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"ABSTRAKTujuan penelitian ini adalah untuk mengetahui pengalaman keluarga membangun koping dalam merawat anggota keluarga dengan penyakit kronis. Metode penelitian yang digunakan adalah pendekatan fenomenologi deskriptif. Hasil penelitian menggambarkan koping keluarga dibentuk dari kekuatan keluarga, koping individu dan dukungan masyarakat. Tema dalam penelitian ini yaitu respon psikologis keluarga, upaya untuk mempertahankan kesehatan, perubahan status kesehatan penderita, perubahan sistem keluarga, aksesibilitas terhadap layanan kesehatan, cara merawat di rumah, mempertahankan keseimbangan keluarga, persepsi keluarga : layanan kesehatan kurang baik, harapan keluarga : jenis dan kualitas layanan baik dan keyakinan keluarga dalam menjalani hidup. Hasil penelitian ini diharapkan dapat menjadi masukan dalam meningkatkan asuhan keperawatan pada keluarga dengan penyakit kronis.

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ABSTRACTThe aim of this research is to describe the experience of family in developing coping family in treating family members with chronic disease. The research method used was a descriptive phenomenological approach. Results of this research is family strengths, individual coping and community support were related to adaptive response of family and depend on disease, prognosis and how long family caring member with chronic disease. There were ten main domains which are family psychological response, efforts to maintain health, changes in health status of patients, family system changes, accessibility to health care, how to care for at home, maintaining family balance, family perceptions of the service healthcare received, family’s hope for health care service, and family beliefs in life. The result is expected to be input in improving nursing care in families with chronic illness."

"ABSTRAKPenelitian ini bertujuan untuk membandingkan serta melihat pengaruh guilt proneness dan perceived social support terhadap readiness to change antara Anak yang Berhadapan dengan Hukum (ABH) di LPKA Klas IIA Salemba dan PSMP Handayani. Penelitian melibatkan 59 ABH berstatus narapidana yang diminta mengisi kuesioner TOSCA-SD, MSPSS, dan URICA. Hasil analisis regresi menunjukkan bahwa guilt proneness berpengaruh positif terhadap readiness to change di LPKA, tetapi tidak di Handayani. Perceived social support tidak berpengaruh terhadap readiness to change di LPKA maupun Handayani. Lalu, interaksi guilt proneness dan perceived social support berpengaruh positif terhadap readiness to change di LPKA, tetapi tidak di Handayani.

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ABSTRACTThis study is conducted to compare and determine how guilt proneness and perceived social support can predict readiness to change of juvenile inmates in LPKA Klas IIA Salemba and PSMP Handayani. There are 59 participants were ask to fill the TOSCA-SD, MSPSS, and URICA which is then processed by using regression analysis. This study found guilt proneness gives positive effect on readiness to change in LPKA, but no effect in Handayani. Perceived social support has no effect on readiness to change in LPKA and Handayani. Then, this study found that interaction between guilt proneness and perceived social support significantly gives positive effect on readiness to change in LPKA, but no effect in Handayani."

"Penelitian ini bertujuan untuk mengetahui impelementasi Program Pengelolaan Penyakit Kronis (Prolanis) di BPJS Kesehatan Kantor Cabang Jakarta Timur Tahun 2016. Penelitian ini adalah penelitian kualitatif dengan pengumpulan data melalui wawancara, observasi dan telaah dokumen.Penelitian menunjukkan bahwa ada masalah dalam sisi komunikasi, sumber daya, sikap implementor, struktur birokrasi dan implementasi kegiatan Prolanis. Peneliti menyarankan agar dilakukan upaya perbaikan dalam hal sosialisasi, komitmen penyediaan obat, pembuatan SOP pelaksanaan kegiatan Prolanis, anggaran khusus Prolanis dan sebuah aplikasi yang menunjang kegiatan Prolanis.

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The purpose of this research is to determine Implementation of Chronic Disease Management Programe (Prolanis) at BPJS Kesehatan, Branch Office, East Jakarta, 2016. This study used qualitative method, data collection is done through in-depth interviews, observation and documents analysis.

Result of this study found that there are problems in communication, resources, bureaucracy structure, attitude implementor and implementation of activities Prolanis. Researches suggest that do improvements in terms of socialization, the commitments, manufacture of SOP implementation, budgets of all activities prolani and an application programe for prolanis."

