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Ningning Sri Ningsih
Pengalaman perawat dalam memberikan perawatan paliatif pada anak dengan kanker di wilayah Jakarta = Nurse experience providing polliative care to children with cancer in jakarta area
"Perawatan paliatif banyak diberikan pada anak dengan kanker yang berfokus untuk mengatasi keluhan yang timbul, tidak mengobati dan meningkatkan kualitas hidup anak diakhir kehidupannya. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi deskriptif. Sebanyak 7 perawat yang memberikan perawatan paliatif Data dikumpulkan melalui wawancara dan dianalisa dengan metode Collaizi. Hasil penelitian mengidentifikasi enam tema yaitu memahami prinsip perawatan paliatif, cara memberikan perawatan paliatif, kepuasan dalam memberikan perawatan paliatif, tantangan dalam memberikan perawatan paliatif, upaya mengatasi tantangan serta harapan dan kebutuhan untuk meningkatkan perawatan paliatif. Direkomendasikan untuk pelatihan perawatan paliatif pada tim paliatif dan untuk meningkatkan akses pelayanan dengan memperbanyak pusat perawatan paliatif.
Palliative care are given to children with cancer in terminal condition that are focused on the symptoms management and increase the quality of life. The research applies qualitative method with descriptive phenomenology approach. The participant is a nurses who provide palliative care. The data was collected through interviews and analyzed using Collaizi method. Six themes were identified as a result of this study : understanding principal of palliative care, activity in providing palliative care, satisfaction to provide palliative care, challenge to provide palliative care, effort to handling in palliative care, hope and need to improve palliative care. The finding of this study describe there was different of perception about palliative care so the treatment provide was not optimal. This study recommends to palliative care training program to improve service access by increasing the number of palliave care center."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2011
T-Pdf
UI - Tesis Open  Universitas Indonesia Library
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Alfani Prima Kusumasari
Aplikasi teori self-care orem pada klien anak dengan kanker yang mengalami defisit perawatan diri: perawatan mulut di RSUPN Cipto Mangunkusumo Jakarta = Application of orem s self care theory on children with cancer performing self care deficit oral hygiene in RSUPN dr Cipto Mangunkusumo Jakarta
"Kanker merupakan penyakit degeneratif yang dapat diderita oleh orang dewasa dan anak-anak dengan angka kejadian cukup tinggi di dunia. Sebanyak 50 anak dengan kanker mengalami gangguan dalam melaksanakan aktivitas perawatan diri sebagai akibat dari kanker tersebut maupun efek samping dari terapi kanker. Tujuan dari pembuatan karya ilmiah akhir ini adalah untuk memberikan gambaran mengenai aplikasi teori self-care Orem pada klien anak dengan kanker yang mengalami defisit perawatan diri: perawatan mulut di RSUPN Dr Cipto Mangunkusumo Jakarta. Selain itu, karya ilmiah akhir ini juga bertujuan untuk memberikan gambaran mengenai peran perawat spesialis anak di ruang rawat anak non infeksi. Terdapat lima kasus kelolaan yang dibahas dalam karya ilmiah ini yang semuanya memiliki masalah defisit perawatan diri: perawatan mulut. Asuhan keperawatan diberikan menggunakan pendekatan teori self-care Orem mulai dari pengkajian sampai dengan evaluasi. Hasil evaluasi menunjukkan ada klien yang dapat lebih mandiri dalam melakukan higiene oral namun ada pula yang tidak berhasil. Penulis merekomendasikan untuk memperhatikan usia dan tahap tumbuh kembang klien yang akan diberikan intervensi dengan aplikasi teori self-care karena hal tersebut berpengaruh terhadap keberhasilan intervensi.
