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"HIV/AIDS merupakan penyakit kronis yang berbeda dengan penyak.it lainnya, karena masalah yang ditimbulkan sangat kompleks sehingga mereka membutuhkan dukungan sosial. Dukungan kelompok (self help group) dapat membantu mengenali dan menggunakan sumber-sumber koping yang lebih adaptif. Tujuan penelitian ini untuk mendapatkan pemahamao yang mendalam tentang pengalaman ODHA mendapatkan dukungan sosiaJ. Penelitian ini menggunakan metode kualitatif fenomenologi deskriptif deogan wawancara mendalam terhadap delapan orang partisipan yang terdiagnosa HIVIAIDS yang tinggal di Malang Raya. Data dianalisa dengan analisis tematik terhadap transkrip basil wawancara dan diperoleh 1-1 tema.Hasil penelitian didapatkan tiga tema tentang faktor risiko infeksi HIV; risiko sosialekonomi, risiko perilau, dan penyesuaian tumbuh kembang, satu tema tentang respon terdiagnosa yaitu respon psikososial, dua tema tentang makna hidup yaitu perubahan spiritual dan merancang masa depan, satu tema tentang dukungan yang diperoleh yaitu dukungan sosial, dua tema tentang pengaruh dukungan sosiaJ yang diterima yaitu kesehatan terkontrol dan pembiayanan kesehatan, dan tiga tema terkait dukungan yang diharapkan yaitu; pelayanan kesebatan. bentuk dukungan, dan pemberdayaan.Kesimpulan hasil penelitian ini perlunya peran perawat komunitas mengembangkan kelompok dukungan sosial dalam konteks asuban keperawatan dan pemberdayaan ekonomi pada ODHA.Hasil penelitian ini merekomendasikan perawat puskesmas perlu membuat program home visil dan memfasilitasi pemberian pinjaman modal usaha (microfinance) pada ODHA.

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HIVIAIDS is a chronic disease that is different with other diseases. 1bis desease causes complicated problem in the whole of people life. Because of that reason, social support for the people living with HN/AIDS (PLWHA) is very important. Social support namely self help group can empower PLWHA to find adaptive coping resource and use it effectively. The purpose of this study is to explor PLHA experience getting socia1 support. This study use qualitative descriptive phenomenology method trough depth interview on eight participants diagnosed with HIV/AIDS who live in Malang Raya. Data was analysed with thematic analysis from transcript found 11themes.Those thame include three themes of HIV infection risk factor such as socioeconomic risk, behaviour risgrowth and development risk, one theme on HIV/AIDS diagnoses that is psycosocial respon, two themes on with wisdom of life spiritual change in future life, one theme getting support from social support, two themes on the influence of given social support such as controlling health and health care, last three themes on needed support namely health care, support pattern, and empowerment.In conclusion, there is a need to develop social support groups as nurse's role in the context of nursing care and economical empowerment of PLWHA. lbis study recommends that the community helath nurses to develop home visit program and facilitate capital loans (microfinance) to PLWHA."

"Karya Ilmiah Akhir Spesialis ini bertujuan untuk memberikan gambaran penerapan progam Manajemen tanda dan gejala DM (Mandala DM) sebagai bentuk intervensi keperawatan komunitas pada aggregate dewasa dengan DM. Program Mandala DM yang diterapkan merupakan strategi intervensi keperawatan yang dikhususkan untuk meningkatkan keaktifan dan kemandirian aggregate dewasa dengan DM, keluarga dan masyarakat melalui Self Help Group (SHG). Perumusan program Mandala DM menggunakan integrasi teori manajemen, community as pastner, family centered nursing, dan preceed proceed model. Hasil memperlihatkan bahwa terjadi peningkatan pengetahuan, keterampilan, sikap dan persepsi serta penurunan kadar gula darah 10-20 mg/ dl. Peningkatan kesehatan dan kemandirian juga ditunjukkan oleh 10 keluarga binaan. Selanjutnya Dinas Kesehatan, puskesmas, perawat komunitas dan masyarakat terutama aggregate dewasa dapat menggunakan program ini dalam mengendalikan masalah DM.

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This aim of this final assignment is provide an overview of the application of signs and symptoms management program of diabetes mellitus (Mandala DM) as a form of community nursing intervention in adults aggregate with DM. The Mandala DM program applied as nursing intervention strategy to enhance the activity and independence of adult with diabetes, their families and communities through the Self Help Group (SHG). Mandala DM program applied the integration of management theory, community as partner, family centered nursing, and preceed proceed models.

