Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)最新文献

{"title":"Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Pengobatan Pasien Diabetes Melitus Tipe 2","authors":"Agata Della, Paulus Subiyanto, Avin Maria","doi":"10.22146/jkkk.83090","DOIUrl":"https://doi.org/10.22146/jkkk.83090","url":null,"abstract":"Background: Pharmacological intervention with oral antidiabetic drugs is the main choice in patients with type 2 diabetes mellitus whose blood glucose levels fail to be controlled by diet and exercise programs. Identifying non-adherent patients in outpatient treatment is important in order to be able to carry out therapy effectively, prevent further complications, so as to improve the quality of life of patients with type 2 diabetes mellitus.Objective: Knowing the relationship between age, gender, education, occupation, self-motivation, family support and health worker support with medication adherence in type 2 diabetes mellitus patients at Panti Rini Hospital.Method: This research is quantitative cross-sectional study using accidental sampling on January 13-27 2022. The total number of respondents in this study were 60 respondents who fit the inclusion and exclusion criteria. The questionnaires used included demographic data, self-motivation, family support, health worker support and Medication Adherence Report Scale (MARS) which are valid and reliable. Data analysis used was univariate test and bivariate test using chi square test.Results: The results of the related factors are age (p value 0,036), gender (p value 0,045), occupation (p value 0,014), self-motivation (p value 0,000), family support (p value 0,002), support from health workers (p value 0,028 ) while the unrelated factor is education (p value 0,673).Conclusion: There is a relationship between the factors of age, gender, occupation, self-motivation, family support, support from health workers and there is no relationship between educational factors and medication adherence in type 2 diabetes mellitus patients at Panti Rini Hospital.ABSTRAKLatar belakang: Intervensi farmakologis dengan obat antidiabetes secara oral menjadi pilihan utama pada pasien diabetes melitus tipe 2 yang kadar glukosa darahnya gagal dikendalikan dengan program diit dan olahraga. Mengidentifikasi pasien yang tidak patuh dalam pengobatan rawat jalan penting agar dapat melaksanakan terapi dengan efektif, mencegah terjadinya komplikasi lebih lanjut, sehingga dapat meningkatkan kualitas hidup pasien diabetes melitus tipe 2.Tujuan: Mengetahui hubungan usia, jenis kelamin, pendidikan, pekerjaan, motivasi diri, dukungan keluarga dan dukungan tenaga kesehatan dengan kepatuhan pengobatan pada pasien diabetes melitus tipe 2 di Rumah Sakit Panti Rini.Metode: Penelitian ini merupakan kuantitatif cross sectional dengan menggunakan accidental sampling pada 13 – 27 Januari 2022. Total responden dalam penelitian ini adalah 60 responden yang sesuai dengan kriteria inklusi dan eksklusi. Kuesioner yang digunakan meliputi data demografi, motivasi diri, dukungan keluarga, dukungan tenaga kesehatan dan Medication Adherence Report Scale (MARS) yang sudah valid dan reliabel. Analisis data yang digunakan yaitu uji univariat dan uji bivariat menggunakan uji chi square.Hasil: Hasil faktor yang berhubungan yaitu usia (p value 0,036), jeni","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127641498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Penatalaksanaan Keperawatan Osteoporosis pada Pasien Hemodialisis: Studi Kasus","authors":"Pratiwi Lestari Putri, Haryani Haryani, T. Wahyuni","doi":"10.22146/jkkk.78302","DOIUrl":"https://doi.org/10.22146/jkkk.78302","url":null,"abstract":"Background: Treatment of osteoporosis in hemodialysis patients is important since it slows down the worsening effect of osteoporosis and prevents bone fractures. Objective: To know the description of osteoporosis nursing management in hemodialysis patients Case description: A 62 years old male complained about his difficulty in walking, as well as back and ankle ache during strenuous