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"Tingginya kerentanan lansia terhadap risiko infeksi hingga kematian akibat COVID-19 menimbulkan masalah kecemasan pada lansia terhadap risiko tertular COVID-19. Peran keluarga dalam memberikan dukungan bagi lansia sangat penting, mengingat keluarga merupakan kelompok sosial yang paling penting dan paling dekat dengan lansia. Penelitian ini bertujuan untuk mengetahui hubungan dukungan dari keluarga dengan tingkat kecemasan lansia tentang risiko tertular COVID-19. Penelitian ini dilaksanakan dengan rancangan cross sectional dan pemilihan sampel dengan teknik cluster random sampling, yaitu sebanyak 107 lansia. Berdasarkan hasil penelitian didapat bahwa dukungan dari keluarga memiliki hubungan yang kuat dengan kecemasan lansia terhadap risiko tertular COVID-19 (p value = 0.000). Penelitian ini merekomendasikan pemberi layanan kesehatan, terutama perawat komunitas untuk memberikan penguatan terhadap dukungan dari keluarga, terutama dukungan instrumental dengan memfasilitasi keluarga yang merawat lansia untuk ikut terlibat dalam memberikan dukungan dan perawatan bagi lansia terutama pada masa pandemi COVID-19 atau masa penyebaran penyakit menular. Hal tersebut dapat dilakukan melalui program penyuluhan yang dilakukan dengan mendatangi secara langsung keluarga yang merawat lansia untuk mengidentifikasi dan memberikan penguatan terhadap dukungan dari keluarga bagi lansia, sehingga lansia dapat merasakan dukungan dari keluarga secara maksimal.

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The high vulnerability of elderly to the risk of infection to death from COVID-19 raises anxiety problem in the elderly against the COVID-19 transmission risk. The role of the family in providing support for the elderly is very important, considering that the family is the most important and the closest social group to the elderly. This research aimed to identify the correlation between the family support and elderly’s anxiety of COVID-19 transmission risk. This study used cross sectional design and cluster random sampling technique as the sample selection, applied to 107 elderly. Based on the results of the study, family support had a strong correlation with elderly’s anxiety of COVID-19 transmission risk (p value = 0.000). This study recommends health care providers, especially community nurses, to provide reinforcement of family support, especially instrumental support by facilitating the family who care for elderly to be involved in providing support and care for the elderly, during the COVID-19 pandemic or the spread of infectious diseases. It can be done by visiting the families who care for elderly directly to indentify and provide reinforcement of family support for the elderly, so that elderly can feel the support from their families.

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"Penelitian ini bertujuan untuk melihat apakah coping humor pada Orang Dengan HIV/AIDS ODHA memiliki kontribusi terhadap family functioning dan dimensi-dimensinya. Penelitian ini dilakukan pada 64 ODHA dengan rentang usia 21-49 tahun. Peneliti menggunakan Coping Humor Scale CHS yang disusun oleh Martin 1996 untuk mengukur tingkat coping humor serta Family Assesment Device FAD yang disusun oleh Epstein et. al 1983 untuk mengukur tingkat family functioning. Hasil penelitian ini menunjukkan bahwa coping humor tidak memiliki berkontribusi terhadap family functioning secara umum. Secara lebih spesifik, coping humor memiliki kontribusi yang signifikan terhadap dimensi roles, namun tidak berkontribusi terhadap dimensi lainnya.

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This study was conducted to examine the contributions of coping humor in people living with HIV AIDS towards family functioning and each dimensions of it. Data was collected from 64 respondents with 21 49 range of age. Coping humor was measured by Coping Humor Scale CHS which developed by Martin 1996 and family functioning was measures by Family Assessment Device FAD which developed by Epstein, et al. 1983.

The result indicated no significant contributions of coping humor towards family functioning. More specifically, it was also found significant contributions of coping humor towards dimension of roles, but none in the other dimensions."

"Merawat anggota keluarga yang menderita penyakit kanker merupakan pengalaman traumatis bagi family caregiver sehingga tak jarang mereka merasakan beban. Strategi koping dipercaya dapat menjadi salah satu faktor protektif bagi family caregiver dalam mencegah terjadinya beban caregiver. Penelitian ini bertujuan untuk mengetahui hubungan antara strategi koping dan beban caregiver pada family caregiver pasien kanker. Peneliti menggunakan alat ukur Ways of Coping Questionnaire dalam mengukur strategi koping dan Zarit Burden Interview dalam mengukur beban caregiver. Penelitian ini menggunakan analisis pearson correlation pada 90 partisipan dan didapatkan hasil yang menunjukkan bahwa tidak ada hubungan yang signifikan antara beban caregiver dan total skor problem-focused coping maupun emotion-focused coping yang digunakan oleh family caregiver pasien kanker. Walaupun demikian, peneliti menemukan adanya hubungan positif yang signifikan antara escape avoidance dengan beban caregiver. Artinya, ketika strategi escape avoidance digunakan lebih sering, maka family caregiver akan mengalami beban merawat yang lebih besar. Temuan ini dapat menjadi landasan penelitian lebih lanjut mengenai pentingnya strategi koping terhadap pengalaman family caregiver di seluruh fase spesifik penyakit kanker untuk menentukan titik waktu kritis dalam mencegah beban caregiver.