The results showed that an increased in knowledge, skills, attitude and perception about DM, and decreased in blood sugar levels of 10-20 mg / dl. The improved health of adult diabetes is also indicated by the 10 families assisted. This study recommends that the Department of Health, community health centers, community nurses and community, especially the adults aggregate to use this program to control the DM."

"Penurunan kemampuan fisik pada lansia disebabkan oleh penuaan sistem organ yang mempengaruhi kesehatan, khususnya sistem muskuloskeletal. Salah satu masalah utama adalah osteoartritis (OA), yang disebabkan oleh degenerasi tulang rawan. OA menjadi masalah kesehatan dengan angka kecacatan tinggi. Survei menunjukkan bahwa banyak lansia OA di Kelurahan Jatijajar mengalami nyeri dengan intensitas sedang hingga berat, mempengaruhi aktivitas fisik dan kesejahteraan mereka. Perawat komunitas berperan penting dalam manajemen diri lansia melalui pendidikan kesehatan dan intervensi berbasis teknologi, seperti aplikasi android LABIL (Lansia Aktif Bebas Mobilitas), untuk meningkatkan pengetahuan dan keterampilan lansia dalam mengelola OA. Tujuan dari studi kasus ini yaitu untuk membuktikan penerapan intervensi inovasi LABIL (Lansia Aktif Bebas Mobilitas) dalam mengatasi hambatan mobilitas fisik pada lansia dengan osteoartritis di Kelurahan Jatijajar, Kota Depok. Studi ini mengukur peningkatan perilaku (pengetahuan dan keterampilan) serta skor KOOS pada lansia dengan osteoartritis setelah pelaksanaan intervensi keperawatan LABIL. Sebanyak 45 lansia menjadi responden dalam program ini, yang terdiri dari delapan sesi latihan kekuatan dan keseimbangan khusus untuk lansia dengan osteoartritis. Hasil analisis menunjukkan p-value yang sangat signifikan (0.000), mengindikasikan perbedaan yang signifikan antara nilai pre-test dan post-test pada semua variabel setelah intervensi. Kesimpulannya, intervensi LABIL memberikan dampak positif yang signifikan terhadap berbagai aspek yang diukur, termasuk tanda dan gejala, nyeri, kemampuan aktivitas sehari-hari, aktivitas olahraga dan rekreasi, serta kualitas hidup lansia di Kelurahan Jatijajar. Perawat berharap intervensi latihan aktivitas fisik ini dapat di integrasikan ke kegiatan Posyandu siklus hidup pada masing-masing RW.

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The decline in physical abilities in older people is caused by the aging of organ systems that affect health, especially the musculoskeletal system. One of the main problems is osteoarthritis (OA), which is caused by cartilage degeneration. OA is widespread in Indonesia and leads to a high rate of disability. Surveys show that many elderly people with OA in Jatijajar village suffer from moderate to severe pain, which affects their physical activity and well-being. Community nurses play an important role in self-management of older people through health education and technology-based interventions such as the android application LABIL (Active, Mobility-Free Elderly) to improve older people's knowledge and skills in managing OA. The aim of this case study is to evaluate the implementation of the innovation intervention LABIL (Active, Mobility-Free Elderly) in overcoming barriers to physical mobility among older people with osteoarthritis in Jatijajar Village, Depok City. This study measured improvements in behavior (knowledge and skills) and KOOS scores in older people with osteoarthritis following the implementation of the LABIL care intervention. A total of 45 older people participated in this program, which consisted of eight strength and balance training sessions specifically for older people with osteoarthritis. The results of the analysis show a highly significant p-value (0.000), indicating a significant difference between the pre- and post-intervention results for all variables. In conclusion, the LABIL intervention had a significant positive impact on several aspects measured, including signs and symptoms, pain, ability to perform daily activities, sports and recreation activities, and quality of life of the elderly in Jatijajar village."