activities after hemodialysis. Nursing actions were given with the aim of alleviating client complaints. Results: This study found that the patient experienced back, knee, and ankle ache during strenuous activities. Pain management -as the nursing action- was given by administering paracetamol and CaCo3 as well as joint training education to strengthen muscles. The patient's pain level was decreased after the intervention from the severe category to the moderate category (pain range 7-8 to 4-5). Conclusion: The treatment for osteoporosis in hemodialysis which includes phosphate buffer supplements, analgesic drugs, adherence to hemodialysis therapy, and muscle strengthening exercises, has pain reduction effect from severe to the moderate pain category.ABSTRAKLatar belakang: Penanganan osteoporosis pada pasien hemodialisis merupakan hal penting, agar dapat memperlambat perburukan osteoporosis dan mencegah terjadinya patah tulang. Tujuan: Mengetahui gambaran penatalaksanaan keperawatan osteoporosis pada pasien hemodialisis.Deskripsi kasus: Seorang lelaki, 62 tahun, mengeluh kesulitan berjalan, nyeri punggung, dan nyeri pada kaki saat beraktivitas berat selama 3 tahun terakhir setelah hemodialisis. Tindakan keperawatan diberikan dengan tujuan untuk meringankan keluhan klien.Hasil: Hasil pengkajian didapatkan keluhan nyeri pada punggung, pergelangan kaki dan lutut saat beraktivitas berat. Tindakan keperawatan yang diberikan berupa penanganan nyeri akut dengan pemberian obat parasetamol dan CaCo3 serta edukasi latihan persendian untuk memperkuat otot. Setelah pemberian intervensi, tingkat nyeri pasien berkurang, dari kategori berat (rentang nyeri 7-8) menjadi kategori sedang (rentang nyeri 4-5).Simpulan: Penanganan osteoporosis pada pasien hemodialisis mencakup suplemen penyangga fosfat, obat analgesik, kepatuhan terapi hemodialisis, dan penanganan non-farmakologis berupa latihan penguatan otot yang dapat memberi efek pengurangan nyeri, dari kategori nyeri berat menjadi nyeri sedang.","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132738320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementasi Telehealth dalam Meningkatkan Perawatan Paliatif pada Pasien Kanker di Era 4.0: Scoping Review","authors":"Indy Susanti, Istiqomah Nur Khasanah, Arifin Triyanto","doi":"10.22146/jkkk.80140","DOIUrl":"https://doi.org/10.22146/jkkk.80140","url":null,"abstract":"Background: Sustainable palliative care toward advanced stadium cancer is provided by physical, mental, and psychosocial approach. In the 4.0 era along with recent COVID-19 pandemic, the use of telehealth for public service, including for patient with cancer, has increased.Objective: To identify the implementation of telehealth in improving the palliative care of patient with cancer in the 4.0 era.Method: This research was tracing the results of scientific publications using PRISMA flow diagrams. The article selection process was carried out by identification and screening. The searching keywords included Population (cancer patient), Intervention (telehealth OR e-health OR telemedicine OR telenursing OR digital health intervention), Comparison (not applicable), Outcome (improve palliative care in 4.0 era) in several databases, i.e. Google Scholar, Willey Online, Sage, PubMed, BMJ, and Science Direct. Then the articles were selected based on the title, type of article, abstract, and content according to the inclusion and exclusion criteria. Inclusion criteria included topic suitability, published in 2017-2022, in English, open access, and research article.Outcome: Most of the telehealth services were done through mobile applications and website-based consultations. The use of telepalliative showed a positive effect on improving patient self-efficacy, sense of security, patient involvement in care, effectiveness of symptom management, supporting remote care, facilitating access to health professionals. In emergency situations when there was a worsening condition, it was still necessary to carry out direct examination and/or treatment.Conclusion: Telehealth needs further development and research to determine its level of frequency and efficiency to support health services, especially in the field of palliative care.ABSTRAKLatar belakang: Perawatan paliatif berkelanjutan diberikan secara fisik, mental, dan psikososial pada pasien kanker dengan stadium lanjut. Di era 4.0 yang bersamaan dengan adanya pandemi COVID-19, telah meningkatkan penggunaan telehealth dalam pelayanan kesehatan, termasuk pada pasien kanker. Tujuan: Mengetahui implementasi telehealth dalam meningkatkan perawatan pasien kanker di era 4.0. Metode: Penelitian ini dilakukan melalui penelusuran hasil publikasi ilmiah, menggunakan alur diagram PRISMA. Proses pemilihan artikel dilakukan dengan identifikasi dan skrining. Penelusuran kata kunci yang dilakukan, meliputi: Population (cancer patient), Intervention (telehealth OR e-health OR telemedicine OR telenursing OR digital health intervention), Comparison (tidak ada), dan Outcome (improve palliative care in 4.0 era) pada Google Schoolar, Willey Online, Sage, PubMed, BMJ, dan Science Direct. Kemudian artikel diseleksi berdasarkan judul, jenis artikel, abstrak, dan konten sesuai dengan kriteria inklusi dan eksklusi. Kriteria inklusi meliputi kesesuaian topik, diterbitkan tahun 2017- 2022, berbahasa Inggris, open access, dan research artic","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115941956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gambaran Kepuasan Pengguna Mobile Application Cancer Cervix Caution (Cavixaution) Untuk Pengetahuan Tentang Pencegahan Kanker Serviks","authors":"Rusyda Anshari, Wiwin Lismidiati, Ayyu Sandhi","doi":"10.22146/jkkk.80902","DOIUrl":"https://doi.org/10.22146/jkkk.80902","url":null,"abstract":"Background: Mobile application Cavixaution is a health education media to improve knowledge about cervical cancer prevention. End User Computing Satisfaction (EUCS) which consists of content, format, accuracy, ease of use, and timeliness as its dimensions, becomes a measurement to determine the success of the implementation of an information system.Objective: To evaluate the user satisfaction in using mobile application Cancer Cervix Caution (Cavixaution) as health education media for knowledge about cancer cervix prevention.Method: The study was held in November – December 2019 in the Jagalan Village Bantul. The design of this study was descriptive and cross sectional approach. The data were collected using propotional and purposive sampling that involved 76 women aged 30 – 49 years who were using the mobile application Cavixaution and never done Visual Inspection of Acetic Acid (IVA).Result: Overall users were satisfied with the mobile application Cavixaution with an average rate of 3,16. The average rate for each EUCS dimensions were as follow: ease of use dimension 3,24 (satisfied), content dimension 3,14 (satisfied), format dimension 3,15 (satisfied), timeliness dimension 3,19 (satisfied) and accuracy dimension 3,10 (satisfied).Conclusion: Users are satisfied using mobile application Cavixaution. All dimensions have reached satisfaction level, with ease of use dimension had the highest value, while the accuracy dimension had the lowest satisfaction. This study shows that the mobile application Cavixaution can be used as health education media for knowledge about cervical cancer prevention and the application has fulfilled respondent expectation.ABSTRAKLatar belakang: Mobile application Cavixaution merupakan media pendidikan kesehatan dengan tujuan untuk meningkatkan pengetahuan mengenai pencegahan kanker serviks. Kepuasan pengguna menjadi suatu pengukuran untuk mengetahui keberhasilan dalam penerapan suatu sistem informasi. End User Computing Satisfaction (EUCS) yang terdiri dari lima dimensi, yaitu substansi, tampilan, akurasi, kemudahan dalam penggunaan, dan ketepatan waktu, menjadi salah satu metode untuk mengukur kepuasan pengguna terhadap produk yang berhubungan dengan teknologi informasi dan komunikasi (TIK).Tujuan: Mengetahui gambaran kepuasan pengguna dalam menggunakan aplikasi