Cancer is a degenerative illness suffered by adults and children with high incidence in the world. Around 50 children with cancer are having difficulties in performing daily activities as a result of cancer itself or side effect of cancer therapy. This final report is a description of Internship Pediatric Nursing Program clinical practice. The aim of this final report is to give a brief description about the application of Orem rsquo s self care theory on children with cancer performing self care deficit oral hygiene thus giving description about the role of pediatric nurse in non infection children ward. There are five cases of children who are performing self care deficit oral hygiene explained here. Nursing care was performed using self care theory approach from assessment to evaluation. The result is that there are children who finally able to do oral hygiene independently, but there are also children who can not do oral hygiene independently. The recommendation of this report is that the children must be selected based on their age and developmental stage because those two factors contribute to the success of intervention."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Winda Darpianur
Optimalisasi perawatan paliatif melalui pediatric palliative screening scale pada anak kanker dengan pendekatan teori peaceful end of life = Optimalization of palliative care use pediatric palliative screening scale in cancer children with peaceful end of life theory approach
"ABSTRAK
Kanker merupakan penyakit dengan insiden kematian yang besar yang menyebabkan permasalahan yang kompleks pada anak. Tujuan dari studi kasus ini adalah melakukan analisis optimalisasi perawatan paliatif melalui Pediatric Palliative Screening Scale Skala PaPaS pada anak kanker dengan pendekatan Teori Peaceful End of Life PEOL . Lima kasus terpilih menunjukkan adanya masalah biologis, psikologis dan spiritual. Pendekatan Teori PEOL mampu mengatasi masalah keperawatan dengan standar domain bebas nyeri, rasa nyaman, dihargai dan dihormati, kedamaian serta kedekatan dengan orang yang bermakna. Hasil skrining kebutuhan perawatan paliatif pada anak kanker menggunakan Skala PaPaS didapatkan mayoritas kebutuhan paliatif level tinggi. Penerapan Teori PEOL bersamaan dengan skala PaPaS direkomendasikan sebagai pendekatan untuk mencapai asuhan keperawatan paliatif yang optimal.
ABSTRACT
Cancer is a disease with large number of death incidence that causes complicated problems in children. The purpose of this study analyze palliative care optimalization use Pediatric Palliative Screening Scale PaPaS Scale in cancer children with the Peaceful End of Life Theory approach. Five cases were chosen to show a biological, psychological and spiritual problem. The Peaceful End of Life Theory PEOL is able to overcome nursing problems by domain standard of painless, comfortable, respect and dignity, peaceful and closeness with meaningful people. The results of screening found high level of majority palliative needs. The application of PEOL Theory along with PaPaS Scale is recommended as an approach to achieve optimal palliative nursing care."
2017
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Heni Ekawati
Hubungan antara pengetahuan dan sikap perawat dengan pelaksanaan asuhan keperawatan masalah nyeri pada anak dengan kanker = Association between knowledge and nurse's attitude with nursing care for pain problem in children with cancer
"Pengkajian yang tidak akurat dan penanganan nyeri yang tidak adekuat dapat berakibat pada terapi dan kualitas hidup anak. Penelitian ini bertujuan untuk mengidentifikasi hubungan pengetahuan, sikap perawat dengan pelaksanaan asuhan keperawatan masalah nyeri pada anak kanker. Desain yang digunakan adalah analisis korelasi dengan pendekatan cross sectional. Cara pengambilan sampel adalah accidental sampling technic pada 41 perawat. Analisis data dengan chi square dan regresi logistik.
Hasilnya menunjukkan ada hubungan yang signifikan antara pendidikan dengan pengetahuan perawat (p=0,031), variabel pelatihan manajemen nyeri dengan sikap perawat (p=0,022), dan variabel usia dengan pelaksanaan asuhan keperawatan masalah nyeri (p=0,017) pada kelompok pendidikan vokasional. Selain itu, tidak ada hubungan yang signifikan antara pengetahuan, sikap perawat dengan pelaksanaan asuhan keperawatan masalah nyeri (p>0,005).
Hasil analisis regresi logistik didapatkan perawat yang berusia ≤ 29 tahun dan telah mendapatkan pelatihan manajemen nyeri mampu melaksanakan asuhan keperawatan masalah nyeri lebih baik. Rekomendasi: Rumah sakit mengadakan pelatihan manajemen nyeri dasar dan berkelanjutan untuk meningkatkan kualitas pelaksanaan asuhan keperawatan masalah nyeri.
Underassessment and inadequate pain management affected treatment process and the children's quality of life. This research aim to identify the association among nurse's knowledge, attitude and the nursing care for pain problem in children with cancer. Research design was analysis correlation with cross sectional approach. The samples consist of 41 nurses determined by accidental sampling technic. Data was analyzed by chi square and logistic regression.
The result found that there was significant association between education level and nurse's knowledge (p=0,031), between pain management training and nurse?s attitude (p=0,022) and between age and nursing care for pain problem in nursing vocational group (p=0,017). Furthermore there was no significant association among nurse's knowledge, attitude and nursing care for pain problem (p>0,005).