"Pasien gagal ginjal kornik (GGK) membutuhkan penatalaksaan berupa pengaturan diet, masukan kalori suplemen dan vitamin, obat-obatan, pembatasan asupan cairan dan terapi pengganti ginjal. Hemodialisis merupakan salah satu terapi pengganti ginjal. Komplikasi pada hemodialisis seringkali terjadi karena masalah kepatuhan diet. Penerimaan penyakit dan dukungan sosial dapat berhubungan dengan kepatuhan diet. Tujuan penelitian ini yaitu mengetahui hubungan penerimaan penyakit dan dukungan sosial dengan kepatuhan diet pada pasien GGK yang menjalani hemodialisis. Penelitian ini menggunakan desain cross sectional dengan consecutive sampling pada 106 responden. Pengumpulan data dengan kuesioner acceptance of illness, kusioner dukungan sosial dan kuesioner kepatuhan diet. Analisis yang digunakan yaitu uji Chi-Square dan regresi logistik berganda. Hasil penelitian didapatkan responden yang patuh terhadap kepatuhan diet sebanyak 78.3%, dukungan sosial tinggi sebanyak 61.3% dan penerimaan penyakit tinggi 40.6%. Hasil analisis didapatkan adanya hubungan yang signifikan antara penerimaan penyakit dengan kepatuhan diet (p=0.005), terdapat hubungan yang signifikan antara dukungan sosial dengan kepatuhan diet (p=0.026). Selanjutnya pada analisis multivariat variabel yang paling dominan mempengaruhi kepatuhan diet adalah lama menjalani hemodialisis (p=0.032) setelah dikontrol variabel jenis kelamin, tingkat pendidikan pekerjaan, lama menjalani hemodialisis, sosial ekonomi, penerimaan penyakit, dan dukungan sosial serta mampu memprediksi sebesar 8% terhadap kepatuhan diet. Rekomendasi penelitian ini adalah perawat perlu mengidentifikasi serta melakukan upaya meningkatkan penerimaan penyakit dan dukungan sosial pada pasien untuk meningkatkan kepatuhan diet.

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Patients with chronic kidney disease (CKD) require management in the form of diet regulation, calorie intake, supplements and vitamins, medication, limiting fluid intake and kidney replacement therapy. Hemodialysis is a type of kidney replacement therapy. Complications in hemodialysis often occur due to dietary compliance problems. Disease acceptance and social support may be associated with dietary compliance. This research aims to determine the relationship between acceptance of illness and social support with dietary compliance in CKD patients undergoing hemodialysis. This study used a cross-sectional design with consecutive sampling of 106 respondents. Data were collected using an acceptance of illness questionnaire, social support questionnaire and diet compliance questionnaire. The analysis used is the Chi-Square test and logistic regression. The research results showed that 78.3% of respondents were compliant with diet, 61.3% had high social support and 40.6% had high disease acceptance. The results of the analysis showed that there was a significant relationship between acceptance of illness and diet compliance (p=0.005), and there was a significant relationship between social support and diet compliance (p=0.026). Furthermore, in the multivariate analysis, the variable that most dominantly influenced diet compliance was the length of time undergoing hemodialysis (p=0.032) after controlling for the variables gender, occupational education level, length of time undergoing hemodialysis, socio-economics, disease acceptance, and social support and was able to predict 8% of dietary compliance. This research recommends that nurses need to identify and make efforts to increase disease acceptance and social support for patients to increase dietary compliance."

"Salah satu dampak dari perawatan pasien di Intensive Care Unit (ICU) adalah timbulnya stres pada keluarga. Penelitian bertujuan mengetahui tingkat stres yang dialami oleh keluarga pasien di ICU. Metode penelitian ini menggunakan desain penelitian deskriptif dengan menggunakan sampel penelitian keluarga pasien yang menunggu di Intensive Care Unit (ICU) RS St. Borromeus Bandung sebanyak 49 orang. Data dianalisis dengan menggunakan analisis univariat dan mendapatkan hasil bahwa 3 orang (6,10%) mengalami stres ringan, 44 orang (89,80%) stres sedang, 2 orang (4,10%) stres berat. Peneliti merekomendasikan penelitian selanjutnya tentang hubungan karakteristik responden dengan tingkat stres keluarga pasien di Intensive Care Unit (ICU).

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One the effect from patient treatment in intensive care unit (ICU) is family stress. The purpose of this research is to identify patients's family stress whi treated in Intensive Care Unit (ICU). This research used descriptive design. Sample of this research is 49 patient's family in Intensive Care Unit (ICU) St. Borromeus Hospitas Bandung. The result of this research show that 3 respondents (6,10%) have mild stress. 44 respondents (89,80%) have moderate stress, and 2 respondents (4,10%) have severe stress. Researcher recommendation for the next research is about relationship between respondent characteristic and level of family stress in Intensive Care Unit (ICU)."