mobile application Cancer Cervix Caution (Cavixaution) sebagai media pendidikan untuk pengetahuan tentang pencegahan kanker serviks.Metode: Penelitian dilaksanakan pada bulan November – Desember 2019 di Kelurahan Jagalan, Bantul. Jenis penelitian kuantitatif deskriptif dengan rancangan cross sectional. Pemilihan sampel dengan teknik proportional dan purposive sampling dengan melibatkan subjek 76 wanita usia subur, berusia 30 – 49 tahun, yang telah menggunakan mobile application Cavixaution, serta belum pernah melakukan tes Inspeksi Visual Asetat (IVA).Hasil: Secara keseluruhan pengguna merasa puas terhadap penggunaan mobile application Cavixaution dengan nilai","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126328924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengelolaan Masalah Pernapasan pada Pasien dengan Heart Decompensation di IGD RSA Universitas Gadjah Mada: Case Report","authors":"N. Ayuningtyas, Hersinta Retno Martani, Setyawan Setyawan","doi":"10.22146/jkkk.77411","DOIUrl":"https://doi.org/10.22146/jkkk.77411","url":null,"abstract":"Background: Heart decompensation is a heart failure exacerbation caused by the body’s decompensated mechanism. Uncontrolled hypertension is one of the risk factors for heart decompensation that worse the decompensated mechanism in the presence of target organ damage (TOD). Patient with heart decompensation also suffers dyspnea, ortopnea, and paroxysmal nocturnal dyspnea (PND).Objective: To describe the management of breathing problem in patient with heart decompensation in emergency department (ED).Case: A 39-year-old woman came to ED with severe shortness of breath that has been felt since this week and has gotten worse for past few days. Her condition was as follow saturation 94%, RR 45x/ minutes, HR 153x/minutes, BP 200/125mmHg.Result: Breathing problem management in this patient was helped by oxygen therapy, positioning, mucolytic, bronchodilator, antibiotic, and corticosteroid. Breathing problem was improved after administering the therapy based on effort, frequency, depth in breathing, and oxygen saturation. In addition to breathing problem, circulation problem was also managed comprehensively and had shown improved outcome.Conclusion: Administration of therapy in the ED in heart decompensation patient with breathing problem has improved with increased saturation, reducted shortness of breath, and expelled excess fluid.ABSTRAKLatar belakang: Heart decompensation merupakan faktor yang memperparah kondisi gagal jantung kronis yang disebabkan oleh mekanisme dekompensasi tubuh. Hipertensi tidak terkontrol merupakan salah satu faktor risiko heart decompensation yang dapat memperburuk mekanisme dekompensasi dengan adanya target organ damage (TOD). Pasien dengan heart decompensation juga disertai masalah pernapasan seperti dyspnea, ortopnea, dan paroxysmal nocturnal dyspnea (PND).Tujuan: Mendeskripsikan pengelolaan masalah pernapasan pasien heart decompensation di instalasi gawat darurat (IGD).Laporan kasus: Pasien wanita, berusia 39 tahun, datang ke IGD dengan keluhan sesak napas berat yang dirasakan sejak seminggu ini dan memberat dalam beberapa hari ini. Saturasi 94%, RR 45x/ menit, nadi 153x/menit, TD 200/125mmHg.Hasil: Penatalaksanaan masalah pernapasan pada pasien dengan pemberian terapi oksigen, positioning, mukolitik, bronkodilator, antibiotik, dan kortikosteroid. Masalah pernapasan pada pasien mengalami perbaikan setelah pemberian terapi tersebut. Hal ini dilihat berdasarkan usaha, frekuensi, kedalaman bernapas, dan saturasi oksigen. Selain masalah pernapasan, masalah sirkulasi pada pasien juga dikelola secara komprehensif dan menunjukkan outcome yang membaik.Simpulan: Pemberian terapi di IGD pada pasien heart decompensation dengan masalah pernapasan mengalami perbaikan dengan peningkatan saturasi, sesak napas berkurang, cairan berlebih dapat dikeluarkan.","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116007029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Penerapan Relaksasi Benson Kombinasi Unsur Keyakinan untuk