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"ABSTRAKGangguan tidur khususnya insomnia banyak terjadi pada pasien hemodialisis.Berbagai faktor diduga menjadi penyebab insomnia pada pasien hemodialisis,diantaranya faktor biologis, psikologis, dan dialisis. Tujuan penelitian ini adalahmengidentifikasi faktor yang berhubungan dengan insomnia pada pasienhemodialisis. Penelitian menggunakan rancangan studi potong lintang, dengansampel 50 responden di Rumah Sakit Islam Jakarta Pondok Kopi. Hasil penelitianmenunjukan bahwa insomnia dialami oleh 54% responden dan ditemukan hubunganinsomnia dengan umur (p=0,012), sesak napas (p=0,035), pruritus (p=0,002), sakitkepala (p=0,015), stress (p=0,000), jadwal hemodialisis (p=0,042), lama hemodialisis(p=0,012), dan quick of blood (p=0,011). Penelitian ini menyimpulkan bahwainsomnia berhubungan dengan faktor biologis, psikologis, dan dialisis. Pengkajianmasalah insomnia pada pasien hemodialisis harus dilakukan secara akurat agar dapatmenjadi dasar untuk menyusun rencana asuhan keperawatan yang efektif bagi pasienhemodialisis yang mengalami gangguan tidur.

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ABSTRACTInsomnia is the most common sleep disorder in hemodialysis patients. Various factorsare predicted to be the cause of insomnia, which are biological, psychological, anddialysis factors. The purpose of this study was to identify factors associated withinsomnia on hemodialysis patients. This study used cross-sectional study design, with50 respondents in Jakarta Islamic Hospital Pondok Kopi. The result showed thatinsomnia was experienced by 54% respondents and there were relationship betweeninsomnia and age (p=0.012), physical complaints [(included dyspnea (p=0.035),pruritus (p=0.002), and headache (p=0.015)], stress (p=0.000), hemodialysis schedule(p=0.042), dialysis vintage (p=0.012), and quick of blood (p=0.011). The studyconcluded that insomnia associated with biological, psychological, and dialysisfactors. The assessment of insomnia should be done accurately in order to make aneffective nursing care plan in hemodialysis patients who experience sleep disorder"

"ABSTRAKGangguan tidur khususnya insomnia banyak terjadi pada pasien hemodialisis. Berbagai faktor diduga menjadi penyebab insomnia pada pasien hemodialisis, diantaranya faktor biologis, psikologis, dan dialisis. Tujuan penelitian ini adalah mengidentifikasi faktor yang berhubungan dengan insomnia pada pasien hemodialisis. Penelitian menggunakan rancangan studi potong lintang, dengan sampel 50 responden di Rumah Sakit Islam Jakarta Pondok Kopi. Hasil penelitian menunjukan bahwa insomnia dialami oleh 54% responden dan ditemukan hubungan insomnia dengan umur (p=0,012), sesak napas (p=0,035), pruritus (p=0,002), sakit kepala (p=0,015), stress (p=0,000), jadwal hemodialisis (p=0,042), lama hemodialisis (p=0,012), dan quick of blood (p=0,011). Penelitian ini menyimpulkan bahwa insomnia berhubungan dengan faktor biologis, psikologis, dan dialisis. Pengkajian masalah insomnia pada pasien hemodialisis harus dilakukan secara akurat agar dapat menjadi dasar untuk menyusun rencana asuhan keperawatan yang efektif bagi pasienhemodialisis yang mengalami gangguan tidur.

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ABSTRACTInsomnia is the most common sleep disorder in hemodialysis patients. Various factors are predicted to be the cause of insomnia, which are biological, psychological, and dialysis factors. The purpose of this study was to identify factors associated with insomnia on hemodialysis patients. This study used cross-sectional study design, with 50 respondents in Jakarta Islamic Hospital Pondok Kopi. The result showed that insomnia was experienced by 54% respondents and there were relationship between insomnia and age (p=0.012), physical complaints [(included dyspnea (p=0.035), pruritus (p=0.002), and headache (p=0.015)], stress (p=0.000), hemodialysis schedule(p=0.042), dialysis vintage (p=0.012), and quick of blood (p=0.011). The study concluded that insomnia associated with biological, psychological, and dialysis factors. The assessment of insomnia should be done accurately in order to make an effective nursing care plan in hemodialysis patients who experience sleep disorder."

