), there is a significant relationship between cycles of chemotherapy with anxiety (r = -0.71; p.value = 0,000), there is a significant correlation between the intensity of pain with anxiety (r = 0.95; p.value = 0,000), there is a significant correlation between pain interference with anxiety (r = 0.92; p.value = 0,000), there is a significant relationship between quality of pain with anxiety (r = 0.76; p.value = 0,000), there is a significant relationship between duration of pain with anxiety (r = 0.447; p.value = 0,001), there is a significant correlation between the location of pain with anxiety (r = 0.675; p.value = 0.000). Intensity of pain is a sub variable most dominant characteristic of pain associated with anxiety. necessary to develop the standard format assessment of pain and anxiety that can adopt valid questionnaires from the evidence base and to develop management SOP nonpharmacological pain and anxiety that can be used as guidelines for nurses in dealing with pain and anxiety.Keywords: Patients Suffering from Breast Cancer;Chemotherapy; Pain.ABSTRAKKanker payudara merupakan suatu penyakit neoplasma ganas yang berasal dari sel parenchym. Kanker payudara dan penanganannya memberikan dampak fisik dan psikis terhadap penderitanya berupa nyeri dan kecemasan. Penelitian ini bertujuan mengidentifikasi hubungan karakteristik nyeri (intensitas nyeri, interfernsi nyeri, kualitas nyeri, durasi nyeri, dan lokasi nyeri) dengan kecemasan pada pasien kanker payudara yang menjalani kemoterapi di RSUD Dr. Pirngadi Medan. Desain penelitian ini adalah cross sectional. Sampel berjumlah 52 orang pasien kanker payudara yang menjalani kemoterapi, yang diambil dengan teknik consecutive sampling. Hasil penelitian terdapat hubungan yang signifikan antara stadium kanker dengan kecemasan (r = 0,69; p.value = 0,000), terdapat hubungan yang signifikan antara siklus kemoterapi dengan kecemasan (r = -0,71; p.value = 0,000), terdapat hubungan yang signifikan antara intensitas nyeri dengan kecemasan (r = 0,95; p.value = 0,000), terdapat hubungan yang signifikan antara interferensi nyeri dengan kecemasan (r = 0,92; p.value = 0,000), terdapat hubungan yang signifikan antara kualitas nyeri dengan kecemasan (r = 0,76; p.value = 0,000), terdapat hubungan yang signifikan antara durasi nyeri dengan kecemasan (r = 0,447; p.value = 0,001), terdapat hubungan yang signifikan antara lokasi nyeri dengan kecemasan (r = 0,675; p.value = 0,000). Intensitas nyeri merupakan sub variabel karakteristik nyeri yang paling dominan berhubungan dengan kecemasan. Perlu dikembangkan format pengkajian yang standar untuk mengkaji nyeri dan kecemasan yang dapat mengadopsi kuesioner yang valid dari evidence base, dan mengembangkan SOP manajemen nyeri dan kecemasan non-farmakologis yang dapat digunakan sebagai pedoman untuk perawat dalam menangani nyeri dan kecemasan.Kata Kunci: Pasien kanker payudara, Kemoterapi, Karakteristik nyeri.

