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PENINGKATKAN KUALITAS HIDUP PASIEN KANKER DENGAN IMPLEMENTASI PERAWATAN KESEHATAN PSIKOSEKSUAL Afiyati, Yati; Keliat, Budi; Ruwaida, Ida; Rachmawati, Imami; Agustini, Nur
Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.722 KB) | DOI: 10.20473/%oj.Ners111%y7-16

Abstract

Introduction: The contribution of nurses in improving the quality of life of patients with cancer has caused them to have needs of getting knowledge and skills to provide services on psychosexual health care. Training on psychosexual health care has been developed, implemented and given to oncology nurses in Indonesia in order to fulfill the needs so that the nurses are able to provide psychosexual health care to cancer survivors and their spouse. Method: The training utilized a method of pre- and post-test evaluation to identify outcomes including changes of evaluation scores of knowledge, belief, practice, and self-efficacy of trainees before and after receiving psychosexual health care training. Result: The training has been implemented on 46 oncology nurses in Indonesia so that they can have knowledge, practice, belief and self-efficacy in providing psychosexual health care to patients with cancer and their spouse. After training and mentorship had been provided, there were significant changes on knowledge, belief and self-efficacy in providing psychosexual health care services to patients with cancer and their spouse; however, there were no significant changes on practices. Discussion: The training has become a standard nursing care for cancer in Indonesia and has provided scientific evidences that nurses have contribution in improving quality of life of patients with cancer by providing a comprehensive nursing care through implementation of psychosexual health care in their daily nursing care for patients with cancer and their spouse. Keywords:  Psychosexual health care, training, nursing, cancer
PERSEPSI ANAK DAN ORANG TUA TENTANG KUALITAS HIDUP ANAK PENDERITA DIABETES MELLITUS TIPE 1 Agustini, Nur -; Allenidekania, Allenidekania; Efendi, Meriam
Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1167.315 KB) | DOI: 10.20473/%oj.Ners111%y51-55

Abstract

Type-1Diabetes mellitus (T1D) management is important to increase the quality of life in diabetic children. This research aimed to explore and to compare the parents and children perspective in the quality of life related to T1D. Cross sectional method was used to 35 dyad children (8-18 years old) and their parents. Children have been registered in top referral hospital in Indonesia. They filled the PedsQL® Module Diabetes 3.2 by self-report. Data were analyzed by t-test. The characteristic of respondents consist of the children and parents age, length of being diagnoses with T1D and the number of visit in the last 6 months.  Quality of life dimensions were measured in the last month since data collected. It consists of sign and symptom, disease and therapy, T1D management concern related to complication and communication. The result showed that the children mean age was 13.11 + 2.85 years old compared to parents (41.03 + 8.34 years old). The average length of being diagnoses with T1D was 4.54 +2.87 years and the average number of visit in the last 6 months was 5.8 + 1.79. Total score of quality of life from parents and children perspective were 64.41% + 10.97 and 63.09% + 13.25. Moreover, t-test analysis found that there was significant difference in parent perspective compared to the children perspective regarding quality of life related to T1D. In conclusion, children have relatively lower perception in evaluating their quality of life in T1D compared to the parents. Therefore, it is necessary for nurses to explore the influencing factors as well as coping mechanism related to T1D management so that nurses can develop individual nursing plan to increase the T1D childrens quality of life.
SUCROSE AND SWADDLING EFFECTIVELY REDUCE PAIN RESPONSE ON NEONATAL BLOOD SPOT BY HEEL PRICK Huda, Mega Hasanul; Yeni, Rustina; Nur, Agustini
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (351.931 KB)

Abstract

Background: Pain stimulates distress emergence that potentially impairs the development and growth on neonates. Heel prick brings about pain. This research aimed at observing the effectiveness of sucrose and swaddling on pain response to neonates. Methods: A clinical trial was designed by random under control using cross-over design. This study involved 24 neonates (aged 28 days) which taken from population using a consecutive sampling technique. Each subject was given two treatments of sucrose (24%) and swaddling, but the pain responses were observed at different time during and after received the heel prick (1, 2, and 3 minutes). Response of neonatal pain focused on face observation, oxygen saturation, and heart rate, but scored by the experts using a set of observation sheets from Cries Neonatal Postoperative Pain Measurement Tool (CNPPMT). Results: During the heel prick, the average of pain response was found higher on sucrose group (2.67). After a minute elapsed, the average of pain response on both groups was similar (1.96). After two and three minutes elapsed, the average of pain response was found higher on swaddling group. Bivariate results showed that there was no different average of the pain response on both groups during the heel prick (p=0.925) and after the heel prick (one minute (p=0.915), two minutes (p= 0.942), and three minutes (p=0.132)). Conclusions: Research revealed that sucrose and swaddling equally effective in reducing pain response on neonatal blood spot by heel prick. Swaddling could be carried out to reduce pain response on infants when pricking applied. 
MENURUNKAN FREKUENSI BATUK MALAM HARI DAN MENINGKATKAN KUALITAS TIDUR BALITA PNEUMONIA DENGAN MADU Rokhaidah, Rokhaidah; Nurhaeni, Nani; Agustini, Nur
Jurnal Keperawatan Widya Gantari Indonesia Vol 2, No 1 (2015): Jurnal Keperawatan Widya Gantari Indonesia
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1367.63 KB)