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Caring for family members who suffer from cancer was a traumatic experience for family caregivers so that they often feel the burden. Coping strategies were believed to be one of the protective factors for family caregivers from caregiver burden. This study aimed to determine the relationship between caregiver burden and coping strategies used by family caregivers in cancer patient. Coping strategies were assessed using the Ways of Coping Questionnaire and caregiver burden was assessed using Zarit Interview Scale. This study used the Pearson correlation analysis on 90 participant. The results showed that there was no significant relationship between caregiver burden and the total score of problem-focused coping and emotion-focused coping used by family caregivers of cancer patients. However, this research found a significant positive relationship between one type of emotion-focused coping, namely the escape avoidance strategy with the caregiver burden. This shows when the escape avoidance strategy used more often, the family caregiver will experience a greater caregiver burden. This finding can be the basis for further research on the importance of coping strategies used by family caregivers at specific stages along the cancer illness trajectory to determine critical time points in preventing caregiver burden."

"Pendahuluan: Pasien kanker yang menjalani perawatan intensif menjadi beban keluarganya. Masalah yang timbul seperti ketakutan, kecemasan, sedih, lelah, nyeri, makan tidak teratur, menghadapi kematian, kurang tidur, peran terganggu dan ekonomi. Tujuan: Tujuan dari penelitian ini untuk mendapatkan gambaran pengalaman keluarga dari pasien kanker yang menjalani perawatan intensif. Metode: Desain penelitian yang digunakan kualitatif deskriptif dengan sampel 10 partisipan sesuai kriteria inklusi. Teknik sampling yang digunakan adalah purposive sampling. Hasil: Tema yang ditemukan meliputi; 1) tekanan emosional dalam menghadapai kondisi kritis, 2) menjaga kesehatan tubuh untuk tetap bertahan, 3) meningkatnya kedekatan diri pada Tuhan, 4) financial toxicity, 5) perubahan peran pada anggota keluarga, dan 6) kebutuhan terhadap pelayanan ICU yang belum terpenuhi. Kesimpulan: Perawatan intensif dirasakan oleh keluarga yang menunggu sebagai beban psikologis, fisik, spiritual, sosial dan finansial, sehingga diperlukan pengkajian yang komprehensif terkait masalah tersebut.

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Introduction: Cancer patients undergoing intensive care are a burden to their families. Problems that arise such as fear, anxiety, sadness, fatigue, pain, eating irregularly, facing death, lack of sleep, and disrupted roles and the economy. Objective: The purpose of this study was to obtain an overview of the family experiences of cancer patients undergoing intensive care. Methods: The research design used was descriptive qualitative with a sample of 10 participants according to the inclusion criteria. The sampling technique used is purposive sampling. Results: The themes found include; 1) emotional stress in dealing with critical conditions, 2) maintaining a healthy body to survive, 3) increasing closeness to God, 4) financial toxicity, 5) changing roles for family members, and 6) unmet needs for ICU services. Conclusion: Intensive care is felt by waiting families as a psychological, physical, spiritual, social and financial burden, so a comprehensive assessment of the problem is needed"

"For years, Elisabeth Hasselbeck couldn't figure out what was making her sick. She asked doctors and consulted nutritionists, but no one seemed to have any answers. It wasn't until spending time in the Australian Outback, living off the land on the grueling Survivor TV show, that, ironically, her symptoms vanished. Returning home, she pinpointed the food that made her sick -- gluten, the binding element in wheat. By simply eliminating it from her diet, she was able to enjoy a completely normal, healthy life. But that wasn't all. Hasselbeck discovered the myriad benefits that anyone can enjoy from a gluten-free diet: from weight loss and increased energy to even the alleviation of the conditions of autism.In this all-inclusive book, Hasselbeck shares her hard-earned wisdom on living life without gluten and loving it. She gives you everything you need to know to start living a gluten-free life, from defining gluten - where to find it, how to read food labels - to targeting gluten-free products, creating G-Free shopping lists, sharing recipes, and managing G-Free living with family and friends."

