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"ABSTRAK

Penggunaan telenursing memiliki potensi dalam menjembatani kesenjangan antara perawat dan pasien, sehingga memungkinkan pertukaran informasi dilakukan lebih cepat daripada melalui tatap muka. Tulisan ini bertujuan untuk menunjukkan implikasi telenursing melalui SMS pada klinik MTBS Puskesmas Pancoran Mas terhadap frekuensi kunjungan ulang pasien serta respon yang diberikan oleh partisipan. Penelitian ini menggunakan metode eksperimental melalui pengamatan dan pendekatan cross sectional static group comparison pada dua kelompok yang masing-masing terdiri atas 25 peserta diperlakukan secara berbeda. Hasil menunjukkan bahwa melalui uji Fisher exact ditemukan tidak ada perbedaan antara jarak tempuh ke pusat kesehatan dengan kunjungan ulang. Juga tidak ada hubungan antara telenursing dengan frekuensi jumlah kunjungan ulang kedua kelompok. Meskipun demikian, 64% partisipan intervensi merespon pesan, yang berarti membuka kemungkinan untuk proses pendidikan kesehatan untuk dilakukan dari jarak jauh. Penelitian yang bersifat kualitatif di setting yang sama untuk meninjau ulang kepuasan pasien terhadap proses telenursing ini sangat direkomendasikan

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ABSTRACT

The use of telenursing has revealed its potential benefits in bridging the gap between nurses and the patients. Thus, enabling information exchange process could be done faster than conventional face-to-face visits. This paper aims to show implications of telenursing method on a community health center pediatric clinic in Pancoran Mas Depok, Indonesia, towards its patient?s behavior to revisit as well as responses given by the patients. This research includes a set of experiment-base static group comparison method. Two groups, each consisted of 25 participants were treated differently at the same time. Using Fisher Exact technique, analysis revealed that there was no difference between distance from house to the health center and no difference between both groups in terms of repeated visits? frequency. However, it turned out that 64% participants responded the messages, opening up the possibility for health education to be undergone from distance. It is further recommended to measure patient?s satisfaction during the telenursing process in qualitative fashion

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"Masalah psikososial dan kesehatan jiwa bagi penyintas COVID-19 yang paling banyak ditemukan adalah ansietas. Situasi pandemi membuat peneliti mengembangkan model dukungan kesehatan jiwa dan psikososial berbasis telenursing. Penelitian bertujuan untuk menguji efektivitas model dukungan kesehatan jiwa dan psikososial terhadap ansietas, resiliensi dan self transendence. Metode penelitian ini merupakan operational research terdiri atas 3 tahap, yaitu tahap pertama desain kualitatif deskriptif fenomenologi menggali permasalahan psikososial pada penyintas COVID-19. Tahap kedua merupakan pengembangan model teori dan aplikasi android. Tahap ketiga dilakukan uji efektivitas model dukungan kesehatan jiwa dan psikososial pada penyintas COVID-19 dan keluarga. Penelitian dilakukan di Bogor. Penelitian tahap 1 dilakukan pada penyintas COVID-19, keluarga dan perawat. Jumlah sampel tahap 1 : 46 responden. Hasil penelitian tahap 1 diperoleh 4 tema. Penelitian tahap 3 menggunakan desain quasy experiment dengan control group pre-post test design. Total sampel pada penelitian tahap 3 adalah 360 orang. Intervensi pada penyintas al : TKN 1-3, CBT, MBSR dan SHG dan intervensi pada keluarga : TKN 1-4. Hasil penelitian ditemukan bahwa model dukungan kesehatan jiwa dan psikososial dapat menurunkan ansietas, meningkatkan resiliensi dan self transendence secara bermakna (pValue<0,005). Rekomendasi penelitian ini bahwa perlunya pengembangan upaya preventif dan promotif melalui variasi cara sesuai dengan perkembangan teknologi.

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The most common psychosocial and mental health problem for COVID-19 survivors is anxiety. Pandemic situation has led researchers to develop a model of mental health and psychosocial support based on telenursing. This study aims to examine the effectiveness of a telenursing on the anxiety, resilience, and self-transcendence of COVID-19 survivors. This research method is operational research. The first stage uses a descriptive phenomenological qualitative design. The second stage was the development of a theoretical model and an Android application. The third stage was to examine the effectiveness of the mental health and psychosocial support model. Phase 1 research was conducted on COVID-19 survivors, families, and nurses. Phase 3 of research was conducted using a quasy experiment design with a control group pre-post test design. The total sample was 360 people. Respondents in the intervention group were given the nursing intervenstions as follow: TKN 1-3, CBT, MBSR, and SHG, while family intervention was TKN 1-4. The results of the study found that mental health and psychosocial support model can reduce anxiety and increase resilience and self-transcendence significantly (p-value <0.005). This study recommends that it is necessary to develop preventive and promotional efforts in accordance with technological developments."