Abstract

Gejala umum yang sering dirasakan balita pneumonia adalah batuk. Intervensi keperawatan mandiri yang dapat dilakukan untuk mengatasi masalah batuk malam hari dan kualitas tidur anak di antaranya adalah dengan memberikan terapi komplementer madu. Madu sangat bermanfaat bagi kesehatan karena mengandung antibiotik alami, anti inflamasi, dan antioksidan. Penelitian ini bertujuan mengidentifikasi efektiitas pemberian madu terhadap batuk malam hari dan kualitas tidur balita dengan pneumonia. Desain penelitian ini menggunakan quasi eksperimen pretest posttest design with non equivalent control group dengan 36 responden  yang diambil secara consecutive sampling. Hasil analisis data menggunakan independent t test menunjukkan perbedaan penurunan skor batuk (p<0,001; CI 95% 1,82-3,37) dan peningkatan kualitas tidur yang signifikan (p<0,001; CI 95% 0,66-1,67) saat post test pada kelompok yang mendapatkan madu dibandingkan dengan kelompok kontrol. Peneliti merekomendasikan pemberian madu bagi balita pneumonia sebagai terapi alternatif yang aman untuk mengatasi batuk
Perkembangan Bayi Usia 6–12 Bulan dengan Riwayat Asfiksia Perinatal Ninis Indriani; Yeni Rustina; Nur Agustini
Jurnal Keperawatan Indonesia Vol 18, No 2 (2015): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v18i2.414

Abstract

Bayi dengan asfiksia perinatal sangat rentan mengalami komplikasi baik jangka pendek seperti disfungsi multiorgan maupun jangka panjang dengan terjadinya gangguan perkembangan. Tujuan penelitian ini adalah untuk mengetahui hubungan riwayat asfiksia perinatal dengan perkembangan bayi usia 6–12 bulan. Desain penelitian menggunakan potong lintang, yang melibatkan 56 bayi dengan riwayat asfiksia perinatal (berat, sedang, dan ringan) di Kabupaten Banyuwangi. Hasil penelitian menunjukkan ada hubungan yang signifikan antara riwayat asfiksia perinatal dengan perkembangan bayi (p= 0,026). Rekomendasi dari penelitian ini adalah perlu melakukan deteksi dini penyimpangan perkembangan khususnya bayi risiko tinggi dan mengoptimalkan peran serta orang tua dalam proses perkembangan anak.  Abstract Development of Infant Age 6–12 Months with History Perinatal Asphyxia. Infant with perinatal asphyxia history is very susceptible to have both short term complications such as multiple organ dysfunctions and long-term complications with development disorder. The purpose of this study is to indentify the correlation between perinatal asphyxia history and infant’s development age 6 to 12 months. Design of study used cross sectional, which involves 56 infants with severe, moderate, and mild asphyxia history in Banyuwangi Regency. The result of this study indicates that there is a significant correlation between perinatal asphyxia history and infant’s development (p= 0,026). The recommendations of this study is that it is necessary to do early detection development disorder especially for high risk infants and optimize the participation of parents in a child's development process. Keywords: infant’s development, perinatal asphyxia history
Neonatus dengan Ibu Diabetes Nur Agustini
Jurnal Keperawatan Indonesia Vol 2 No 5 (1998): Oktober
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v2i5.307

Abstract

Kehamilan pada seorang ibu dengan diabetes sangat mempengaruhi kondisi bayi yang akan dilahirkannya. Kondisi tersebut dapat timbul karena selama janin dalam kandungan kadar gula darah ibu senantiasa mempengaruhi kadar gula darah janin, sedangkan kadar insulin ibu tidak. Hal ini mengakibatkan hiperinsulinisme pada janin, yang kemudian meyebabkan timbulnya berbagai komplikasi yang berbahaya pada janin ataupun pada bayi setelah dilahirkan. Masalah utama yang timbul akibat hiperinsulinisme adalah hipoglikemia dan ditres pernapasan. Pemahaman yang baik tentang bayi dengan ibu diabetes harus dimiliki oleh seorang perawat, agar kelak dapat memberikan perawatan yang tepat untuk mendukung tumbuh kembang anak secara optimal. AbstractA pregnancy in a woman with diabetes mellitus can affect the health status of her fetus. This is because the level of blood sugar in a fetus will be affected by the level of blood sugar in the mother, which on the other hand the level of insulin of a mother does not affect the level; of insulin of her fetus. This condition may produce a hyperinsulinism that leads to hypoglycemia and respiratory distress in a newborn. A well understanding on a baby of diabetic mother is required for a nurse to deliver a comprehensive nursing care as an effort to assist a growth and development process of a baby optimally.Keywords: A level of blood sugar, hyperinsulinism.
Gambaran Prosedur Pemasangan Akses Intravena yang Dilakukan Oleh Perawat Kepada Balita: Pilot Studi Atika Widyanti; Nur Agustini
Jurnal Keperawatan Indonesia Vol 19, No 3 (2016): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i3.468