PENGALAMAN PASIEN SUKU BATAK TOBA DENGAN GAGAJ GINJAL KRONIS DALAM MENJALANI HEMODIALISA Lenny Lusia Simatunpang; Nurmaini, Nurmaini; Cholina Trisa Siregar
Idea Nursing Journal Vol 6, No 3 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRAK Pengalaman pasien yang menjalani terapi hemodialisa sangat fenomena dan menarik perhatian para professional kesehatan, karena didalam menjalani terapi Hemodialisis (HD), partisipan menyisakan sejumla persoalan penting, sebagai dampak terapi hemodialisa. Tujuan dari penelitian ini untuk mengetahui pengalaman pasien suku Batak Toba dengan Gagal Ginjal Kronis (GGK) dalam menjalani hemodialisa. Penelitian ini merupakan studi fenomenologi deskriptif. Pengumpulan data dilakukan dengan indepth interview. Partisipan dalam penelitian ini berjumlah 14 orang yang dipilih dengan teknik purpossive sampling partisipan yang bersuku Batak Toba dan lamanya menjalani hemodialisa minimal enam bulan. Pelaksanaan wawancara dilakukan di rumah partisipan, peneliti kontrak dengan partisipan dan peneliti mengunjungi rumah partisipan. Hasil wawancara dianalisa dengan metode collaizi dan ditemukan 4 tema pada hasil wawancara dengan para partisipan.Tema yang dijumpai yaitu dampak/efek/keluhan yang dirasakan selama menjalani hemodialisa, upaya yang dilakukan untuk mengatasi keluhan selama hemodialisa, bentuk dukungan yang diterima selama menjalani hemodialisa, kendala selama menjalani hemodialisa. Berdasarkan hasil penelitian, disarankan perawat dalam memberikan pelayanan keperawatan supaya memperhatikan sosial budaya pasien, karena perhatian dari sosial budaya bisa mengurangi masalah pasien yang menjalani hemodialisa.Kata kunci: pengalaman, suku batak toba, hemodialisa. ABSTRACT Patients’ experience under hemodialysis therapy is very phenomenal and interesting for health professionals because the patients who are under hemodialysis therapy have a number of important problems as the effect of hemodialysis therapy. The objective of the research was to find out the experience of Batak Toba patients suffered from GGK (chronic kidney failure) under hemodialysis therapy. The research was a phenomenological descriptive study. The data ere gathered by conducting in-depth interviews. The samples were 14 Batak Toba people as the respondents who had undergone hemodialysis therapy at least six months, taken by using purposive sampling technique. The interviews were conducted at their homes; the researcher contacted them and visited their homes. The result of the interviews was analyzed by using Collaizi method. It was found that there were four themes: experiencing physical complaints, psychological and activity disorder spiritual (gangguan aktivitas psikologi dan spritual), seek medical treatment and therapy of traditional Batak Toba, received the support of habit Batak Toba and support of religious and financial support from relatives and children, having problems because they have came to town for dialysis in Medan.It is recommended that nurses should pay attention to patients’ socio-cultural values in order to lessen patients’ problems during the treatment.Keywords: experience, bataktoba ethnic group, hemodialysis

PENANGANAN KRISIS HIPERTENSI Nurkhalis, Nurkhalis
Idea Nursing Journal Vol 6, No 3 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRAKKrisis hipertensi terbagi dua, yakni hipertensi urgensi dan hipertensi emergensi yang dibedakan berdasarkan ada tidaknya kerusakan organ target yang menyertai peningkatan tekanan darah yang akut tersebut. Meskipun penanganan hipertensi saat ini telah lebih baik namun krisis hipertensi dan komplikasinya masih sering dijumpai. Tulisan ini memberikan pemaparan tentang penanganan terkini krisis hipertensi. Pada bagian penanganan hipertensi emergensi ikut dibahas penanganan berdasarkan tipe kerusakan organ target yang terjadi. Usaha untuk meningkatkan kewaspadaan dan penanganan hipertensi yang tepat diharapkan dapat menurunkan insiden krisis hipertensi dan komplikasinya.Kata Kunci: krisis hipertensi, hipertensi emergensi, hipertensi urgensi.ABSTRACTHypertensive crises are divided into hypertensive urgencies and emergencies. Together they form a heterogeneous group of acute hypertensive disorders depending on the presence or type of target organs involved. Despite better treatment options for hypertension, hypertensive crisis and its associated complications remain relatively common. In this paper we give an overview of the current management of hypertensive crisis. In addition, a section on the management of hypertensive emergencies according to the type of target organ involved has been added. Efforts to increase the awareness and treatment of hypertension in the populationat large may lower the incidence of hypertensive crisis andits complications.Keywords: hypertensive crisis, hypertensive emergency, hypertensive urgency.