Menurunkan Kecemasan pada Pasien CKD yang Menjalani Hemodialisa: Studi Kasus","authors":"Rovi Apriani Eka Suci, L. Hidayati","doi":"10.22146/jkkk.82351","DOIUrl":"https://doi.org/10.22146/jkkk.82351","url":null,"abstract":"Background: Benson relaxation is one of non-pharmacological therapies that helps patients deal with their anxiety, thus becomes a viable option. By reducing the body’s need for oxygen and allowing the muscles to relax, the Benson Relaxation Technique which is combined with belief elements, may induce comfort and peace feelings.Objective: To evaluate the effectiveness of the Benson relaxation therapy intervention with the combination of belief elements to reduce anxiety in a CKD patient who was receiving hemodialysis. Case report: A 70-year-old man was diagnosed with chronic kidney disease (CKD) stage V. After the first hemodialysis, this patient had complained about his feeling of limp, nausea, and queasy body, fear and anxiety about his condition, and restless sleeping. Patient was given Benson relaxation technique with the combination of elements of belief for 3 days as his main intervention.Outcome: Following the use of the Benson relaxation treatment and a combination of belief elements in the form of zikir (praising to God) and istigfar (apologizing toward God) for twice a day for three days, the result had shown a decrease in HARS score from 23 (moderate anxiety) to 15 (mild anxiety).Conclusion: Patients with CKD can effectively reduce anxiety with non-pharmacological Benson relaxation therapy using a combination of beliefs elements.ABSTRAKLatar belakang: Penanganan kecemasan dapat menggunakan terapi non-farmakologi, salah satunya dengan relaksasi Benson. Teknik Relaksasi Benson dapat menghambat aktivitas saraf simpatis sehingga mengurangi penggunaan oksigen oleh tubuh dan menyebabkan otot-otot menjadi rileks serta menimbulkan perasaan tenang dan kenyamanan.Tujuan: Mengetahui efektivitas intervensi terapi relaksasi Benson dengan penambahan unsur keyakinan untuk menurunkan kecemasan pada pasien CKD yang sedang menjalani hemodialisis.Laporan kasus: Seorang laki-laki berusia 70 tahun dengan diagnosa chronic kidney disease (CKD) stadium V. Kondisi pasien setelah melakukan hemodialisis pertama mengeluhkan lemas, mual, muntah, takut dan cemas dengan kondisinya, serta mengeluh tidak bisa beristirahat dengan tenang. Pasien diberikan intervensi utama relaksasi Benson dengan penambahan unsur keyakinan selama 3 hari.Hasil: Setelah dilakukan pemberian intervensi terapi relaksasi Benson dengan penambahan unsur keyakinan seperti berzikir dan beristigfar selama 3 hari dengan frekuensi 2 kali sehari, didapatkan hasil penurunan skor HARS dari 23 (kecemasan sedang) menjadi 15 (kecemasan ringan).Simpulan: Terapi relaksasi Benson dengan penambahan unsur keyakinan efektif untuk menurunkan kecemasan pasien CKD.","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129745927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Ketergantungan Activity Daily Living Penderita Stroke dengan Beban Family Caregiver di Puskesmas Kasihan II","authors":"","doi":"10.22146/jkkk.83043","DOIUrl":"https://doi.org/10.22146/jkkk.83043","url":null,"abstract":"Background: Stroke can cause chronic neurological disorders that can cause physical changes and decline, especially in activities of daily living or Activity Daily Living (ADL). Prolonged ADL dependence has the potential to cause a burden for family caregivers.Objective: To determine the correlation between ADL dependence of patients with stroke and the burden of family caregivers.Method: This research was a correlational analytic quantitative study with a cross sectional design. The research was conducted in the working area of the Kasihan Health Center II in Bantul. There were 40 family caregivers and patients with stroke, as respondents. Samples were taken by simple random sampling technique. The research instruments were the Caregiver Reaction Scale (CRA) by Given and Barthel Index. Data analysis was performed with the Somers’d test.Result: most of