Abstract

Prosedur pemasangan intravenous line merupakan sebuah prosedur tindakan invasif yang dapat mengakibatkan trauma dan gambaran yang negatif pada balita dan orangtua. Penelitian ini bertujuan untuk melihat gambaran prosedur pemasangan intravenous line yang dilakukan oleh perawat kepada balita di rumah sakit. Penelitian ini menggunakan desain penelitian deskriptif pada 40 responden dengan metode analisis data univariat. Hasil penelitian menunjukkan sebanyak 55% responden mempunyai gambaran yang baik tentang prosedur pemasangan intravenous line yang dilakukan oleh perawat kepada balita. Berdasarkan hasil penelitian ini prosedur pemasangan IV line sebagian besar sudah dilaksanakan dengan baik oleh perawat. Penelitian ini dapat menjadi informasi dan hasil evaluasi bagi perawat tentang prosedur pemasangan intravenous line kepada balita. Abstract Description of Intravenous Line’s Procedure doing by Nurses to Toddlers: Pilot Study. Intravenous line’s procedure is an invasive procedure that can traumatize and gives negative perception for children under five years old and their parents The purpose of this study was to describe intravenous line’s procedure done by nurses towards children under five years old at hospital. This descriptive study was collected from 40 respondents by using univariate analysis. The result of this study showed that 55% respondent had positive image about intravenous line’s procedure done by nurses toward children under five years old. Based on the result showed a lot of nurses have performed intravenous line’s procedure well. This study can be used as information and evaluation’s result for nurses about intravenous line’s procedure toward children under five years old. Keywords: children under five years old, hospital, intravenous line’s procedure, nurse, parent
Madu Menurunkan Frekuensi Batuk pada Malam Hari dan Meningkatkan Kualitas Tidur Balita Pneumonia Rokhaidah Rokhaidah; Nani Nurhaeni; Nur Agustini
Jurnal Keperawatan Indonesia Vol 18, No 3 (2015): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v18i3.437

Abstract

Gejala umum yang sering dirasakan balita pneumonia adalah batuk. Intervensi keperawatan mandiri yang dapat dilakukan untuk mengatasi masalah batuk pada malam hari dan kualitas tidur anak di antaranya adalah dengan memberikan terapi komplementer madu. Madu bermanfaat bagi kesehatan karena mengandung antibiotik alami,  antiinflamasi, dan antioksidan. Penelitian ini bertujuan mengidentifikasi efektivitas pemberian madu terhadap batuk pada malam hari dan kualitas tidur balita yang mengidap pneumonia. Desain penelitian ini menggunakan rancangan eksperimen semu pretest posttest with non equivalent control group dengan tiga puluh enam responden yang diambil secara consecutive sampling. Hasil analisis data menggunakan independent t-test yang menunjukkan bahwa terdapat perbedaan penurunan skor batuk (p< 0,001; CI 95% 1,82–3,37) dan peningkatan kualitas tidur yang bermakna (p< 0,001; CI 95% 0,66–1,67) saat posttest pada kelompok yang mendapatkan madu dibandingkan dengan kelompok kontrol. Peneliti merekomendasikan pemberian madu bagi balita pneumonia sebagai terapi komplementer yang aman untuk mengatasi batuk. Kata kunci: batuk, kualitas tidur, madu, pneumonia Abstract Honey for Decreasing Cough at Night and Increasing the Sleep Quality of Children with Pneumonia. A common symptom of pneumonia in toddler is coughing. Coughing is the body's natural mechanism in response to the inflammation that occurs in the lungs. Coughing that occurs at night can disrupt sleep quality of toddler with pneumonia. Independent nursing interventions that can be done to overcome this problem is to provide honey as a complementary therapy. Honey is very beneficial for health because it contains natural antibiotic, anti-inflammation, and antioxidant. This study aimed to identify the effectiveness of honey to decrease night time cough and to increase sleep quality of toddler with pneumonia. This study used a quasi-experimental pretest-posttest design with non-equivalent control group with 36 respondents taken by consecutive sampling. Results of data analysis using independent t-test showed differences decrease cough scores (p< 0,001; CI 95% 1,82–3,37) and a significant increase in sleep quality (p< 0,001; CI 95% 0,66–1,67). It is recommended to give honey to toddlers with pneumonia as a safe complementary therapy for treating coughs. Keywords: cough, honey, pneumonia, quality of sleep
Pengetahuan, Sikap, dan Perilaku Ibu dalam Pemenuhan Gizi Balita: Sebuah Survei Sanny Rachmawati Setyaningsih; Nur Agustini
Jurnal Keperawatan Indonesia Vol 17, No 3 (2014): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v17i3.451