KORELASI ANTARA KADAR GULA DARAH DENGAN KADAR ASAM URAT PADA PASIEN DIABETES MELLITUS TIPE 2 Masra Lena Siregar; Nurkhalis, Nurkhalis
Idea Nursing Journal Vol 6, No 3 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRAKKadar asam urat memiliki peningkatan yang signifikan pada pasien prediabetes. Peningkatan kadar asam urat berhubungan dengan hiperinsulinemia pada pasien DM tipe 2 yang dapat memicu timbulnya komplikasi hiperurisemia serta penyakit kardiovaskuler lainnya sehingga dibutuhkan pengetahuan tentang efek peningkatan kadar asam urat terhadap tubuh. Penelitian ini bertujuan untuk mengetahui korelasi antara kadargula darah (KGD) dengan asam urat pada pasien DM tipe 2. Penelitian ini merupakan penelitian analitik korelatif pada 27 pasien DM tipe 2 yang berobat ke Poliklinik Endokrinologi RSUZA Banda Aceh. Pasien yang memenuhi kriteria penelitian dilakukan pemeriksaan kadar asam urat, KGD puasa dan 2 jam pascaprandial. Untuk menentukan korelasi (r) dan koefisien determinasi (R2) digunakan uji korelasi Pearson serta uji regresi linier. Berdasarkan hasil penelitian didapatkan 55,5% berjenis kelamin perempuan dengan rerata usia 54,7±9,3 tahun. Hasil uji korelasi Pearson didapatkan adanya korelasi positif antara kadar asam urat dan KGD puasa sebesar r=0,652 (p0,0001), namun kadar asam urat tidak berkorelasi dengan KGD2pp (r=0,313, p=0,112). Variasi kadar asam urat dipengaruhi oleh KGDpuasa (R2 0,425; IK95% 0,013-0,036; p0,0001).Kata Kunci: diabetes melitus tipe 2, kadar asam urat, kadar gula darah.ABSTRACTUric acid level raises significantly in prediabetes patient. This condition is associated with hyperinsulinemia in type 2 diabetes mellitus (DM) that can emerge hyperuricemia complications and other cardiovasculardiseases. Then it is needed to know the effect of uric acid level raising in the body. The aims of this study is to know the correlation between blood glucose and uric acid level in type 2 DM. This study is corelativeanalytic study in 27 patients at endocrinology outpatient clinic RSUZA Banda Aceh. The patients in this research were examined uric acid level, fasting and 2- hours postprandial plasma blood glucose (FPG and2hPPG). We determined the correlation (r) and coefficient determination (R2) by using Pearson and linier regression analyzes. According to this study, the result showed the female gender was the commonest population (55.5%) and average age was 54.7±9.3 years. Pearson analyzes result showed uric acid level had a significant positive correlation with FPG (r=0.652, p0.0001), but no correlation with 2hPPG (r=0.313, p=0.112). The variation of uric acid level was affected by FPG (R2 0.425, CI95% 0.013-0.036, p0.0001).Keywords: type 2 diabetes mellitus, serum uric acid, plasma blood glucose

HUBUNGAN STRES, DEPRESI DAN DUKUNGAN SOSIAL DENGAN KEPATUHAN PEMBATASAN ASUPAN NUTRISI DAN CAIRAN PADA PASIEN GAGAL GINJAL KRONIK Minta Ito Melinda Harahap; Sori Muda Sarumpaet; Mula Tarigan
Idea Nursing Journal Vol 6, No 3 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRAKHemodialisis merupakan salah satu terapi pengganti ginjal (TPG) yang paling umum dijalani oleh pasien gagal ginjal kronik (GGK).Hemodialisa akan cenderung berdampak pada emosi, kognitif dan perilaku adaptasi seperti munculnya stres, depresi dan dukungan sosial. Tujuan penelitian ini adalah mengidentifikasi dan menjelaskan hubungan stress, depresi, dan dukungan social dengan kepatuhan pembatasan nutrisi dan cairan pada pasien gagal ginjal kronik. Desain penelitian adalah cross sectional dengan jumlah sampel 96 responden, populasi yang didapat dengan purposive sampling. Metode pengumpulan data dengan cara pengisian kuesioner. Hasil penelitian inimenunjukkan bahwa sebagian besar responden berusia 46-55 tahun berjumlah 42 responden (43,8%) dan rata-rata lamanya responden menjalani hemodialisa 12 bulan berjumlah 67 responden (69,8%). Analisis hasil penelitian menggunakan uji spearman (bivariat). Pada analisa korelasi didapatkan adanya hubungan yang bermakna antara stres, depresi, dukungan social dengan kepatuhan pembatasan nutrisi pada pasien gagal ginjal kronik (p=-0,231, p=- 0,355, p=-0,113) dan ada hubungan yang bermakna antara stres, depresi, dukungan social dengan kepatuhan pembatasan cairan pada pasien gagal ginjal kronik (p=-0,226, p=-0,238, -0,317). Perawat di ruangan hemodialisaharus mampu meningkatkan pemahaman dan kompetensinya dalam memberikan asuhan keperawatan terkait kepatuhan pembatasan nutrisi dan cairan pasien khususnya pasien gagal ginjal kronik dengan hemodialisaKata