"Penyakit Coronary Artery Disease (CAD) merupakan penyebab utama kematian dan meningkatnya angka Disability Adjusted Life Years (DALYs) pada populasi global. Penelitian ini bertujuan untuk mengidentifikasi pengaruh telenursing berbasis website aplikasi dalam meningkatkan kualitas hidup pasien coronary artery disease post percutaneuos intervention. Desain penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain quasi eksperimen pre post dengan grup kontrol yaitu memberikan perlakuan atau intervensi pada subyek penelitian kemudian efek perlakuan tersebut diukur dan dianalisis. Analisis data menggunakan uji Wilcoxon dan Mann Whitney dikarenakan data tidak berdistribusi secara normal. Perbedaan sebelum dan sesudah pemberian telenursing website aplikasi pada kelompok intervensi mendapatkan hasil terjadi peningkatan kualitas hidup secara total dan setiap domain. Begitu pula pada kelompok kontrol didapatkan secara total terjadi peningkatan kualitas hidup namun jika dilihat masing masing domain tidak terjadi peningkatan. Hasil sesudah intervensi antar kelompok mendapatkan nilai p-value <0.05. dari hasil tersebut dapat disimpulkan bahwa terdapat perbedaan kualitas hidup yang signifikan antara kelompok kontrol dan kelompok intervensi, Dimana pada kelompok intervensi terjadi peningkatan kualitas hidup pada pasien CAD post PCI.

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Coronary Artery Disease (CAD) is the main cause of death and increasing rates of Disability Adjusted Life Years (DALYs) in the global population. This study aims to identify the influence of application website-based telenursing in improving the quality of life of coronary artery disease patients post percutaneous intervention. The design of this research is quantitative research using a pre-post quasi-experimental design with a control group, namely providing treatment or intervention to research subjects and then the effects of the treatment are measured and analyzed. Data analysis used the Wilcoxon and Mann Whitney tests because the data was not normally distributed. The difference before and after providing the telenursing website application in the intervention group resulted in an increase in quality of life in total and in each domain. Likewise, in the control group, it was found that in total there was an increase in quality of life, but if we looked at each domain there was no improvement. The results after intervention between groups obtained a p-value <0.05. From these results it can be concluded that there is a significant difference in quality of life between the control group and the intervention group, where in the intervention group there was an increase in quality of life in CAD patients post PCI."

"ABSTRAKPengendalian COVID-19 belum terselesaikan di Indonesia, kasus satu keluarga terinfeksi COVID-19 juga banyak ditemukan. Hal tersebut didasari pada rendahnya perilaku pencegahan COVID-19 pada individu dan anggota keluarga khususnya di rumah. Melihat pandemi ini dan protokol pencegahan yang ditetapkan asuhan keperawatan dengan penerapan telenursing adalah opsi yang direkomendasikan. Asuhan keperawatan dengan penerapan telenursing menjadi intervensi unggulan dalam peningkatkan kemampuan pencegahan COVID-19. Intervensi dilakukan dalam tiga minggu dengan pemberian asuhan keperawatan jarak jauh dan menggunakan teknologi komunikasi, serta media visual dan audiovisual. Hasil dari intervensi adalah, pengetahuan keluarga terkait penyakit COVID-19 dan tindakan pencegahan serta perawatan meningkat. Adopsi perilaku pencegahan dari pembelajaran yang dilakukan juga diterapkan keluarga dalam aktivitas harian.

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ABSTRACT

Control of COVID-19 has not been resolved in Indonesia, cases of one family infected with COVID-19 are also found. This is based on the low COVID-19 prevention behavior in individuals and family members, especially at home. Looking at this pandemic and the prevention protocol established by nursing care with the application of telenursing is a recommended option. Nursing care with the application of telenursing is the leading intervention in enhancing the ability to prevent COVID-19. The intervention was carried out in three weeks by providing remote nursing care and using communication technology, as well as visual and audiovisual media. As a result of the intervention, family knowledge related to COVID-19 disease and prevention and care measures increased. The adoption of preventive behaviors from learning is also applied by families in daily activities."