Multivariate analysis shown that nurses less than 29 years old and have trained of pain management are nurses who were better in nursing care for pain. This research imply nurses need to be trained in basic and advanced level in order to increase quality of nursing care for pain."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
T45566
UI - Tesis Membership  Universitas Indonesia Library
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Rizqi Nursasmita
Studi fenomenologi tentang pengalaman perawat memberikan perawatan atraumatik pada klien anak di rumah sakit = Nurse experience provides atraumatic care in children at hospital
"ABSTRAK
Perawat anak memiliki peran penting untuk mencegah terjadinya dampak negatif hospitalisasi melalui aplikasi konsep perawatan atraumatik dalam memberikan asuhan keperawatan pada anak. Tujuan penelitian adalah mengeksplorasi secara mendalam tentang pengalaman yang dialami perawat dalam memberikan perawatan atraumatik pada anak yang mengalami hospitalisasi. Penelitian menggunakan metode kualitatif deskriptif fenomenologi. Pengambilan data melalui wawancara terhadap tujuh perawat. Hasil penelitian menggambarkan empat tema yaitu dualisme peran orang tua dalam perawatan atraumatik, dilemma perawatan atraumatik di rumah sakit, pendekatan unik yang digunakan perawat dalam perawatan atraumatik, dan refleksi perawatan atraumatik untuk perawat
ABSTRACT
A nurse has an important role to prevent the negative impact of hospitalization through the application of concepts atraumatic care in providing nursing care in children. The research aim is to explore the experiences of nurses in providing atraumatic care for children during hospitalization. This research's method using qualitative phenomenology descriptive study. Collecting data through interviews with seven nurses. The results of the study describes the four themes, namely a duality of the role of parents in the atraumatic care, support hospitals dilemma in atraumatic care, nursing interventions used in atraumatic care, and the reflection of atraumatic care for nurses"
2016
T45803
UI - Tesis Membership  Universitas Indonesia Library
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Rosa Melati
Penerapan model adaptasi Roy dalam asuhan keperawatan pada anak yang mengalami demam Neutropenia di ruang rawat anak Rumah Sakit Cipto Mangunkusumo = The Application of Roy's model adaptation in caring for Neutropenic febrile children at medical pediatric ward Cipto Mangunkusumo Hospita
" ABSTRAK
Demam neutropenia merupakan komplikasi yang terjadi paska kemoterapi.
Tujuan Karya Ilmiah Akhir adalah menggambarkan aplikasi model adaptasi Roy
dalam merawat anak dengan kanker yang mengalami masalah demam neutropenia
dan pencapaian kompetensi praktik spesialis keperawatan anak. Peran perawat
yang dilakukan selama praktik adalah pemberi asuhan, advokator, konselor,
pendidik, kolaborator, peneliti dan inovator berlandaskan etik dan legal dalam
keperawatan. Pendekatan model adaptasi Roy diaplikasikan pada 5 kasus dan
proses keperawatan yang dilalui adalah pengkajian perilaku, pengkajian stimulus,
diagnosa keperawatan, tujuan keperawatan, intervensi dan evaluasi. Evaluasi
yang didapat adalah nilai ANC lebih dari 1000 mm3 saat anak keluar dari ruang
rawat demam neutropenia, dan gejala klinis mengalami perbaikan. Model adaptasi
Roy dapat diterapkan pada anak kanker di ruang rawat anak dalam upaya
mencapai proses adaptasi dan meningkatkan kualitas hidup anak.ABSTRACT Neutropenic febrile is a complication effect of post chemotherapy treatment. This
final paper aimed to describe the application of Roy?s Adaptation Model in caring
for children with cancer experiencing neutropenic febrile and to describe the
achievement of pediatric nurse specialist student?s competencies in clinical
practice. During the residency programme, role as caregiver, advocate, educator,
collaborator, researcher, and innovator was conducted based on ethic and legal in
nursing issues. Roy?s Adaptation Model was implemented on 5 pediatric clients.
Nursing process was conducated by behavior and stimuli assessment, nursing
diagnosis, nursing outcome, intervention, and evaluation. The children with
neutropenia febrile experienced ANC value more than 1000m3 after the care.