kunci:Stress, Dukungan Sosial, Gagal Ginjal KronikABSTRACTHemodialysis which is one of renal replacement therapy (TPG) is most commonly endured by patients with chronic renal failure (CRF). Haemodialysis would be likely to have an impact on the emotional, cognitive and behavioral adaptations such as the emergence of stress, depression and social support. The purpose of this study is to identify and explain the relationship of stress, depression, and social support with nutrients and fluid restriction compliance in patients with chronic renal failure. The study design was Cross-sectional with sample of 96 respondents, obtained by purposive sampling. The data was collected with questionnaire. The results showed that the majority of respondents aged 46-55 years amounted to 42 respondents (43.8%) and the average length of undergoing hemodialysis respondent 12 months of which 67 respondents (69.8%). Analysis used the Spearman test (bivariate). In the correlation analysis found a significant relationship between stress, depression, social support and nutritional restriction compliance in patients with chronic renal failure (p = -0.231, p = -0.355, p = -0.113), and there is a significant correlation between stress, depression, social support to compliance with fluid restriction in patients with chronic renal failure (p = -0.226, p = -0.238, -0.317). Nurses in the room hemodialysis should be able to increase the understanding and competence in providing nursing care related to compliance with the adherence of nutritions and fluids restrictions on cronic kidney disease patientsKeywords: Stress, Social Support, Cronic Kidney Disease

PENGALAMAN PASIEN KANKER PAYUDARA PADA SUKU BATAK YANG MENJALANI KEMOTERAPI Connie Melva Sianipar; Nurmaini, Nurmaini; Nur Afi Darti
Idea Nursing Journal Vol 6, No 3 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

AbstrakKanker payudara merupakan penyakit kanker yang paling umum yang diderita oleh kaum wanita. Fenomena yang di dapatkan dari pasien yang dirawat dengan kanker payudara yang mendapatkan kemoterapi di RSUP Haji Adam Malik Medan terdapat peningkatan jumlah penderita kanker payudara sepanjang tahun 2014 ada 9.189 orang. Penderita kanker payudara yang tertinggi di Sumatera Utara adalah wanita suku batak sebanyak 215 orang (68.9%). Tujuan penelitian ini adalah untuk mengeksplorasi tentang pengalaman pasien kanker payudara pada suku batak yang menjalani kemoterapi. Desain penelitian adalah fenomenologi deskriptif. Metode pengumpulan data dilakukan dengan wawancara mendalam. Metode purposive sampling digunakan untuk memilih partisipan yang memenuhi kriteria. Partisipan dalam penelitian ini adalah 15 pasien kanker payudara suku batak. Hasil wawancara yang ditranskip dianalisis menggunakan content analysis. Hasil penelitian ini menemukan 5 tema yang mencerminkan fenomena yang diteliti. Tema-tema tersebut yaitu 1) Mengalami ketidakstabilan emosi pasien kanker payudara pada suku batak sebagai respon terhadap kemoterapi, 2) Melakukan adaptasi untuk mengurangi perubahan fisik setelah kemoterapi, 3) Mengupayakan penyembuhan dan pemulihan yang dilakukan pasien kanker payudara pada suku batak dalam mengatasi dampak kemoterapi, 4) Mengurangi ketidakstabilan emosi yang dilakukan pasein kanker payudara selama menjalani kemoterapi, 5) Kendala yang dialami pasien kanker payudara pada suku batak selama menjalani kemoterapi. Penelitian ini disarankan bagi tenaga pelayanan kesehatan khususnya perawat agar memberikan pelayan keperawatan holistik berdasarkan kultural pada pasien kanker payudara yang menjalani kemoterapi, memberikan informasi kepada pendidikan pentingnya melihat kultural pasien daam memberikan pelayanan keperawatan.Kata Kunci: Pengalaman, Kanker Payudara, KemoterapiABSTRACTBreast cancer is the most common cancer suffered by women. Phenomenon in getting from patients treated with breast cancer who received chemotherapy in Haji Adam Malik Hospital, there is an increasing number of breast cancer throughout the year 2014 there were 9189 people. Patients with breast cancer is highest in North Sumatra Batak tribe women as much as 215 people (68.9%). The objective of this research was to explore the experience of Bataknese breast cancer patients who were under chemotherapy treatment. The research used phenomenology descriptive method. The data were gathered by conducting in-depth interviews. The sample were 15 Bataknese breast cancer patients who had fulfilled the criteria, taken by using purposive sampling technique. The Results of recorded interviews