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"Dampak dari hospitalisasi pada anak diantaranya adalah stres. Stres ini timbul karena anak takut akan tindakan invasif, cemas berpisah dengan orang tua serta karena nyeri. Tindakan invasif yang didapat anak selama hospitalisasi sering menimbulkan trauma berkepanjangan. Salah satu prosedur invasif yang dilakukan bagi anak adalah terapi melalui intra vena.Tindakan ini menimbulkan nyeri. Upaya untuk managemen nyeri ada farmakologis dan non farmakologis. Tindakan non farmakologis yang bisa dilaksanakan oleh perawat diantaranya dengan memberikan stimulasi kulit. Stimulasi kulit yang diupayakan antara lain dengan menggunakan kompres es batu. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian kompres es batu terhadap tingkat nyeri anak usia pra sekolah yang dilakukan prosedur pemasangan infus. Penelitian ini menggunakan studi quasi eksperimen dengan rancangan Nonequivalent control group, after only design. Sampel penelitian berjumlah 64 anak yang dilakukan pemasangan infus di rumah sakit dr. Cipto Mangunkusumo Jakarta. Sampel dibagi menjadi 2 kelompok, 32 anak sebagai kelompok intervensi, 32 anak sebagai kelompok kontrl. Instrumen yang digunakan dalam pengumpulan data berupa 1 kuesioner dan 1 lembar observasi dengan menggunakan skala Wong Baker Pain Faces. Instrumen berupa lembar kuesioner.

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Distress is a negative effect during hospitalization on children. invasive procedures, separation anxiety and painful which cause considerable child distress. Invasive procedures during hospitalization continuesly distress. Intrusive proce ures such as venipuncture are well understood as a stressfull event for children. Pain management were pharmacological and non pharmacological. Cutaneus stimulation is a non pharmacological theraphy to reduce venipuncture related pain and can be performed by nurses. Ice cube is cutaneus stimulation. The purpose of this study was determining the effect of ice cube prior to venipuncture on pain related responses in preschool age child. This study is quasi experiment with nonequivalent control group after only design. The subject were 64 preschool child selected by purposive sampling. Two groups were chosen for this study: 32 the test and 32 control group. Pain responses were measured using Wong Baker faces Pain Scale and confounding factor were measured using quesionaire. After homogeneity test this study analyzed with chi square. Result showed that ice cube reduced pain on preschool age child who were venipuncture, 83,3% mild pain with icecube and 16,7% mild pain without ice cube on p=0.01, α < 0,05. Ice cube efficient and effective for cutaneus stimulation. Pediatric nurse could apply ice cube for atraumatic care on venipuncture procedures. Sex, ethnic, member of family present, and child experience did not effect pain relieve in children. Child fear significantly effect for pain relieve in preschool age child ."

"Kanker pada anak 4,9 % dari kanker pada semua usia (Depkes, 2009) dan menimbulkan beban bio-psiko-sosio-spiritual bagi penderita dan keluarga (caregiver) khususnya kecemasan. Tujuan penelitian mengetahui pengaruh terapi thought stopping terhadap tingkat kecemasan keluarga (caregiver) dengan anak usia sekolah yang menjalani kemoterapi. Penelitian dilakukan di di RSUPN Dr Cipto Mangunkusumo terhadap 46 responden, yaitu 23 responden sebagai kelompok intervensi dan 23 responden sebagai kelompok kontrol. Hasil penelitian ini menunjukkan tingkat kecemasan ringan pada keluarga (caregiver) dengan anak usia sekolah yang menjalani kemoterapi pada kelompok yang diberikan dan tingkat kecemasan sedang pada kelompok diberikan thought stopping (p-value <
). Rekomendasi penelitian diutamakan kepada pelayanan kesehatan di rumah sakit umum agar menindaklanjuti dan bekerjasama dengan perawat spesialis jiwa dalam mengatasi kecemasan keluarga (caregiver).