"Kemoterapi merupakan salah satu penatalaksanaan yang penting pada pasien kanker payudara terutama pada stadium lanjut dan memiliki efek samping sehingga dapat menggangu kegiatan sehari-hari serta mempengaruhi kondisi psikologis. Penelitian ini bertujuan untuk mengetahui gambaran efek samping kemoterapi pada pasien kanker payudara dan upaya mengatasinya. Penelitian ini menggunakan desain cross-sectional dengan 40 responden. Hasil penelitian menunjukan bahwa sebanyak 82,5% dari 40 responden mengalami mual dan muntah, sebanyak 72,5% dari 40 responden mengalami kehilangan nafsu makan, sebanyak 72,5% dari 40 responden mengatakan lidahnya terasa pahit, sebanyak 72,5%dari 40 responden mengalami kebas dan kesemutan, dan sebanyak 65% dari 40 responden mengalami kerontokan-kebotakan. Hasil penelitian juga menggambarkan tindakan mandiri yang paling sering dilakukan diantaranya dari 40 responden sebanyak 65% memakan buah-buahan, dari 40 responden sebanyak 60% memakan makanan yang manis, dari 40 responden sebanyak 57,5% makan sedikit tapi sering, dan dari 40 responden sebanyak 57,5% memakai kerudung untuk menutupi kebotakan. Hasil penelitian ini diharapkan dapat dijadikan sebagai sumber informasi untuk pengembangan pendidikan kesehatan terkait efek samping kemoterapi dan tindakan mandiri untuk meminimalkan efek samping yang dialami.

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Chemotherapy is an important management for patients who were diagnosed breast cancer, especially at an advanced stage. Chemotherapy has the side effects, thus it can interfere the patient's daily activities and worsen the psychological conditions. This study aimed to describe the side effects of chemotherapy and the independent action to overcome it in breast cancer patient. This study used crosssectional design with 40 respondents. The results showed that as many as 82.5% of respondents had experienced nausea and vomiting, 72.5% of 40 respondents had experienced loss of appetite, and 72.5% 40 respondents said their tongue tasted bitter, 72.5% of 40 respondents experiencing numbness and tingling, and as many as 65% of 40 respondents experienced baldness. The results also described the most frequently performed independent action to overcome those side effects in 40 respondents. As many as 65% of respodents eat fruits, 60% ate sweets, 57.5% eat little but often, and 57.5% wear a veil to cover baldness. The results of this study are expected to be used as a source of information for the development of health education about the side effects of chemotherapy and the independent actions to minimize this effects."

"Kualitas tidur merupakan hal yang penting pada pasien yang akan menjalani pembedahan. Kualitas tidur yang buruk pada masa pra pembedahan dapat meningkatkan potensial masalah pascabedah seperti nyeri. Penelitian ini bertujuan untuk mengetahui gambaran kualitas tidur pada pasien prabedah. Penelitian ini bersifat cross-sectional dengan 42 responden. Penelitian ini menggunakan St. Mary Hospital Sleep Questionnaire. Hasil penelitian menunjukkan bahwa pasien yang akan menjalani pembedahan memiliki skor rata-rata kualitas tidur 17,57 ± 5,402 dari skor total 30 (95% CI, 15,89:19,25). Sebanyak 52,4% responden mengalami kualitas tidur yang buruk pada fase pra pembedahan. Pasien yang menjalani pembedahan diagnostik, menginap di rumah sakit <3 hari, dan mengalami penundaan jadwal pembedahan memiliki kualitas tidur yang lebih buruk. Variabel yang memiliki korelasi yang signifikan terhadap penurnan kualitas tidur yaitu nyeri (p=0,048) dan adanya penundaan jadwal (p=0,008). Pengkajian dan intervensi keperawatan mengenai kualitas tidur pasien prabedah sangat penting dilakukan untuk mencegah dampak dari kualitas tidur yang buruk pada proses penyembuhan di fase postoperatif.

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Sleep quality is a noteworthy needs for patients who will undergo surgery. In preoperative period, bad sleep quality can make possibility of postoperative complications such as pain and risk of infection higher. This research aimed to identify preoperative sleep quality in surgical patients. With cross-sectional method, patients (n=42) who will undergo surgery were recruited and successfully completed the St. Mary Hospital Sleep Questionnaire. The result showed that preoperative sleep quality in this research had average score of 17,57 ± 5,402 with total score of 30 (95% CI, 15,89:19,25). About 52,4% respondents became a poor sleeper, which had a bad sleep quality in preoperative period. Patients who planned to undergo diagnostic surgery, had length of stay <3 days and whose operations were postponed had poorer quality of sleep. Variables which has significant correlation with sleep quality are pain (p=0,048) and postponed schedule of surgery (p=0,008). Nursing assessment and interventions about sleeping needs fulfillment in surgical patients is needed to prevent adverse effects of bad sleep quality in patient's recovery process in postoperative period."

