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"Pendahuluan: Fatigue merupakan gejala yang paling mengganggu bagi pasien sirosis, dan menurunkan kualitas hidup pasien, sehingga perlu dilakukan penelitian tentang faktor yang paling berpengaruh terhadap fatigue pada pasien sirosis.Metode: Desain penelitian cross sectional, jumlah sampel 70 orang, teknik pengambilan sampel: consecutive sampling. Data dikumpulkan menggunakan lima kuesioner: karakteristik responden, FSS, MOSsss, self efficacy for managing chronic disease 6 item scale, hasil laboratorium Hb dan skor child pugh. Analisis data dengan chi square dan regresi logistik.Hasil: Terdapat tiga faktor yang paling berpengaruh terhadap fatigue pada pasien sirosis, diantaranya: anemia: OR = 6,556 (95%CI = 1,683 ; 25,535), dukungan sosial: OR = 5,914 (95%CI = 1,582 ; 22,113) dan self efficacy: OR = 4,559 (95%CI = 1,395 ; 14,901). Ketiga faktor tersebut dapat dijadikan acuan, dalam melakukan intervensi keperawatan yang tepat, untuk mengatasi fatigue pada pasien sirosis.Rekomendasi: Perawat perlu memiliki format pengkajian deteksi dini fatigue yang valid, dan pemberian edukasi terkait faktor risiko fatigue.

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Introduction: Fatigue is the most disturbing symptom for patients with cirrhosis, and decreases patients quality of life, so it is necessary to do research on the factors that most influence fatigue in patients with cirrhosis.Method: Cross sectional study design, total sample 70 respondent, sampling technique: consecutive sampling. Data were collected using five questionnaires: respondent characteristics, FSS, MOSsss, self efficacy for managing chronic disease 6 items, laboratory Hb results and child pugh score. Data analysis with chi square and logistic regression.Results: There were three factors that most influenced fatigue in cirrhotic patients, including: anemia: OR = 6.556 (95% CI = 1.683; 25,535), social support: OR = 5,914 (95% CI = 1,582; 22,113) and self efficacy: OR = 4,559 (95% CI = 1,395; 14,901). These three factors can be used as references, in carrying out appropriate nursing interventions, to overcome fatigue in patients with cirrhosis.Recommendation: Nurses need to have a valid fatigue early detection assessment format, and education regarding risk factors for fatigue."

"Saat ini profesi keperawatan telah mengalami perkembangan. Munculnya seorang perawat spesialis diharapkan dapat meningkatkan mutu pelayanan keperawatan dalam bidang kekhususannya, salah satu bidangnya yaitu keperawatan digestif. Program pendidikan spesialis keperawatan diadakan untuk memenuhi harapan tersebut. Penulisan KIAS bagi mahasiswa residen peminatan digestif, berisi tentang pengalamannya merawat 30 pasien dengan masalah sistem pencernaan menggunakan pendekatan teori model adaptasi Roy, penerapan intervensi keperawatan berdasarkan bukti ilmiah (evidence based practice), serta pelaksanaan proyek inovasi. Melakukan studi kasus dengan 30 pasien kelolaan menggunakan pendekatan teori model adaptasi roy, sesuai untuk digunakan pada pasien dengan kanker kolorektal. Penerapan evidence based nursing aromatherapy massage cukup efektif menurunkan kecemasan dan peningkatan kualitas tidur pasien pra-operasi kolorektal. Penerapan video edukasi efektif meningkatkan pengetahuan pasien pra-operasi kolostomi. Perawat yang berkompetensi massage diperlukan, agar ada alternatif intervensi keperawatan yang berkaitan dengan kecemasan dan kualitas tidur. Pemberian video edukasi stoma, diharapkan menjadi satu paket perawatan pasien stoma.

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Nowadays the nursing profession has developed. The emergence of a specialist nurse is expected to improve the quality of nursing services in their specialty areas, one of the fields being digestive nursing. Nursing specialist education programs are held to meet these expectations. The writing of KIAS for digestive resident students contains the experience of treating 30 patients with digestive system problems using Roy's adaptation model theory approach, the application of evidence-based nursing interventions, and the implementation of innovation projects. Conducted a case study with 30 patients under management using a theoretical approach to the Roy adaptation model, suitable for use in patients with colorectal cancer. The application of evidence based nursing aromatherapy massage is quite effective in reducing anxiety and improving sleep quality in colorectal preoperative patients. The application of educational videos effectively increases the patient's knowledge of pre-colostomy surgery. Nurses with competence in massage are needed, so that there are alternative nursing interventions related to anxiety and sleep quality. Providing stoma education videos, is expected to be a package of stoma patient care."