"ABSTRAK Praktik residensi keperawatan medikal bedah merupakan bagian dari proses pendidikan yang berfokus pada pengembangan ketrampilan klinik, khususnya pada area respirasi di RSUP Persahabatan Jakarta. Peran yang diterapkan sebagai pemberi asuhan keperawatan, edukator, peneliti, dan inovator. Peran sebagai pemberi asuhan keperawatan dengan mengelola 30 pasien gangguan sistem respirasi dengan menggunakan pendekatan model konsep teori Virginia Henderson. Masalah keperawatan yang sering muncul yaitu ketidakefektifan bersihan jalan napas. Peran sebagai peneliti ditunjukkan dalam penerapan evidence based nursing practice berupa penerapan breathing retraining untuk mengurangi sesak napas pada pasien kanker paru. Dan peran sebagai inovator dan edukator yaitu melakukan pendidikan kesehatan dengan diskusi interaktif kelompok untuk meningkatkan pengetahuan dan motivasi serta telenursing dengan sms reminder untuk meningkatkan kepatuhan minum obat pada pasien tuberkulosis di poliklinik paru.ABSTRACT Residency practice is a part of clinical education in medical surgical nursing specialist programme, especially for respiratory nursing. It was conducted at Persahabatan Hospital Jakarta. Residents based their practice on Henderson Nursing Theory with role modes as care provider, educator, researcher, and innovator. Role as a care provider was held on 30 cases with Henderson theory approach. The main nursing problem found during the clinical practice was ineffective airway clearance. Role as a researcher was conducted through clinical research which investigates the effectiveness breathing retraining to minimize dyspnea. Role as an innovator that is conducted health education with interactive group discussion to increase knowledge and motivation, and telenursing with sms reminder to increase medication adherence in patient with tuberculosis.;Residency practice is a part of clinical education in medical surgical nursing specialist programme, especially for respiratory nursing. It was conducted at Persahabatan Hospital Jakarta. Residents based their practice on Henderson Nursing Theory with role modes as care provider, educator, researcher, and innovator. Role as a care provider was held on 30 cases with Henderson theory approach. The main nursing problem found during the clinical practice was ineffective airway clearance. Role as a researcher was conducted through clinical research which investigates the effectiveness breathing retraining to minimize dyspnea. Role as an innovator that is conducted health education with interactive group discussion to increase knowledge and motivation, and telenursing with sms reminder to increase medication adherence in patient with tuberculosis.;Residency practice is a part of clinical education in medical surgical nursing specialist programme, especially for respiratory nursing. It was conducted at Persahabatan Hospital Jakarta. Residents based their practice on Henderson Nursing Theory with role modes as care provider, educator, researcher, and innovator. Role as a care provider was held on 30 cases with Henderson theory approach. The main nursing problem found during the clinical practice was ineffective airway clearance. Role as a researcher was conducted through clinical research which investigates the effectiveness breathing retraining to minimize dyspnea. Role as an innovator that is conducted health education with interactive group discussion to increase knowledge and motivation, and telenursing with sms reminder to increase medication adherence in patient with tuberculosis.;Residency practice is a part of clinical education in medical surgical nursing specialist programme, especially for respiratory nursing. It was conducted at Persahabatan Hospital Jakarta. Residents based their practice on Henderson Nursing Theory with role modes as care provider, educator, researcher, and innovator. Role as a care provider was held on 30 cases with Henderson theory approach. The main nursing problem found during the clinical practice was ineffective airway clearance. Role as a researcher was conducted through clinical research which investigates the effectiveness breathing retraining to minimize dyspnea. Role as an innovator that is conducted health education with interactive group discussion to increase knowledge and motivation, and telenursing with sms reminder to increase medication adherence in patient with tuberculosis.;Residency practice is a part of clinical education in medical surgical nursing specialist programme, especially for respiratory nursing. It was conducted at Persahabatan Hospital Jakarta. Residents based their practice on Henderson Nursing Theory with role modes as care provider, educator, researcher, and innovator. Role as a care provider was held on 30 cases with Henderson theory approach. The main nursing problem found during the clinical practice was ineffective airway clearance. Role as a researcher was conducted through clinical research which investigates the effectiveness breathing retraining to minimize dyspnea. Role as an innovator that is conducted health education with interactive group discussion to increase knowledge and motivation, and telenursing with sms reminder to increase medication adherence in patient with tuberculosis."