"Prevalensi infeksi nosokomial masih menjadi masalah serius di seluruh pelayanan kesehatan di rumah sakit seluruh dunia. Salah satu faktor yang mempengaruhi adalah buruknya pelaksanaan hand hygiene. Penelitian bertujuan untuk mengetahui gambaran tingkat pengetahuan hand hygiene mahasiswa Fakultas Ilmu Keperawatan Universitas Indonesia angkatan 2013. Penelitian ini bersifat cross sectional dengan teknik total sampling, 110 responden. Penelitian ini menggunakan kuesioner pengetahuan hand hygiene WHO dan kuesioner rancangan peneliti.Hasil penelitian menunjukkan bahwa responden yang berpengetahuan baik terkait hand hygiene berjumlah 3 orang (2,7%), berpengetahuan cukup berjumlah 92 orang (83,6%), dan berpengetahuan kurang berjumlah 15 orang (13,6%). Disarankan kepada seluruh mahasiswa dan petugas kesehatan untuk meningkatkan pengetahuan hand hygiene yang diharapkan dapat meningkatkan perilaku hand hygiene yang tepat dan benar.

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Nosocomial infection is still a serious problem in world wide health care facilities. One of the main factors that affects the infection is the poor practice of hand hygiene. The study aimed to identify the prevelance of knowledge level of hand hygiene among nursing students in University of Indonesia. Cross sectional design was used with 110 respondents. This research used a combination of World Health Organization questionnaire and self made questionnaire to complete the survey.

The result showed that only 3 respondents (2,7%) have good knowledge of hand hygiene, 92 respondents (83,6%) with moderate knowledge, and 15 respondents (13,6%) with poor knowledge. Students and health care providers are recommended to improve hand hygiene knowledge to increase hand hygiene practice."

"Stroke adalah suatu sindrom klinis akibat gangguan aliran dara menuju otak, timbul mendadak yang biasanya mengenai penederita berusia 45-80 tahun. Menurut penyebabnya stroke dibagi dua yaitu bemoragik akibat pecahnya oembuluh darah otak dan stroke non hemoragik akibatanya adanya thrombus atau embolus pada pembuluh darah otak. Kesimpulan penelitian ini adalah tidak ada hubungan antara kepatuhan penderita stroke dalam mendhindari resiko yang dapat diubah dengan kejadian stroke berulang

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Stroke is a clinical syndrome due to disruption of blood flow to the brain, arising suddenly which usually affects patients aged 45-80 years. According to the cause, stroke is divided into two, namely hemorrhagic stroke due to rupture of a blood vessel in the brain and non-hemorrhagic stroke due to a thrombus or embolus in a cerebral blood vessel. The conclusion of this study is that there is no relationship between the compliance of stroke patients in avoiding modifiable risks and the incidence of recurrent stroke."

"Infeksi Virus Human Immunodeficiency mungkin memiliki dampak psikososial pada penderitanya. Penyakit ini menciptakan stigma, yang membuat orang dengan HIV / AIDS (ODHA) cenderung menutupi status HIV mereka di masyarakat. Ketakutan ditolak dan diperlakukan secara berbeda membuat ODHA menyembunyikan perlakuan mereka. Jenis perilaku dapat mengganggu pengobatan mereka, sehingga mereka tidak mendapatkan kepatuhan dengan obat yang seharusnya 95% -100% dari dosis obat yang diberikan.Penelitian ini bertujuan untuk mengetahui hubungan antara pengungkapan status HIV dan stigma dengan kepatuhan pengobatan antiretroviral. Penelitian ini menggunakan desain cross-sectional pada 112 Odha di RSKO Jakarta dan Puskesmas Pasar Rebo. Instrumen yang digunakan termasuk Skala Singkat Pengungkapan HIV untuk menilai pengungkapan status HIV, Skala Stigma HIV Berger untuk menilai stigma, dan Skala Kepatuhan Pengobatan Morisky (item MMAS 4) untuk menilai kepatuhan ARV.Hasil penelitian ini dianalisis menggunakan chi-square dan menunjukkan tidak ada hubungan antara pengungkapan status HIV dengan kepatuhan menggunakan ARV, (nilai p = 1.000; α = 0,05) dan tidak ada hubungan antara stigma dan kepatuhan ARV (nilai p = 0,849 ; α = 0,05). Penelitian ini diharapkan bermanfaat untuk layanan perawatan kesehatan agar lebih memperhatikan kepatuhan pengobatan pasien mereka dan memberikan dukungan kepada mereka untuk meningkatkan pengobatan mereka. Saran untuk penelitian selanjutnya adalah melakukan studi orientasi seksual terlebih dahulu.