was analyzed by using content analysis. The result of the research showed that there were five themes which reflected the phenomena. They were experienced the emotional instability of breast cancer patients as a response to chemotherapy, adaptation to reduce the physical changes after chemotherapy, seeked the healing and recovery by breast cancer patients who were under chemotherapy treatment, reduced the emotional instability by breast cancer patienst who were under chemotherapy treatment, obstacles which is experienced by the breast cancer patients under chemotherapy treatment. It is recommended that health care provider, especially nurse, provide holistic service based on cultural for breast cancer patients who were treated with chemotherapy and give information to educational that the importance of cultural to give the nursing services.Keywords: Experience, Breast Cancer, Chemotheraphy

Head Nurses’ Management Regarding Patient Safety in Public Hospitals Aceh Province, Indonesia Yuswardi, Yuswardi; Nongnut Boonyoung; Pratyanan Thiangchanya
Idea Nursing Journal Vol 6, No 3 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRACTHead nurses play a major role in managing patient safety. To what extent head nurses in Aceh province, Indonesia here applied patient safety goals as standard guiding their management. This study aimed to identify the levels of head nurse’ management regarding patient safety in public hospitals Aceh, Indonesia. A descriptive study was conducted in fourteen public hospitals in Aceh province, Indonesia. A proportionate stratified random sampling technique was used to recruit 123 head nurses from 14 out of 21 hospitals of three geographical areas of Aceh province. The data collection instruments were developed by the researchers, based on 6 areas of the JCI’s patient safety goals statements and displaying use of the PDCA cycle in managing patient safety. The study conducted from January to March 2013. The overall score of head nurses’ regarding patient safety was at a high level. Management of each dimension including identifying patient correctly (M = 4.39, SD = 0.51), improving effective communication (M = 4.11, SD = 0.60), maintaining safety of high alert medication (M = 4.16, SD = 0.65), ensuring correct procedure (M = 4.02, SD = 0.69), reducing the risk of healthcare associated infections (M = 3.71, SD = 0.79) and reducing risk from fall (M = 3.71, SD = 0.91) respectively. The high level of head nurses’ management regarding patient safety may lead to reduce adverse patient event, error, and mortality. Management of adverse event was a strategy to ensure patient safety during hospitalization.Keyword: Head nurse, management, patient safety, public hospital.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KECEMASAN PASIEN HEMODIALISIS DI RSUD Dr. PIRNGADI MEDAN Siti Arafah Julianty Hrp; Ida Yustina; Dedy Ardinata
Idea Nursing Journal Vol 6, No 3 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRAK Proses hemodialisis di rumah sakit dapat menimbulkan stres psikologis (kecemasan) dan fisik yang mengganggu sistem neurologi seperti kelemahan, fatigue, kecemasan, penurunan konsentrasi. Penelitian ini bertujuan untuk menganalisis faktor-faktor (usia, jenis kelamin, tingkat pendidikan, pengalaman pengobatan, lama terapi, jenis pembiayaan, dukungan keluarga) yang berhubungan dengan tingkat kecemasan pasien hemodialisis di RSUD Dr. Pirngadi Medan. Jenis penelitian ini adalah deskriptif “cross sectional” dan pengambilan sampel dengan teknik purposive sampling dengan 62 pasien gagal ginjal yang menjalani hemodialisis di RSUD Dr. Pirngadi Medan. Data dianalisa menggunakan uji korelasi Spearman. Instrumen yang digunakan kuesioner data demografi, kuesioner faktor-faktor, kuesioner dukungan keluarga, instrumen Spielberger et al. (1983) State Trait Anxiety Inventory (STAI) Form A-State. Berdasarkan hasil uji statistik diketahui bahwa faktor-faktor yang berhubungan dengan tingkat kecemasan pasien hemodialisis yaitu faktor usia (p = 0.049), pengalaman pengobatan (p = 0,008), lama terapi (p = 0,021) dan dukungan keluarga (p = 0,021). Faktor jenis kelamin, tingkat pendidikan, jenis pembiayaan tidak berhubungan dengan tingkat kecemasan pasien dengan hemodialisis. Diharapkan kepada pihak rumah sakit meningkatkan pelayanan keperawatan khususnya di ruangan hemodialisis, melalui pemberian asuhan keperawatan secara holistik bio- psiko-sosial pada pasien gagal ginjal sehingga dapat mengurangi kecemasan, meningkatkan angka harapan hidup pasien gagal ginjal yang