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Cancer on children is 4,9 % of cancer in all age (Depkes, 2009) and raises the burden of bio-psycho-socio-spiritual for patients and families (caregivers), especially anxiety. The research objective is to explain the influence of thought stopping therapy to the anxiety level of family (caregiver) with school-age children undergoing chemotherapy. Research conducted in RSUPN Dr Cipto Mangunkusumo against 46 respondents: 23 respondents as the intervention group and 23 respondents as the control group.

The results shows mild anxiety levels in the group given thought stopping and moderate anxiety levels in the group not given thought stopping (p-value <
). Recommendations of this study preferred to health care in public hospitals in order to follow up the results of this study in collaboration with psychiatric nurse specialist to cope the anxiety of family (caregiver."

"ABSTRAKHubungan gizi dengan HIV sangatlah erat, dimana pada kondisi ODHA telah terkena penyakit infeksi dan jatuh sakit maka kebutuhan gizi akan meningkat tetapi di sisi lain sering kali adanya kegagalan asupan yang adekuat sehingga penyakit infeksinya akan semakin buruk. Begitu seterus hubungannya apabila asupan gizi tidak adekuat. Masalah gizi pada ODHA dapat juga berupa kelebihan gizi yang berdampak pada penyakit degeneratif. Edukasi gizi merupakan langkah yang baik untuk membentuk perilaku, dimana ODHA diharapkan mengkonsumsi makanan dan minuman dengan gizi yang cukup dan aman.Penelitian ini bertujuan untuk mengetahui pengaruh pemberian edukasi dan konseling gizi terhadap pengetahuan, sikap, perilaku dan berat badan ODHA di UPT HIV RSUPN Dr. Cipto Mangunkusumo Jakarta.Desain penelitian yang digunakan adalah kuasi eksperimental yang dilakukan kepada 54 pasien HIV/AIDS dengan menilai pengetahuan, sikap, perilaku dan pengukuran berat badan sebelum dan setelah diberikan intervensi. Uji statistik yang digunakan adalah uji beda meandan uji multivariat logistik linear. Hasil penelitian menunjukkan adanya perbedaan pengetahuan (p value 0,000) dan perilaku (p value 0,048) untuk kelompok perlakuan. Peningkatan berat badan ratarata setelah intervensi adalah 0,6 kg (p value 0,170). Variabel yang paling dominan terhadap perilaku adalah dukungan keluarga/peer group (p value 0,012).

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ABSTRAKA closely relation between HIV and nutrition, where the condition of people living with HIV/AIDS (PLWHA) has been exposed to infectious diseases and easy to falling ill, nutritional needs will increase but on the other hand is often a failure of adequate intake so that the infection will get worse disease. So onwards to do when nutritional intake is inadequate. Nutritional problems in PLWHA can also be excess nutrients that have an impact on degenerative diseases. Nutrition education is a good step for shaping behavior, where PLWHA are expected to consume foods and beverages with adequate nutrition and safe.This study aims to determine the effect of nutrition education and counseling on knowledge, attitudes, behaviors and body weight PLWHA.The design study is quasi experimental conducted to 54 patients with HIV / AIDS to assess the knowledge, attitude, behavior and body weight measurements before and after intervention. The results showed differences in knowledge (p value 0.000) and behavior (p value 0.048) for the treatment group. The increase in the average weight gain was 0.6 kg after intervention (p value 0.170). The most dominant variable is the behavior of family support / peer group (p value 0.012)."

"Mukositis adalah salah satu efek samping kemoterapi yang sering terjadi. Oral care menggunakan madu direkomendasikan untuk mencegah mukositis. Tujuan penelitian ini adalah untuk mengidentifikasi pengaruh madu terhadap mukositis akibat kemoterapi. Desain penelitian ini adalah kuasi eksperimen. Sampel diambil dengan consecutive sampling, terdiri dari kelompok intervensi yang mendapatkan oral care menggunakan madu (24 responden) dan kelompok kontrol mendapatkan oral care rutin (24 responden). Skor mukositis dievaluasi dengan Oral Assessment Guide. Data dianalisis dengan independent t test dan analysis of covarian.Hasil analisis menunjukkan terdapat penurunan yang signifikan pada rerata skor mukositis setelah intervensi pada kelompok intervensi (p=0,000). Peneliti menyimpulkan pemberian madu dalam oral care dapat menurunkan mukositis akibat kemoterapi, sehingga diharapkan hasil penelitian ini dapat diaplikasikan dalam protokol oral care pada anak yang sedang menjalani kemoterapi.