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Human Immunodeficiency Virus Infection may have a psychosocial impact on the sufferer. This disease creates a stigma, which makes people with HIV / AIDS (PLWHA) tend to cover their HIV status in the community. Fear of being rejected and treated differently makes PLHIV conceal their treatment. This type of behavior can interfere with their treatment, so they do not get compliance with drugs that should be 95% -100% of the drug dose given.

This study aims to determine the relationship between disclosure of HIV status and stigma with adherence to antiretroviral treatment. This study used a cross-sectional design for 112 people living with HIV in RSKO Jakarta and Pasar Rebo Health Center. Instruments used included the HIV Disclosure Brief Scale to assess HIV status disclosure, the Berger HIV Stigma Scale to assess stigma, and the Morisky Treatment Compliance Scale (MMAS 4 item) to assess ARV compliance.

The results of this study were analyzed using chi-square and showed no relationship between disclosure of HIV status with adherence using ARVs (p value = 1,000; α = 0.05) and no relationship between stigma and ARV compliance (p value = 0.849; α = 0.05). This research is expected to be useful for health care services to pay more attention to the treatment compliance of their patients and provide support to them to improve their treatment. Suggestions for further research is to conduct a sexual orientation study first."

"ABSTRAKKeluarga yang salah satu anggota keluarganya mengalami serangan stroke, bukan hanya menyebabkan dampak fisik dan psikologis pada anggota keluarga yang sakit, tetapi juga pada seluruh keluarga. Dalam hal ini keluarga harus mampu menghadapi situasi tersebut. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara mekanisme koping dengan tingkat kecemasan keluarga dalam merawat anggota keluarga yang mengalami stroke. Desain penelitian menggunakan analitik observasional dengan metode cross sectional. Sampel berjumlah 45 responden dengan teknik pengambilan total sampling. Hasil penelitian menunjukkan adanya hubungan yang bermakna antara penggunaan support sosial (p= 0,001), support spiritual (p= 0,001), reframing (p= 0,025), serta usaha keluarga untuk mencari dan menerima informasi (p= 0,001) dengan tingkat kecemasan keluarga. Oleh sebab itu, memaksimalkan peran perawat khususnya dalam meningkatkan kemampuan koping keluarga sangat penting untuk mengoptimalkan kelangsungan hidup pasien stroke.

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ABSTRACTThe family who has family member suffered a stroke, is not only cause physical and psychological impact on him but also on other family members. In this case the family must be able to deal with the situation. This study aimed to identify correlation between coping mechanisms amd anxiety levels of family members whose their families suffered a stroke. The design of the study used analytical observational and cross-sectional method. The participants of this study were 45 respondents with total sampling technique. The results showed a significant association between the use of social support (p= 0,001), spititual support (p= 0,001), reframing (p= 0,025), mobilizing family to acquire & accept help strategy (p= 0,001) with family anxiety levels. Therefore, maximize the role of nurses especially in improving family coping ability is very important to optimize the survival of stroke patients."

"ABSTRAKPengetahuan perawat yang baik terkait LBP merupakan salah satu cara untukmencegah terjadinya keluhan LBP. Penelitian ini bertujuan untuk mengetahuihubungan antara tingkat pengetahuan LBP dengan keluhan LBP pada perawatpelaksana di RSUP Fatmawati menggunakan instrumen pengetahuan LBP dan skalaNordic. Penelitian ini merupakan penelitian analitik dengan menggunakan metodecross sectional terhadap 107 responden melalui teknik simple random sampling.Analisis data menggunakan uji distribusi frekuensi dan Chi square. Hasil penelitianmenunjukan tingkat pengetahuan perawat yang masih kurang terkait LBP sebanyak49 responden (45,8%) dan memiliki keluhan LBP sebesar 63 (58,9%) serta adanyahubungan yang signifikan antara tingkat pengetahuan dengan keluhan LBP (pvalue= 0,04). Pengetahuan perawat terkait LBP harus ditingkatkan agar resikokeluhan LBP dapat diturunkan. Perlunya pengembangan instrumen pengetahuanyang lebih baku agar dapat digunakan secara luas.