the respondents with stroke were in mild dependence and were independent (f=18,45%), while family caregivers felt a moderate burden (f=29, 72,5%). The type of burden that the family caregiver felt the most was the burden of self-esteem with a mean score of 13,83. The Somers’d correlation test obtained the results for the value of r = 0,601, p-value = 0,000.Conclusion: There is a relationship between ADL dependency of patients with stroke and the burden of family caregivers with a moderate correlation level.ABSTRAKLatar belakang: Penyakit stroke dapat menyebabkan gangguan neurologis kronis yang dapat menimbulkan perubahan dan penurunan fisik terutama dalam aktivitas kehidupan sehari-hari atau activity daily living (ADL). Ketergantungan ADL dalam waktu yang lama berpotensi menimbulkan beban pada family caregiver.Tujuan: Untuk mengetahui hubungan ketergantungan ADL penderita stroke dengan beban family caregiver.Metode: Penelitian ini merupakan penelitian kuantitatif analitik korelasional dengan rancangan cross sectional. Penelitian dilakukan di wilayah kerja Puskesmas Kasihan II Bantul dengan responden family caregiver dan penderita stroke sejumlah 40 responden. Sampel diambil dengan teknik simple random sampling. Instrumen penelitian menggunakan Caregiver Reaction Scale (CRA) oleh Indeks Given dan Barthel. Analisis data dilakukan dengan uji Somers’d.Hasil: Sebagian besar responden penderita stroke termasuk dalam kategori ketergantungan ringan dan mandiri (f=18, 45%). Sementara family caregiver merasakan beban sedang (f=29, 72,5%). Jenis beban yang paling dirasakan oleh family caregiver adalah beban harga diri dengan mean score 13,83. Uji korelasi Somers’d didapatkan hasil nilai r=0,601 dan p=0,000.Kesimpulan: Terdapat hubungan antara ketergantungan ADL penderita stroke dengan beban family caregiver pada tingkat korelasi sedang.","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128765952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Penggunaan Terapi Komplementer dalam Meningkatkan Outcome Perawatan Pasien dengan Kanker Payudara: Scoping Review","authors":"Surya Wahyuni, A. Rahma, Slamet Aminanto, Arifin Triyanto","doi":"10.22146/jkkk.79810","DOIUrl":"https://doi.org/10.22146/jkkk.79810","url":null,"abstract":"Background: Breast cancer long-term treatment can cause side effect. Patients can use complementary treatment therapy which is causing gentler side effects and cutting treatment costs.Objective: To determine the effectiveness of complementary therapies in breast cancer patients according to scientific literature.Method: The literature search was conducted in four electronic data sources, namely PubMed, Sage Journal, Scopus, and Cochrane Library. The search used PCC with the keywords “Complementary Therapy” OR “Herbal Therapy” AND “Breast Cancer”. Inclusion criteria from the study were namely in English, in the year 2017-2022, a type of randomized controlled trial study, population of people with breast cancer. The selected literatures were analyzed using Arskey & O’Malley Framework and then data extraction were carried out.Result: The number of eligible’s articles to analyze were 6 of articles. Complementary therapy conducted in the articles were combination of Mantra meditation and listening to music, reflexology, mindful yoga, yoga, music therapy, and peppermint oil aromatherapy. The benefits of this therapy included overcoming cognitive disorders, reducing fatigue and anxiety, treating nausea, vomiting, and anorexia due to chemotherapy, increasing physical activity, and saving on treatment costs.Conclusion: The application of complementary interventions (such as combination of Mantra meditation and listening to music, reflexology, mindful yoga, yoga, music therapy, and peppermint oil aromatherapy) is effective in increasing outcome of the patient with breast cancer treatment.ABSTRAKLatar belakang: Efek samping dapat muncul akibat pengobatan jangka panjang kanker payudara. Dalam rangka mengatasinya dapat dilakukan terapi komplementer karena memiliki efek samping yang lebih sedikit