Roy?s Adaptation Model can be applied in caring for children with cancer in order
to improve children?s quality of life."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2016
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Fania Putri Reneska
Pengetahuan dan Sikap Mahasiswa Fakultas Kedokteran Universitas Indonesia terhadap Kanker Anak = Knowledge and Awareness of Childhood Cancer among Medical Students in University of Indonesia
"pasien yang membutuhkan. Kesimpulan: Pengetahuan mahasiswa tahap klinik lebih tinggi dibandingkan tahap preklinik, dilihat dari hasil jawaban dan nilai rerata kuesioner. Sikap mahasiswa tahap preklinik dan klinik terhadap kanker anak beragam. Hampir 50% subjek tidak tertarik menjadi dokter spesialis anak subspesialis pediatrik onkologi dengan beberapa alasan. Namun, subjek tetap menunjukkan sikap bentuk kepedulian untuk pasien kanker anak.
Introduction: Cancer cases are a significant cause of global mortality, particularly among children. As medical students, it is important to understand early symptoms of cancer in children. However, there is currently no data regarding the knowledge and awareness of medical students towards pediatric cancer in Indonesia. Therefore, this research aims to determine the level of knowledge and awareness of students at the Faculty of Medicine, University of Indonesia, towards pediatric cancer. Method: The research was conducted out by distributing a questionnaire from the South Asian Journal of Cancer, consisting of 18 presented in English, along with Indonesian translations below each question. Results: A total of 217 subjects from FKUI completed this research questionnaire, with a distribution of 96 males and 121 females. The subjects were from batch 2017 to 2021, with 102 (47%) students in the preclinical phase and 115 (53%) students in the clinical phase. Regarding knowledge about pediatric cancer, 53,9% preclinical students were able to answer more than 50% of the questions correctly, while a larger number of clinical phase students, namely 76,5%, achieved this. The overall mean score for the preclinical phase was 4.56 out of 8, while the clinical phase had a higher mean score of 5.38 out of 8. In terms of attitudes toward pediatric cancer, 40,1% preclinical students and 35,6% clinical students expressed an interest in becoming pediatricians. Among these, 51,2% students did not wish to specialize in pediatric oncology, with the most common reason being a lack of adequate knowledge about pediatric cancer. According to 65,4% subjects, the best way to raise awareness about pediatric cancer is through mass media communication. Most (67,7%) subjects also mentioned that a form of support as medical students for pediatric cancer patients is donating blood to those in need. Conclusion: Clinical phase students have a higher level of knowledge compared to preclinical phase students, as observed from their questionnaire responses and mean scores. The attitudes of preclinical and clinical phase students toward pediatric cancer vary. Nearly 50% of the subjects are not interested in becoming pediatric oncologists for several reasons. However, the subjects still demonstrate a positive attitude toward pediatric cancer patients."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2023
S-pdf
UI - Skripsi Membership  Universitas Indonesia Library
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Fitri Annisa
Kebutuhan pelayanan kesehatan dan psikososial pada remaja penyintas kanker = Health facility and psychosocial services needed among adolescent childhood cancer survivors
"ABSTRAK
Angka kesembuhan kanker pada anak di dunia, termasuk di Indonesia semakin meningkat seiring dengan kemajuan pengobatan dan perawatan pada anak kanker. Akan tetapi, penyintas kanker belum dapat lepas dari berbagai masalah baik fisik maupun psikososial, sehingga pelayanan kesehatan dan psikososial yang sesuai dengan kebutuhan mereka sangat penting. Tujuan penelitian ini adalah untuk mengetahui gambaran kebutuhan pelayanan kesehatan dan psikososial yang tepat. Penelitian ini menggunakan studi kualitatif fenomenologi, dilakukan wawancara semi terstruktur terhadap delapan orang remaja penyintas kanker anak yang hasilnya kemudian dianalisis menggunakan analisis tematik. Ada tujuh tema yang muncul dari hasil penelitian, yaitu: 1) kebutuhan pemeriksaan fisik secara kontinu, 2) kebutuhan edukasi pasien dan keluarga, 3) kebutuhan pelayanan kesehatan yang menyenangkan, 4) kebutuhan konseling psikologis, 5) kebutuhan dukungan dari teman dan keluarga, 6) kebutuhan dukungan dari sekolah, dan 7) kebutuhan pelayanan sosial. Hasil penelitian menunjukkan bahwa remaja penyintas kanker di Indonesia memiliki kebutuhan pelayanan yang hampir sama dengan penyintas kanker anak secara global. Tema-tema tersebut dapat dijadikan acuan dalam melakukan asuhan keperawatan yang optimal dan sesuai kebutuhan remaja penyintas kanker.