"Kanker payudara adalah penyakit kronis yang banyak diderita oleh perempuan di Indonesia. Ketika menjalani proses pengobatan kanker payudara, pasien membutuhkan bantuan dalam menjalankan kehidupan sehari-hari. Keluarga sebagai unit terdekat seringkali berperan sebagai family caregiver bagi pasien kanker payudara. Ketika menghadapi kanker, keluarga seringkali menghadapi berbagai masalah, khususnya terkait family functioning Wozniak Izycki, 2014. Selain itu, akibat dari perubahan atau bertambahnya peran yang dimiliki oleh anggota keluarga akan berdampak pada caregiver burden yang dimiliki oleh family caregiver. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana hubungan antara family functioning dan caregiver burden pada family caregiver pasien kanker payudara yang telah melakukan caregiving selama minimal tiga bulan. Family functioning diukur dengan menggunakan Family Assessment Device FAD Epstein, Bishop Levin, 1978 dan caregiver burden menggunakan Zarit Interview Scale ZBI Zarit, 1980. Terdapat 35 partisipan dalam penelitian ini yang merupakan family caregiver pasien kanker payudara. Berdasarkan analisis, penelitian ini menemukan bahwa terdapat hubungan negatif yang signifikan antara family functioning dan caregiver burden. Artinya, semakin tinggi skor FAD maka semakin rendah skor ZBI yang dimiliki oleh family caregiver pasien kanker payudara.

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Breast cancer is the most common chronic disease among Indonesian women. When the treatment is being taken, patients need assistance in carrying out daily activities. Family as the basic unit usually become the caregiver for breast cancer patients. As a caregiver, family member is sometimes facing various problems, particularly on family functioning Wozniak Izycki, 2014. In addition, the changing or multiple role the family member play have impact on the caregiver burden for family caregiver. The purpose of this study is to investigate the correlation between family functioning and caregiver burden among family caregiver breast cancer pasient who have been caregiving for at least three months. Family functioning is assessed using Family Assessment Device FAD with Epstein, Bishop Levin, 1978 and caregiver burden is assessed using Zarit Interview Scale ZBI Zarit, 1980. In this study there are 35 participants who are family caregiver of breast cancer patient. This study found that there is a significant negative correlation between family functioning and caregiver burden. That is, the higher FAD score then the lower ZBI score issued by family caregiver of breast cancer patients."

"Latar belakang: Kanker paru yang bermetastasis dapat meningkatkan risiko penurunan kualitas hidup. Masalah yang timbul pada pasien kanker paru yang bermetastasis mengakibatkan peningkatan kecemasan pada keluarga. Tujuan: Mendapatkan gambaran pengelolaan pasien kanker paru yang bermetastasis dengan mengaplikasikan teori Peaceful End Of Life Ruland Dan Moore dengan pendekatan intervensi berbasis Evidence Based Practice Nursing Psikoedukasi pada keluarga untuk mengurangi kecemasan keluarga. Metode: Studi kasus ini melibatkan lima pasien kanker paru yang dirawat di ruang rawat inap Rumah Sakit Kanker Dharmais yang diberikan asuhan keperawatan dengan pendekatan teori peacefull end of life Rulland dan Moore dan intervensi psikoedukasi pada keluarga. intervensi psikoedukasi pada keluarga diberikan sebanyak lima sesi, masing-masing sesi tiga puluh menit Hasil: Pendekatan proses keperawatan mulai dari pengkajian sampai evaluasi diterapkan pada lima pasien kanker paru yang bermetastasis. Pendekatan teori peacefull end of life meliputi bebas nyeri, kenyamanan, perasaan damai, kedekatan orang yang bermakna Beberapa masalah kesehatan yang muncul adalah ansietas, harga diri rendah, fatigue dan nyeri. Melalui intervensi psikoedukasi pada keluarga kelima pasien kanker paru yang bermetastasis mengalami peningkatan kualitas hidup Kesimpulan: Pendekatan teori peacefull end of life dapat diberikan pada pasien kanker paru yang bermetastasis. Intervensi keperawatan psikoedukasi efektif untuk mengurangi kecemasan keluarga.

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Background: Metastatic lung cancer can increase the risk of decreasing quality of life. Problems that arise in metastatic lung cancer patients result in increased anxiety in the family. Objective: Obtain an overview of the management of metastatic lung cancer patients by applying Ruland Dan Moore's Peaceful End Of Life theory with an intervention approach based on Evidence Based Practice Nursing Psychoeducation in families to reduce family anxiety. Methods: This case study involved five lung cancer patients who were treated in the inpatient room of the Dharmais Cancer Hospital who were given nursing care using Rulland and Moore's peacefull end of life theory approach and psychoeducational interventions in the family, five session, and thirty minute. Results: The nursing process approach from assessment to evaluation was applied in five metastatic lung cancer patients. The peacefull end of life theory approach includes pain-free, comfort, feeling of peace, closeness of meaningful people. Some of the health problems that arise are anxiety, low self-esteem, fatigue and pain. Through psychoeducational interventions in the fifth family of metastatic lung cancer patients, the quality of life is improved. Conclusion: A peaceful end of life theoretical approach can be given to metastatic lung cancer patients. Psychoeducational nursing interventions are effective for reducing family anxiety."