dan biaya lebih murah. Terapi komplementer dapat mengurangi berbagai keluhan yang dirasakan oleh pasien kanker, seperti penurunan kemampuan kognitif, mengurangi kelelahan, kecemasan, mual dan muntah. Tujuan: Untuk mengetahui efektivitas terapi komplementer pada pasien kanker payudara dalam literatur ilmiah.Metode: Pencarian literatur dilakukan di empat sumber data elektronik, yaitu PubMed, Sage Journal, Scopus, dan Cochrane Library. Pencarian tersebut menggunakan PCC dengan kata kunci “Complementary Therapy” OR “Herbal Therapy” AND “Breast Cancer”. Kriteria inklusi dalam pencarian literatur, yaitu berbahasa Inggris dan tahun terbit 2017-2022, jenis penelitian randomized controlled trial, dengan populasi penderita kanker payudara. Literatur terpilih selanjutnya dianalisis menggunakan Arskey & O’Malley Framework, kemudian dilakukan ekstraksi data.Hasil: Jumlah artikel yang eligible untuk dianalisis sebanyak 6 artikel. Terapi komplementer yang digunakan dalam 6 artikel tersebut, yaitu kombinasi meditasi Mantra sambil mendengarkan musik, pijat refleksi, mindful yoga, yoga, terapi musik, dan aromaterapi menggunakan minyak daun mint. Manfaat yang diterima pasien, di antaran","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116253240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Interdialytic Weight Gain (IDWG) dengan Hipertensi Intradialisis pada Pasien yang Menjalani Hemodialisis","authors":"Y. Dewi, T. Pujiastuti, Avin Maria","doi":"10.22146/jkkk.75309","DOIUrl":"https://doi.org/10.22146/jkkk.75309","url":null,"abstract":"Background: Intradialytic hypertension is one of the problems experienced by patient with chronic kidney failure who undergoing hemodialysis with a prevalence of 13,2% to 33,9%. This kind of hypertension is one of the biggest causes of death in patient who undergoing dialysis, with a rate of 59%. Several factor can affect intradialytic hypertension, such as interdialytic weight gain, age, gender, and the duration of hemodialysis.Objective: To determine the characteristic of patients who underwent hemodialysis and to determine the correlation between interdialytic weight gain (IDWG) and confounding factors (age, gender, and the duration of hemodialysis) with intradialytic hypertension.Methods: This research used quantitative methods with observational analytic design. The sampling used simple random sampling with a sample size of 126 patients, who met inclusion and exclusion criteria. Data were collected using secondary data and then analyzed using Fischer Test.Results: The result showed there was no correlation between Interdialytic weight gain (IDWG) and intradialytic hypertension (p value = 0,484). For confounding variable, there was also no correlation between age with intradialytic hypertension (p value= 0,584), gender with intradialytic hypertension (p value= 1,000), and the duration of hemodialysis with intradialytic hypertension (p value= 0,333).Conclusion: There was no statistically significant correlation between interdialytic weight gain (IDWG) and intradialytic hypertension. Age, gender, and duration of hemodialysis did not contribute to intradialytic hypertension.ABSTRAKLatar belakang: Hipertensi intradialisis merupakan salah satu permasalahan yang dialami pasien gagal ginjal kronik yang menjalani hemodialisis, dengan prevalensi sekitar 13,2% sampai 33,9%. Kondisi ini menjadi salah satu penyebab kematian terbesar pada pasien yang menjalani dialisis, yaitu sebesar 59%. Beberapa faktor yang dapat memengaruhi hipertensi intradialisis, seperti Interdialytic Weight Gain, usia, jenis kelamin, dan lama hemodialisis.Tujuan: Mengetahui karakteristik pasien yang menjalani hemodialisis serta mengetahui hubungan antara Interdialytic Weight Gain (IDWG) dan faktor confounding (usia, jenis kelamin, dan lama hemodialisis) dengan hipertensi intradialisis.Metode: Penelitian ini menggunakan metode kuantitatif dengan desain analitik observasional. Jumlah sampel yang digunakan sebanyak 126 pasien, yang memenuhi kriteria inklusi dan eksklusi. Pengumpulan data menggunakan