Abstract

Gizi merupakan faktor yang berperan penting dalam pertumbuhan dan perkembangan balita. Pada aspek gizi, peran orang tua terutama ibu sangatlah penting karena merupakan orang yang terdekat bagi anak. Penelitian pendahuluan ini bertujuan memperoleh gambaran tentang pengetahuan, sikap, dan perilaku ibu dalam pemenuhan gizi balita. Survai ini melibatkan ibu yang memiliki anak berusia 13 sampai 59 bulan di Wilayah Pancoran Mas, Depok, Jawa Barat sebanyak 112 responden. Teknik pengambilan sampel yang digunakan adalah multistage random sampling dan consecutive sampling. Hasil survai menunjukkan sebanyak 75,9% ibu berpengetahuan cukup, 57,1% ibu memiliki sikap yang cukup baik, serta 71,4% ibu berperilaku baik dalam pemenuhan gizi balita. Hasil penelitin ini menunjukkan kondisi yang positif tetapi perlu diteliti lebih mendalam lagi sehingga permasalahan utama berkaitan dengan gizi balita dapat diidentifikasi. AbstractKnowledge, Attitude, and Behavior of Mothers related to Nutritional for Preschool Children: An Observation. Nutrition is an important factor for the growth and development of preschool children. On nutritional aspects, the role of parents, particularly mothers is important because they are the closest relatives to the children. This observation aims to identify mothers' nutrition knowledge, attitude, and behavior involving 112 mothers who have children aged between 13 until 59 months. Respondents were selected with multistage random sampling and consecutive sampling technique. The results show that 75.9% of mothers have moderate knowledge, 57.1% of mothers have moderate attitude, and 71.4% of mothers show good behavior toward nutrition fulfilment. The results of this research can be used as a reference a new and deep to develop strategies to address nutritional problems in preschool children Keywords: preschool children, mothers' attitude, mothers' behavior, mothers' knowledge, nutrition fulfilment
Kualitas Tidur Anak Usia Sekolah yang Menjalani Kemoterapi Di Rumah Sakit Kanker Novita Dewi Rahmayanti; Nur Agustini
Jurnal Keperawatan Indonesia Vol 18, No 2 (2015): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v18i2.408

Abstract

Kemoterapi diyakini efektif dalam menghambat pertumbuhan sel kanker. Namun demikian kemoterapi juga menimbulkan efek samping bagi penderita kanker, salah satunya yaitu gangguan pemenuhan kebutuhan tidur. Penelitian ini bertujuan untuk mendapatkan informasi tentang gambaran kualitas tidur anak usia sekolah yang sedang menjalani kemoterapi di rumah sakit kanker. Penelitian menggunakan metode potong-lintang dengan melibatkan 40 responden yang diambil dengan teknik total sampling. Responden mengisi kuesioner berupa data demografi dan kuesioner Pittsburgh Sleep Quality Index (PSQI). Analisa data menggunakan uji univariat. Hasil penelitian menunjukkan rerata skor PSQI adalah 7 dari maksimal 21 (95% CI, 6,24–7,76) yang berarti responden memiliki kualitas tidur buruk. Tenaga kesehatan (khususnya perawat) diharapkan dapat melakukan monitoring untuk evaluasi pemenuhan kebutuhan tidur anak kanker. Abstract Quality of Sleep of School Age Children are Undergoing Chemotheraphy in Cancer Hospital Chemotherapy is believed to be effective in inhibiting cancer cell’s growth. However, this therapy has side effects for cancer patients, one of them is sleeping needs disturbance. This study aims to get information about the status of sleep quality in school-age children whom are undergoing chemotherapy at cancer hospital, Jakarta. This study used cross sectional design with 40 participants using total sampling technique. Participants filled the questionnaire consisting of demographic data and the Pittsburgh Sleep Quality Index (PSQI). This study was analyzed using univariate test. The result showed that participants have quality sleep index with average score 7 from total 21 (95% CI, 6.24–7.76). It’s indicated that participants have poor sleep quality. Health providers (especially nurses) are expected to conduct monitoring to evaluate sleep quality in children with cancer.Keywords: cancer, chemotherapy, school-age children, sleep quality