"[ABSTRAKMasalah gizi kurang balita merupakan masalah aktual di wilayah Puskesmas Sentolo 1, Yogyakarta. Tujuan penelitian ini untuk mengetahui faktor-faktor yang mempengaruhi status gizi balita. Penelitian ini menggunakan cross sectional, sampel balita 12-59 bulan sebanyak 155 orang. Data diperoleh melalui kuesioner, status gizi diukur dengan indeks Berat Badan/Umur. Hasil menunjukkan terdapat hubungan bermakna antara usia balita, riwayat pemberian ASI, asupan makanan, persepsi ibu, pola pengasuhan dengan status gizi balita. Faktor dominan yang mempengaruhi status gizi adalah asupan makanan. Diperlukan peran perawat komunitas dalam edukasi, pemberdayaan, dan kerjasama untuk meningkatkan status gizi balita.

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ABSTRACTUndernutrition in under five years old children is still a problem in Sentolo 1 Public Health Center, Yogyakarta. The purpose of this study was to determine the factors related nutritional status in children under five years. Cross sectional study was conducted to 155 children under five years old. Nutritional status was assessed using anthropometric measurement. There were significantly relationships between child?s age, exclusife breastfeeding, child?s dietary intake, caregivers? practice and mother?s perception and child?s nutritional status. Child?s dietary intake was the most factor that significantly correlated. These findings indicate that the roles of community nurses are needed to improve children nutritional status by utilizing education, empowerment and partnership;Undernutrition in under five years old children is still a problem in Sentolo 1 Public Health Center, Yogyakarta. The purpose of this study was to determine the factors related nutritional status in children under five years. Cross sectional study was conducted to 155 children under five years old. Nutritional status was assessed using anthropometric measurement. There were significantly relationships between child?s age, exclusife breastfeeding, child?s dietary intake, caregivers? practice and mother?s perception and child?s nutritional status. Child?s dietary intake was the most factor that significantly correlated. These findings indicate that the roles of community nurses are needed to improve children nutritional status by utilizing education, empowerment and partnership, Undernutrition in under five years old children is still a problem in Sentolo 1 Public Health Center, Yogyakarta. The purpose of this study was to determine the factors related nutritional status in children under five years. Cross sectional study was conducted to 155 children under five years old. Nutritional status was assessed using anthropometric measurement. There were significantly relationships between child’s age, exclusife breastfeeding, child’s dietary intake, caregivers’ practice and mother’s perception and child’s nutritional status. Child’s dietary intake was the most factor that significantly correlated. These findings indicate that the roles of community nurses are needed to improve children nutritional status by utilizing education, empowerment and partnership]"

"TB paru masih menjadi masalah kesehatan masyarakat tidak hanya di level nasional tetapi juga di level global. Usia dewasa merupakan salah satu kelompok yang memiliki resiko terkena TB. Bahkan WHO menyebutkan bahwa sebagian besar penderita TB banyak menyerang kelompok usia produktif. Kepatuhan pengobatan dan perilaku pencegahan penularan merupakan salah satu faktor yang berkontribusi untuk meningkatkan angka kesembuhan pasien TB sehingga dapat menekan laju penularan dan mencegah terjadinya resistensi obat. Tujuan disusunnya Karya Ilmiah ini adalah untuk memberikan gambaran pelaksanaan asuhan keperawatan komunitas yang dilakukan oleh residen ners spesialis keperawatan komunitas kepada kelompok dewasa dengan TB paru. Sampel yang digunakan pada program inovasi ini yakni 32 pasien. Pengambilan sampe menggunakan teknik total sampling. Upaya yang diinisiasi oleh perawat bernama Program Menu STOP TB (Mencegah Penularan Melalui Upaya Suluh, Temukan, Obati dan Pertahankan Pengobatan) yang terdiri dari 8 sesi, diantaranya sesi selection of participans, sesi intervensi psikoedukasi, sesi restrukturisasi kognitif, sesi latihan pernapasan, sesi activity scheduling, sesi problem solving, sesi tutorial aplikasi web menu stop tb; sesi maintain health behaviours. Pelaksanaan inovasi ini menggunakan pendekatan terapi dukungan kelompok. Hasil dari pelaksanaan program inovasi ini, sebagai berikut : (1) adanya rerata peningkatan rerata tingkat pengetahuan, sikap dan keterampilan dalam pencegahan penularan TB sebelum dan setelah intervensi Menu STOP TB; (2) adanya rerata peningkatan tingkat persepsi dan efikasi diri dalam pencegahan penularan TB sebelum dan setelah intervensi Menu STOP TB; (3) adanya perbedaan yang bermakna pada rerata pengetahuan, sikap dan keterampilan, persepsi dan efikasi diri dalam upaya pencegahan penularan TB sebelum dan setelah intervensi Menu STOP TB dengan nilai p Value < 0,05. Pelaksanaan program Menu STOP TB efektif meningkatkan perilaku dan persepsi pencegahan penularan pada kelompok dewasa TB. Perawat dapat menggunakan pendekatan terapi dukungan kelompok untuk meningkatkan perilaku dan persepsi pada klien.