lembar dokumentasi subjek penelitian dan analisis data menggunakan Fischer test.Hasil: Hasil penelitian menunjukkan bahwa tidak ada hubungan antara Interdialytic Weight Gain (IDWG) dengan hipertensi intradialisis (p-value = 0,484). Pada faktor confounding juga tidak ada hubungan antara hipertensi intradialisis dengan usia (p-value= 0,584), dengan jenis kelamin  (p-value = 1,000), dan dengan lama hemodialisis (p-value= 0,333).Simpulan: Tidak ada hubungan antara Interdialytic Weight Gain (ID","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128667786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengaruh Hidroterapi Rendam Kaki Air Hangat terhadap Penurunan Tekanan Darah pada Lansia Hipertensi di Dusun Kembangan, Candibinangun, Pakem, Sleman, Yogyakarta","authors":"Clara Diana Widyaswara, Therese Maura Hardjanti CB, Agnes Mahayanti","doi":"10.22146/jkkk.75264","DOIUrl":"https://doi.org/10.22146/jkkk.75264","url":null,"abstract":"Background: Elderly 60 years and over will experience a decrease and physical changes, one of which is in the cardiovascular system, namely high blood pressure or hypertension. One way to lower blood pressure with non-pharmacological therapy is by soaking the feet in warm water.Objective: To determine the effect of warm water foot soaks hydrotherapy on reducing blood pressure in hypertensive elderly.Method: This study used a quasi-experimental research method by measuring blood pressure before the hydrotherapy intervention was soaked in warm water and after that, the blood pressure was measured again. The research subjects were hypertensive elderly in Kembangan Hamlet who met the inclusion criteria. The sampling technique used a random sampling technique with 10 research subjects in the intervention group and 11 in the control group. Data were analyzed using independent t-test and paired t-test.Results: fter the intervention, in the intervention group, there was a change in systolic mean (pretest: 151,20 mmHg, posttest: 137 mmHg, p=0,000), but not in diastolic mean (pretest: 84,20 mmHg, posttest: 82,80 mmHg, p= 0,066). Meanwhile, in the control group, there were differences in both systolic and diastolic mean (systolic pretest: 160,18 mmHg, posttest: 157,45 mmHg, p=0,001 and diastolic pretest: median 90 mmHg, posttest: median 88 mmHg, p=0,002). There were significant differences in systolic gain in both groups  (p=0,000) but not in diastolic (p=0,061)Conclusion: there is a significant difference in blood pressure after warm water foot soaks therapy in hypertensive elderly in Kembangan Hamlet, Candibinangun, Pakem.ABSTRAKLatar belakang: Lansia 60 tahun keatas akan mengalami penurunan dan perubahan fisik, salah satunya pada sistem kardiovaskular yaitu penyakit tekanan darah tinggi atau hipertensi. Salah satu cara menurunkan tekanan darah dengan terapi non farmakologi yaitu dengan hidroterapi rendam kaki air hangat.Tujuan: Untuk mengetahui pengaruh hidroterapi rendam kaki air hangat terhadap penurunan tekanan darah pada lansia hipertensi.Metode: Penelitian ini menggunakan metode penelitian quasi eksperimen dengan cara pengukuran tekanan darah sebelum dilakukan intervensi hidroterapi rendam kaki air hangat dan setelah itu dilakukan pengukuran tekanan darah kembali. Subjek penelitian yaitu lansia hipertensi di Dusun Kembangan yang memenuhi kriteria inklusi. Teknik pengambilan sampel menggunakan teknik random sampling dengan subjek penelitian sebanyak 10 orang kelompok intervensi dan 11 orang kelompok kontrol. Tekanan darah diukur menggunakan tensimeter. Pengukuran posttest dilakukan satu kali. Analisis data dilakukan dengan uji independen t-test dan paired t test.Hasil: Setelah dilakukan intervensi rendam kaki air hangat, pada kelompok intervensi terjadi perubahan rata-rata tekanan darah sistolik (pretest: 151,20 mmHg, posttest: 137 mmHg, p=0,000) namun tidak ada perubahan tekanan diastolik (pretest: 84,20 mmHg, posttest: 82,80 mmHg, p= 0,066). Sement","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115437467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}