menjalani hemodialisis.Kata kunci: kecemasan, hemodilisis, gagal ginjal. ABSTRACT Hemodialysis process in hospital can cause psychological and physical stresses (anxiety) which disturbs the neurological systems, such as weakness, fatigue, anxiety, and decrease in concentration. The research objective is to analyze the factors (age, sex, educational level, curing experience, length of therapy, kinds of cost, and family support) related to the level of anxiety of patients suffering from hemodialysis in RSUD dr. Pirngadi, Medan. The research is a descriptive cross sectional and the sample is taken by purposive sampling technique with 62 patients with kidney failures undergoing hemodialysis. Data are analyzed by using Spearman’s correlation. The instrument is questionnaires on data of demography, factors, and family support, and the instrument of Spielberger et al (1983) State Trait Anxiety Inventory (STAI) form A- State.Based on the statistical test, it is found that the factors related to the level of anxiety of patients suffering from hemodialysis are age (p = 0.049), curing experience (p = 0.008), length of therapy (p = 0.021), and family support (p = 0.021). Factors of sex, educational level, kinds of cost are not directly related to the patients’ anxiety. It is expected that the hospital improve the nursing services, especially in the hemodialysis wards by providing the holistic bio-psycho-social nursing care to the patients with kidney failures so that it can decrease the anxiety, figure of life expectancy of patients with kidney failures undergoing hemodialysis.Keywords: anxiety, hemodialysis, kidney failure.

EFEKTIFITAS PEMBERIAN TERAPI MUSIK INSTRUMENT TERHADAP KUALITAS TIDUR PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA Eka Isranil Laily; Juanita, Juanita; Cholina Trisa Siregar
Idea Nursing Journal Vol 6, No 3 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRAKPenyakit gagal ginjal kronik merupakan masalah kesehatan yang berkembang pesat. Pasien dengan hemodialisis memiliki masalah gangguan tidur yang berefek terhadap kualitas hidup pasien hemodialisis. Gangguan tidur memiliki dampak negatif pada respon imun dan dapat menyebabkan perkembangan kardiovaskuler yang merupakan penyebab kematian pada pasien gagal ginjal. Tujuan penelitian ini adalah untuk mengidentifikasi efektifitas pemberian terapi musik instrument terhadap kualitas tidur pasien gagal ginjal kronik yang menjalani hemodialisa. Penelitian ini menggunakan desain quasi-eksperimen dengan pre and post test with control dengan sampel 73 orang dengan menggunakan tabel power analysis 38 responden. Hasil penelitian menunjukkan adanya efek pemberian terapi musik instrument terhadap kualitas tidur pasien gagal ginjal kronik yang menjalani hemodialisa dengan hasil uji independent t test yaitu p=0,001 (p0,005). Perbandingan kualitas tidur sebelum dan sesudah pemberian terapi musik instrument menggunakan analisa data paired t-test dengan p=0,000. Kualitas tidur responden setelah dilakukan pemberian terapi musik instrument menunjukkan peningkatan.Kata Kunci: terapi musik, kualitas tidur, hemodialisaABSTRACTBreast cancer is the most common cancer suffered by women. Phenomenon in getting from patients treated with breast cancer who received chemotherapy in Haji Adam Malik Hospital, there is an increasing number of breast cancer throughout the year 2014 there were 9189 people. Patients with breast cancer is highest in North Sumatra Batak tribe women as much as 215 people (68.9%). The objective of this research was to explore the experience of Bataknese breast cancer patients who were under chemotherapy treatment. The research used phenomenology descriptive method. The data were gathered by conducting in-depth interviews. The sample were 15 Bataknese breast cancer patients who had fulfilled the criteria, taken by using purposive sampling technique. The Results of recorded interviews was analyzed by using content analysis. The result of the research showed that there were five themes which reflected the phenomena. They were experienced the emotional instability of breast cancer patients as a response to chemotherapy, adaptation to reduce the physical changes after chemotherapy, seeked the healing and recovery by breast cancer patients who were under chemotherapy treatment, reduced the emotional instability by breast cancer patienst who were under chemotherapy treatment, obstacles which is experienced by the breast cancer patients under chemotherapy treatment. It is recommended that health care provider, especially nurse, provide holistic service based on cultural for breast cancer patients who were treated with chemotherapy and give information to educational that the importance of cultural to give the nursing services.Keywords: Musical Therapy, Sleep Quality, Hemodialysis