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Mucositis is known as a one common of side effects of chemotherapy. This study aimed to identify the effect of honey on nursing?s oral care intervention for chemotherapy-induced mucositis among children undergoing chemotherapy. The study was quasi experiment. A consecutive sampling was used with 24 patients were in a control group and 24 patients were in the intervention group. Intervention group were treated with oral care by using honey, while the control group received regular oral care. Mucositis score was evaluated by using an Oral Assessment Guide (OAG). Data were analyzed using independent t-test and analysis of covariance.

The result of this study showed that there was a significant reduction in the average of mucositis score after intervention in the intervention group compared to the control group (p=0.000). The study demonstrated that oral care intervention with honey was effective in managing chemotherapy-induced mucositis among children with cancer. Based on the findings, it is recommended to apply oral care with honey as a nursing intervention to patients undergoing chemotherapy."

"Latar Belakang Asma persisten banyak terjadi pada anak di bawah usia tiga hingga enam tahun. Karakteristik pada anak dengan asma persisten cukup bervariasi sehingga menyebabkan anak rentan mengalami kondisi yang tidak terkendali jika tidak segera ditangani. Di Indonesia, belum ada data yang menggambarkan karakteristik anak dengan asma persisten dan faktor-faktor yang memengaruhi derajat kendalinya. Metode Desain penelitian potong lintang dilakukan terhadap 81 anak berusia 6-18 tahun dengan asma persisten yang melakukan kontrol ke RSCM dalam rentang tahun 2019-2023. Pemilihan sampel dan pengambilan data dilakukan menggunakan rekam medis milik RSCM Kiara dengan metode total sampling. Hasil Asma persisten yang tidak terkendali terjadi pada 53 subjek (65.4%). Sebagian besar subjek berada dalam rentang usia 6-11 tahun (61.7%), berjenis kelamin laki-laki (55.6%), terpapar oleh alergen (72.8%), faktor lingkungan (34.6%), memiliki komorbiditas (88.9%), berada dalam kelompok gizi baik (43.2%), patuh terhadap pengobatan (74.1%), dan menggunakan terapi pengendali jenis metered dose inhaler (84.0%). Dari hasil analisis bivariat dan regresi logistik, tidak ada karakteristik yang menunjukkan hubungan signifikan terhadap derajat kendali asma. Kesimpulan Terdapat 65.4% anak dengan asma persisten yang tidak terkendali. Tidak ada karakteristik yang berhubungan signifikan dan berperan sebagai prediktor independen dengan derajat kendali asma.

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Introduction Persistent asthma often occurs in children under the age of three to six years. The characteristics of children with persistent asthma are quite varied, making children vulnerable to experiencing uncontrollable conditions if not treated immediately. In Indonesia, there is no data that describes the characteristics of children with persistent asthma and the factors that influence the level of control. Method A cross-sectional research design was carried out on 81 children aged 6-18 years with persistent asthma who underwent control at RSCM in the period 2019-2023. Sample selection and data collection were carried out using medical records belonging to RSCM Kiara using the total sampling method. Results Persistent uncontrolled asthma occurred in 53 subjects (65.4%). Most of the subjects were in the age range of 6-11 years (61.7%), male (55.6%), exposed to allergens (72.8%), environmental factors (34.6%), had comorbidities (88.9%), were in the healthy weight group (43.2%), adherent to treatment (74.1%), and used metered dose inhaler control therapy (84.0%). From the results of bivariate analysis and logistic regression, there were no characteristics that showed a significant relationship to the level of asthma control. Conclusion There are 65.4% of children with persistent uncontrolled asthma. There were no characteristics that were significantly related and acted as independent predictors with the level of asthma control."