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ABSTRACTGood LBP knowledge of nurses is one way to prevent LBP complaint. The objectiveof this study is to evaluate correlation between the LBP knowledge and LBPcomplaint among nurses in inpatient ward in Fatmawati Hospital using ?specificknowledge of LBP instrument? and Nordic scale. This study is analytical study. Across-sectional survey with simple random sampling method was used to 107 nursesin Fatmawati Hospital. The result were presented with use of simple frequency andpresentage (%) and Chi square (X2) to determine correlation between variables.This study showed forty nine respondents (45,8%) have poor knowledge of LBP andsixty three respondents (58,9%) have complaint of LBP. It was also correlatedbetween LBP knowledge and LBP complaint (p value= 0,04). Nursesknowledge about LBP must be improved in order to decrease the risk of LBPcomplaint. It?s a necessary to develop standardized knowledge instrument that canbe used widely."

"[ABSTRAK Sesak nafas merupakan keluhan yang umum terjadi pada penderita gagal jantungkongestif akibat penumpukan cairan. Pemberian semifowler derajat menjadi salahsatu intervensi untuk mengurangi rasa sesak dan mencegah komplikasi akibat sesak.Karya ilmiah akhir ners ini bertujuan menganalisis keefektifan pemberian posisitidur 45 derajat dalam mengurangi sesak nafas pada penderita gagal jantungkongestif dengan pemberian posisi tidur 45 derajat. Implementasi ini dilakukanselama pasien mengeluh sesak nafas. Hasil perawatan selama lima harimenunjukkan bahwa pasien melaporkan terjadinya penurunan sesak nafas selamapemberian posisi tidur 45 derajat. Hal tersebut ditunjukkan dengan adanyapenurunan laju pernafasan 4-6 kali permenit. Karya Ilmiah akhir ners inimerekomendasikan perlu dilakukan penelitian terkait efektivitas intervensi yangdilakukan dengan melihat perbedaan antara sebelum dan sesudah pemberian posisi45o,90o, dan orthopnea.ABSTRACT Breathlessness is a common symptom in patient with congestive hearth failure

that caused by fluid retention. The semifowler position is one of the intervention

to reduce the breathlessness and prevent the complications due to breathlessness.

The aim of this study was to analyzing the effectiveness of 45 degrees position in

reducing breathlessness in patient with congestive hearth failure. Implementation

was performed while the patient had breathlessness. Results showed that patients

reported a decrease in breathlessness during 45 degrees positions. Which was

indicated by a decrease in respiratory rate 4-6 times per minute. This result

suggest to perform research that identify the difference between before and after

administration of 45o,90o, and orthopnea.;Breathlessness is a common symptom in patient with congestive hearth failure

that caused by fluid retention. The semifowler position is one of the intervention

to reduce the breathlessness and prevent the complications due to breathlessness.

The aim of this study was to analyzing the effectiveness of 45 degrees position in

reducing breathlessness in patient with congestive hearth failure. Implementation

was performed while the patient had breathlessness. Results showed that patients

reported a decrease in breathlessness during 45 degrees positions. Which was

indicated by a decrease in respiratory rate 4-6 times per minute. This result

suggest to perform research that identify the difference between before and after

administration of 45o,90o, and orthopnea.;Breathlessness is a common symptom in patient with congestive hearth failure

that caused by fluid retention. The semifowler position is one of the intervention

to reduce the breathlessness and prevent the complications due to breathlessness.

The aim of this study was to analyzing the effectiveness of 45 degrees position in

reducing breathlessness in patient with congestive hearth failure. Implementation

was performed while the patient had breathlessness. Results showed that patients

reported a decrease in breathlessness during 45 degrees positions. Which was

indicated by a decrease in respiratory rate 4-6 times per minute. This result

suggest to perform research that identify the difference between before and after

administration of 45o,90o, and orthopnea.;Breathlessness is a common symptom in patient with congestive hearth failure

that caused by fluid retention. The semifowler position is one of the intervention

to reduce the breathlessness and prevent the complications due to breathlessness.

The aim of this study was to analyzing the effectiveness of 45 degrees position in

reducing breathlessness in patient with congestive hearth failure. Implementation

was performed while the patient had breathlessness. Results showed that patients

reported a decrease in breathlessness during 45 degrees positions. Which was

indicated by a decrease in respiratory rate 4-6 times per minute. This result

suggest to perform research that identify the difference between before and after

administration of 45o,90o, and orthopnea., Breathlessness is a common symptom in patient with congestive hearth failure

that caused by fluid retention. The semifowler position is one of the intervention

to reduce the breathlessness and prevent the complications due to breathlessness.

The aim of this study was to analyzing the effectiveness of 45 degrees position in

reducing breathlessness in patient with congestive hearth failure. Implementation

was performed while the patient had breathlessness. Results showed that patients

reported a decrease in breathlessness during 45 degrees positions. Which was

indicated by a decrease in respiratory rate 4-6 times per minute. This result

suggest to perform research that identify the difference between before and after

administration of 45o,90o, and orthopnea.]"