ABSTRACT
Advances in childhood cancer treatment and therapy have improved the survival rates of childhood cancer survivors in the world as well as in Indonesia. However, as cancer survivors, they encounter physical and psychosocial problems and hence proper health facility and psychosocial support services are important. The aim of the research is to identify health facility & psychosocial services needed among adolescent childhood cancer survivors. The research used a phenomenological approach through semi-structured interview with eight adolescent childhood cancer survivors, the data was analyzed using thematic analysis. Seven themes of health facility and psychosocial services needs emerged from the analysis: follow-up care; education for patients and their families, comfort care from the clinical services, psychological counseling, support from family and friends, support from school and social services. The results show that adolescent childhood cancer survivors in Indonesia have similar services needs to ones in developed countries.The themes can be references for nurse to do optimal nursing care based on adolescent childhood cancer survivors needs."
2016
T46291
UI - Tesis Membership  Universitas Indonesia Library
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Djajadiman Gatot
Patogenesis penyakit kanker anak ditinjau dari aspek biologi molekuler dan kemungkinan pemanfaatannya sebagai model pengobatan di masa mendatang di Indonesia
Jakarta: UI-Press, 2007
PGB 0185
UI - Pidato  Universitas Indonesia Library
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Harahap, Nurlelasari
Hubungan antara Beban Perawatan dan Kesiapan Merawat terhadap Depresi dan Kecemasan Family Caregiver Anak dengan Kanker = The Relationship Between Caregiver Burden and Caring Readiness to the Depression and Anxiety of Family Caregiver of Children with Cancer
"Latar belakang: family caregiver (FC) anak dengan kanker mengalami berbagai tekanan psikologis. Tujuan: penelitian ini bertujuan untuk mengidentifikasi hubungan antara beban perawatan dan kesiapan merawat terhadap kecemasan dan depresi family caregiver anak dengan kanker. Metode: kami merekrut subjek penelitian dari ruang rawat inap dan rawat jalan di PKN RSK Dharmais, Jakarta dari bulan Maret hingga April 2023. Depresi, kecemasan dan faktor yang mempengaruhi tekanan psikologis FC anak dengan kanker diidentifikasi dengan instrumen Patient Health Questionnaire, (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Zarit Burden Interview, (ZBI) dan Preparedness for Caregiving Scale (PCS). Hasil: 127 FC menyelesaikan pengisian kuesioner penelitian, dimana mayoritas mengalami beban perawatan kategori ringan, tidak siap memberikan perawatan, tingkat depresi dan kecemasan kategori ringan. Tingkat depresi FC cenderung dipengaruhi secara signifikan oleh beban perawatan (0,001); kesiapan merawat (0,036). Sedangkan kecemasan dipengaruhi secara signifikan oleh usia FC (18-45 tahun) (p=0,004), kategori kanker (p=0,018) dan beban perawatan (0,000). Kesimpulan: semakin berat beban perawatan dan ketidak siap FC dalam memberikan perawatan maka tingkat depresi dan kecemasan FC akan meningkat. Saran: diperlukannya merancang dan menargetkan intervensi psikososial untuk mengurangi beban perawatan, meningkatkan kesiapan merawat, menurunkan tingkat depresi dan kecemasan FC, sehingga dapat meningkatkan QOL pada populasi ini.
Background: the family caregiver (FC) of children with cancer experiences various psychological pressures. Purpose: This study aims to identify the relationship between care burden and readiness to care for the anxiety and depression of family caregivers of children with cancer. Methods: we recruited research subjects from inpatient and outpatient wards at PKN RSK Dharmais, Jakarta from March to April 2023. Depression, anxiety and factors that affect the psychological pressure of FC children with cancer were identified by means of the Patient Health Questionnaire, (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Zarit Burden Interview, (ZBI) and Preparedness for Caregiving Scale, (PCS). Results: 127 FC completed the research questionnaire, the majority experienced the burden of mild category care, not ready to provide care, mild category levels of depression and anxiety. FC depression level tends to be significantly influenced by the burden of care (0.001); readiness to care (0.036). Meanwhile, anxiety was significantly influenced by FC age (18-45 years) (p=0.004), cancer category (p=0.018) and care burden (0.000). Conclusion: the heavier the burden of care and the unprepared FC in providing care, the higher the level of depression and anxiety. Suggestion: It is necessary to design and target psychosocial interventions to reduce the burden of care, increase readiness to care, reduce of depression and anxiety of FC, so as to increase QOL in this population."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2023
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
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