"Pengetahuan perawat mengenai MARSI dan cara mencegah MARSI sangat penting untuk mengurangi kejadian MARSI. Anak merupakan populasi yang rentan terhadap MARSI karena lapisan kulit yang lebih tipis dibandingkan dengan orang dewasa. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian cross- sectional. Sampel penelitian berjumlah 153 perawat dengan rentang usia 23-56 tahun di IPTKIA Kiara RSUPN Dr. Cipto Mangunkusumo. Sampel didapatkan dengan teknik probability sampling jenis simple random sampling. Penelitian ini menggunakan kuesioner yang telah diuji validitas dengan nilai r> 0,361 dan telah diuji reliabilitas dengan nilai Cronbach Alpha >0,7. Hasil penelitian dianalisis menggunakan uji chi-square menunjukkan terdapat hubungan yang bermakna antara tingkat pengetahuan perawat dengan terjadinya MARSI pada pasien anak dengan hasil p value 0,001 (P< 0,05). Rekomendasi berkaitan dengan penelitian ini ialah disusunnya standar operasional prosedur tentang teknik pemasangan dan pelepasan perekat medis.

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Nurses' knowledge about MARSI and how to prevent MARSI is very important to reduce the incidence of MARSI. Children are a population that is susceptible to MARSI because the skin layer is thinner than adults. This research is a quantitative research with a cross-sectional research design. The research sample consisted of 153 nurses with an age range of 23-56 years at IPTKIA Kiara RSUPN Dr. Cipto Mangunkusumo. The sample was obtained using a simple random sampling type probability sampling technique. This research uses a questionnaire that has been tested for validity with an r value > 0.361 and has been tested for reliability with a Cronbach Alpha value > 0.7. The results of the study were analyzed using the chi-square test, showing that there was a relationship between the level of knowledge of nurses and the occurrence of MARSI in pediatric patients with a p value of 0.001 (P < 0.05). Recommendations related to this research are the preparation of standard operating procedures regarding techniques for installing and removing medical adhesives."

"[ABSTRAK Latar Belakang: Pasien asma dengan tingkat kontrol yang buruk dan adanyakomorbiditas seperti gangguan depresi dan stres psikososial akan memengaruhikualitas hidup pasien asma serta meningkatkan beban dan biaya ekonomi yangharus ditanggung oleh pasien dan keluarganya. Untuk itu perlu diketahuihubungan antara gangguan depresi dengan kualitas hidup, stresor psikososial, dantingkat kontrol asma pada pasien asma.Metode: Penelitian cross-sectional deskriptif-analitik pada 37 pasien asma yangmemiliki gangguan depresi dan 37 pasien asma yang tidak memiliki gangguandepresi di Poliklinik Alergi dan Imunologi RSUPN Dr. Cipto MangunkusumoJakarta menggunakan Structured Clinical Interview for DSM IV Disorder(SCID)1,instrumen World Health Organization Quality Of Life (WHOQOL)-BREF,instrumen stresor psikososialHolmes & Rahe, dan kuesioner Ashtma Control Test(ACT).Hasil: Terdapat hubungan antara ada tidaknya gangguan depresi pada pasien asmadengan skor kualitas hidup berdasarkan kesehatan fisik (p < 0,001), skor kualitashidup berdasarkan kesehatan psikologis (p < 0,001), skor kualitas hidupberdasarkan relasi sosial (p = 0,023), skor kualitas hidup berdasarkan lingkungan(p = 0,022), stresor psikososial (OR 3,85; p = 0,005), dan tingkat kontrol asma (p= 0,001).Simpulan: Pasien asma yang memiliki gangguan depresi cenderung memilikiskor kualitas hidup yang lebih rendah pada domain kesehatan fisik, kesehatanpsikologis, relasi sosial, dan lingkungan dibandingkan pasien asma yang tidakmemiliki gangguan depresi. Pasien asma yang mengalami stresor psikososial yangtinggi berisiko 3,8 kali untuk memiliki gangguan depresi. Pasien asma yangmemiliki gangguan depresi cenderung memiliki skor tingkat kontrol asma yang lebih rendah dibandingkan pasien asma yang tidak memiliki gangguan depresi. ABSTRACT Background: Asthmatic patients with poor control level and the presence of

comorbid disorders such as depression and psychosocial stress will affect the

quality of life of asthmatic patients and increases the burden and economic costs

for patient and his family. We investigated the correlation between depressive

disorders, quality of life, psychosocial stressors, and level of asthma control in

asthmatic patients.

Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic

patients with depressive disorder and 37 asthmatic patients without depressive

disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto

Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder

(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF

questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma

Control Test (ACT) questionnaire.

Results: There is arelation between the presence of depressive disorders and

lower quality of life scores based on physical health (p <0.001), quality of life

scores based on psychological health (p <0.001), quality of life scores based on

social relations (p = 0.023), quality of life scores based on the environment (p =

0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma

control (p = 0.001) in asthmatic patients.

Conclusion: Asthmatic patients with depressive disorders tend to have lower

quality of life score in all domains (physical health, psychological health, social

relationships, and environment) than asthmatic patients without depressive

disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times

higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.;Background: Asthmatic patients with poor control level and the presence of

comorbid disorders such as depression and psychosocial stress will affect the

quality of life of asthmatic patients and increases the burden and economic costs

for patient and his family. We investigated the correlation between depressive

disorders, quality of life, psychosocial stressors, and level of asthma control in

asthmatic patients.

Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic

patients with depressive disorder and 37 asthmatic patients without depressive

disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto

Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder

(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF

questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma

Control Test (ACT) questionnaire.

Results: There is arelation between the presence of depressive disorders and

lower quality of life scores based on physical health (p <0.001), quality of life

scores based on psychological health (p <0.001), quality of life scores based on

social relations (p = 0.023), quality of life scores based on the environment (p =

0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma

control (p = 0.001) in asthmatic patients.

Conclusion: Asthmatic patients with depressive disorders tend to have lower

quality of life score in all domains (physical health, psychological health, social

relationships, and environment) than asthmatic patients without depressive

disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times

higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.;Background: Asthmatic patients with poor control level and the presence of

comorbid disorders such as depression and psychosocial stress will affect the

quality of life of asthmatic patients and increases the burden and economic costs

for patient and his family. We investigated the correlation between depressive

disorders, quality of life, psychosocial stressors, and level of asthma control in

asthmatic patients.

Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic

patients with depressive disorder and 37 asthmatic patients without depressive

disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto

Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder

(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF

questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma

Control Test (ACT) questionnaire.

Results: There is arelation between the presence of depressive disorders and

lower quality of life scores based on physical health (p <0.001), quality of life

scores based on psychological health (p <0.001), quality of life scores based on

social relations (p = 0.023), quality of life scores based on the environment (p =

0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma

control (p = 0.001) in asthmatic patients.

Conclusion: Asthmatic patients with depressive disorders tend to have lower

quality of life score in all domains (physical health, psychological health, social

relationships, and environment) than asthmatic patients without depressive

disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times

higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders., Background: Asthmatic patients with poor control level and the presence of

comorbid disorders such as depression and psychosocial stress will affect the

quality of life of asthmatic patients and increases the burden and economic costs

for patient and his family. We investigated the correlation between depressive

disorders, quality of life, psychosocial stressors, and level of asthma control in

asthmatic patients.

Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic

patients with depressive disorder and 37 asthmatic patients without depressive

disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto

Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder

(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF

questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma

Control Test (ACT) questionnaire.

Results: There is arelation between the presence of depressive disorders and

lower quality of life scores based on physical health (p <0.001), quality of life

scores based on psychological health (p <0.001), quality of life scores based on

social relations (p = 0.023), quality of life scores based on the environment (p =

0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma

control (p = 0.001) in asthmatic patients.

Conclusion: Asthmatic patients with depressive disorders tend to have lower

quality of life score in all domains (physical health, psychological health, social

relationships, and environment) than asthmatic patients without depressive

disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times

higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.]"