SELF EFFICACY KEPUTUSAN KARIR PADA SISWA MADRASAH ALIYAH Budi Satria; Sri Wahyuna
Idea Nursing Journal Vol 6, No 3 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRAK Pengambilan keputusan karir merupakan suatu tahapan penting bagi siswa Sekolah Menengah Atas (SMA) atau sederajat, yaitu suatu pengambilan keputusan karir yang realitasnya diwujudkan melalui pemilihan studi lanjutan setelah SMA atau sederajat. Hal ini penting karena pilihan yang akan di ambil sangat menentukan masa depan karir siswa. Dalam pengambilan keputusankarir yang baik sangat dipengaruhi oleh adanya faktor dari dalam individu yaitu self efficacy yang tinggi. Tujuan penelitian ini adalah untuk mengetahui self efficacy dalam pengambilan keputusan karir pada siswa Madrasah Aliah Negeri (MAN) Rukoh Darussalam Banda Aceh. Penelitian ini merupakan penelitian deskriptif naratif dengan pendekatan cross sectional dari populasi sebanyak 153 orang, besar sampel 81 orang dengan teknik pengambilan sampel purposive sampling. Penelitian ini dilakukan pada tanggal 12 sampai dengan tanggal 15 Mei 2015 dengan menggunakan kuesioner untuk self efficacy yang terdiri dari 23 item pernyataan. Analisis data yang digunakan adalah analisis univariat. Hasil penelitian menunjukkan bahwa self efficacy pada siswa yang akan mengambil keputusan karir berada pada kategori tinggi sebanyak 49 orang (60,5%) dan 32 orang (39,5%) berada pada kategori rendah. Dari empat sub variabel self efficacy di dapat data yaitu performance accomplishments berada pada kategori tinggi sebanyak 45 orang (55,6%), vicarious experience berada pada kategori rendah sebanyak 43 orang (53,1%), verbal persuasion berada pada kategori tinggi sebanyak 55 orang (67,9%), physiological information berada pada kategori tinggi sebanyak 56 orang (69,1%). Berdasarkan hasil penelitian tersebut, peneliti menyarankan hendaknya pihak sekolah agar dapat lebih mempertimbangkan pentingnya bimbingan konseling terkait personal accomplisments, explorasi pengalaman, dan pemberian apresiasi atas keputusan karir untuk setiap siswa, agar siswa dapat sejak dini merencanakan dengan tepat karir masa depannya serta memfasilitasi setiap siswa secara intensif terkait permasalahan di bidang karir.Kata kunci: karir, self efficacy, siswa. ABSTRACT A career decision making that becomes a significant step for Senior High School students or equal is a career decision making that its reality is realised by selecting a higher education after Senior High School or equal. This is important because the options that will be taken will determine their future career. A good career decision making is influenced by the factor from internal individual, nemely high self efficacy. The objective of this research was to find out self efficacy in making a career decision of the students at Madrasah Aliyah Negeri (MAN) Rukoh Darussalam Banda Aceh. This research is a descriptive narrative with total population of 153 students, 81 samples, cross sectional aproach and the technique of selectingsample was purposive sampling. This research was conducted on 12 to 15 May 2015, by using questionnaires forself efficacy consisted of 23 statment items. Data analysis used was an univariate analysis. The result of the research showed that self efficacy on the students that would make a career decision was at high category totaled 49 persons (60,5%) and 45 persons (39,5%) as a lower category. There were four subvariables of self efficacy including: performance accomplishment was at high category for 45 persons (55,6%), vicarious experience was at low category for 43 persons (53,1%), verbal persuasion was at high category totaled 55 persons (67,9%), physiological information was at high category 56 persons (69,1%). Based on the results, the researcher suggests should the schools to be more considerate of the importance of counseling related to personal accomplisments, exploring experiences, and appreciating career desicions for every student so that the students can prepare their future career properly from the early time also school personel is expected to facilitate each student intensively related to the career problems.Keywords: career, self efficacy, students.

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Kab. aceh besar,

Aceh

INDONESIA