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Pulmonary tuberculosis (TB) is still a public health problem not only at the national level but also at the global level. Adult age is one of the groups that have a risk of developing TB. In fact, WHO states that most TB sufferers attack the productive age group. Treatment adherence and transmission prevention behavior are factors that contribute to increase the cure rate for TB patients so that they can reduce the rate of transmission and prevent drug resistance. The purpose of this scientific paper is to provide an overview of the implementation of nursing care for communities carried out by community nurses to groups of adults with pulmonary TB. The sample used in this innovation program is 32 patients through total sampling technique.The effort initiated by the nurse was called the Menu STOP TB Program (Preventing Transmission Through Efforts to Examine, Find, Treat and Maintain Treatment) which consisted of 8 sessions, including selection of participants, psychoeducational intervention session, cognitive restructuring session, breathing exercise session, activity scheduling session, problem solving session, menu stop tb web application tutorial session; maintain health behavior session. The implementation of this innovation uses a support group therapy approach. The results of the implementation of this innovation program are as follows: (1) an increase in the average level of knowledge, attitudes and skills in preventing TB transmission before and after the Menu STOP TB intervention; (2) the average increase in the level of perception and self-efficacy in preventing TB transmission before and after the Menu STOP TB intervention; (3) there is a significant difference in the average knowledge, attitudes and skills, perceptions and self-efficacy in preventing TB transmission before and after the Menu STOP TB intervention with p-value <0.05. The implementation of the Menu STOP TB program is effective in increasing the behavior and perception of prevention of transmission in the TB adult group. Nurses can use a support group therapy approach to improve client behavior and perceptions."

"Cerebral palsy (CP) merupakan kelainan motorik yang banyak ditemukan pada anakanak dan kejadiannya semakin meningkat setiap tahun. Secara umum, merawat cerebral palsy membebani secara fisik, mental, sosial dan ekonomi. Penelitian fenomenologi ini penting dilakukan untuk mengeksplorasi secara mendalam pengalaman keluarga dalam merawat anak CP. Partisipan dalam penelitian ini sebanyak 7 orang caregiver CP yang diambil dengan menggunakan metode Criterion sampling dipilih oleh peneliti. Tema yang teridentifikasi terkait pengalaman merawat anak CP berjumlah 10 tema, yaitu kemungkinan penyebab CP, tanda dan gejala yang diamati oleh keluarga, upaya mencari pertolongan terhadap masalah CP, perkembangan anak CP, perilaku yang mendukung dan belum mendukung perawatan anak CP, sumber dan bentuk dukungan, sumber dan bentuk hambatan, bentuk harapan dan kebutuhan, dan makna yang terungkap adalah menerima kondisi ?kekurangan? anak CP dan pengalaman merawat anak CP merupakan "trauma" bagi ibu. Perawat komunitas berperan dalam tiga level pencegahan, yaitu pencegahan primer, sekunder dan tersier baik itu bagi calon ibu, bagi ibu hamil, ibu dengan balita serta ibu yang memiliki anak CP.

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Cerebral palsy (CP) is a motoric impairment that found in many children and the incidence increasing every year. Generally, caring CP is thoughtfull by physic, mental, social and economy. Study of phenomenology is important to explore the family experience of caring children with CP deeply. The participants in this study are 7 caregiver of CP and taken by criterion sampling method. Ten themes idenfied from this study. The themes are the effect of CP cause, the sign that the parents see, the things that to search the help CP problem, the kids grow up CP, the kind of habbits thas support and not support of caring of CP, the source and supports, the source and not support, hope and need, and the meaning that will be accept is to accept the ?less? of Cp condition and the caring of children with CP is the "traumatic" even for mother. There are primary, secondary, and tertiary level of prevention. Not only for the woman who want to be a mother, pregnant, the mother with toddler but also for mother who have children with CP."