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"Salah satu cara mengatasi halusinasi adalah dengan pemberian cognitive behavior therapy (CBT). Penelitian ini bertujuan mengetahui pengaruh CBT terhadap halusinasi klien di sebuah rumah sakit di Medan. Desain penelitian quasi eksperimental dengan jumlah sampel 56 responden. Hasil penelitian menunjukkan adanya perbedaan peningkatan pelaksanaan cara mengontrol halusinasi yang bermakna antara kelompok yang mendapat dan tidak mendapat CBT (p< 0,05). Halusinasi menurun secara bermakna pada kelompok yang mendapat CBT (p< 0,05). Sedangkan pada kelompok yang tidak mendapat CBT halusinasi menurun secara tidak bermakna (p> 0,05). CBT direkomendasikan dilakukan pada klien halusinasi sebagai tindakan keperawatan spesialis.

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One way of dealing with the provision of hallucination is cognitive behavior therapy (CBT). This study aimed to verify theeffect of CBT on patient hallucinations at a hospital in Medan. Quasi experimental designs with a number of samples are 56respondents. The results showed a difference in improving the implementation of a meaningful way of controlling thehallucinations between groups that received and did not receive CBT (p< 0,05). Hallucinations were significantly decreasedin the group receiving CBT (p< 0,05), while in the group who did not receive CBT decreased hallucinations was not significant(p> 0,05). CBT is recommended in patients with hallucinations as a specialist nursing intervention."

"Penyakit thalasemia merupakan kelainan genetik tersering di dunia. Di Indonesia, penyakit ini telah menjadi penyakit yang membutuhkan penanganan yang serius. Penelitian ini bertujuan untuk mengungkapkan faktor-faktor yang berhubungan dengan Self-care Behavior pada anak sekolah penderita thalasemia mayor. Penelitian kuantitatif dengan desain cross sectional ini dilakukan terhadap 131 pasien usia sekolah penderita thalasemia mayor yang berkunjung ke rumah sakit X dari tanggal 1 Mei hingga 10 Juni 2010. Hasil penelitian, dengan menggunakan analisis multivariat menunjukkan ada hubungan antara pengetahuan dan dukungan sosial dengan selfcare behavior, dengan pengetahuan yang paling dominan mempengaruhi (p= 0,000; α= 0,05; OR= 31,6). Penelitian ini merekomendasikan untuk meningkatkan pendidikan kesehatan dan dukungan sosial untuk meningkatkan perilaku perawatan diri penderita thalasemia.

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Thalassemia disease is a common genetic disorder in the world. In Indonesia, it has become a disease that requires serious treatment. This study aims to discover factors related to Self-care Behavior in school children with thalassemia major. This quantitative research with cross sectional design was conducted on 131 patients school-age with thalassemia major who visited hospital X from May 1 to June 10, 2010. The results of study, using multivariate analysis showed there is no relation between knowledge and social support with self-care behavior, with the knowledge of the most dominant influence (p= 0.000;α= 0.05; OR= 31.6). The study recommends to improving health education and social support to improve self-care behaviors of patients with thalassemia."

"Gizi buruk balita masih menjadi permasalahan serius di Indonesia. Tujuan penelitian menjelaskan pengaruh pemberian dietformula 75 dan 100 terhadap berat badan balita gizi buruk rawat jalan. Desain penelitian quasi experimental pre-post test withcontrol group dengan teknik total sampling, terdiri dari 15 responden kelompok intervensi dan 15 responden kelompokkontrol. Analisis yang digunakan adalah uji chi squere, paired t-test, independent t-test, uji ancova. Uji statistik menunjukkanperbedaan bermakna berat badan balita gizi buruk rawat jalan sebelum dan sesudah perlakuan pada kelompok intervensi dankontrol (p= 0,00; α= 0,05). Peningkatan berat badan kelompok intervensi lebih besar daripada kelompok kontrol. Puskesmasdiharapkan menindaklanjuti hasil penelitian sehingga mencapai target berat badan balita gizi buruk rawat jalan sesuai standar.Malnutrition in children is still a serious problem in Indonesia. This study aimed to describe the influence of diet formulas 75and 100 to the body weight of under five years old malnutrition outpatient. Research design was quasi experimental pre-posttest with control group. Total sampling technique was used to involve 15 respondents as intervention group and 15 respondentsas control group. Data was analyzed using chi square, paired t-test, independent t-test, and ancova test. Thet results show thatthere were significant differences in the body weight before and after treatment in the intervention group and control group(p= 0.00; α= 0.05). The improvement of body weight on intervention group is greater than the control group. Public healthcenters are expected to follow up the results of this study as to reach the target of body weight of children under five yearsmalnutrition outpatients according to the standard."

"Diare merupakan salah satu penyebab tingginya morbiditas dan mortalitas anak di Indonesia. Salah satu faktor risiko terjadinya diare dan meningkatkan risiko anak untuk dirawat inap adalah kurang pengetahuan ibu. Penelitian ini bertujuan untuk mengidentifikasi pengaruh pendidikan kesehatan terhadap kemampuan ibu merawat anak diare. Penelitian ini merupakan studi kuasi eksperimen dengan rancangan post-test only with group control design. Sampel penelitian sebanyak 62 responden di dua rumah sakit di Denpasar. Hasil post-test menggambarkan bahwa skor pengetahuan, sikap, dan keterampilan masingmasing kelompok berbeda secara bermakna (p< 0,05) dan ibu pada kelompok intervensi mampu merawat anak diare, berbeda secara bermakna dengan kelompok kontrol (p= 0,000; α= 0,05). Pendidikan kesehatan perawatan anak diare hendaknya diberikan secara intensif guna mendukung terlaksananya konsep family centered care dalam asuhan keperawatan anak di rumah sakit.

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Diarrhea is one of the causes of high morbidity and mortality of children in Indonesia. One risk factor for diarrhea and increased risk for hospitalized children is the lack of maternal knowledge. The study aimed to identify the effect of health education for maternal ability in caring for child with diarrhea. This research was a quasi-experimental study, using control group post-test only design. Study sample was 62 respondents in two hospitals in Denpasar. The results indicated that posttest scores of knowledge, attitudes and skills of each group were different significantly (p< 0.05). Mothers in the intervention group capable of caring for child with diarrhea, significantly different to those in the control group (p= 0.000; α= 0.05). Health education about diarrhea in children should be given intensively to support the implementation of family centered care concept in pediatric nursing at hospital."

"Perilaku kekerasan adalah respon kemarahan maladaptif dalam bentuk perilaku mencederai diri, orang lain dan lingkungan.Penelitian ini bertujuan mendapatkan gambaran Pengaruh Rational Emotive Behaviour Therapy (REBT). terhadap penurunanperilaku kekerasan. Desain penelitian ini adalah quasi experimental pre-post test with control group. Sampel penelitian adalah53 klien skizoprenia paranoid dengan perilaku kekerasan, terdiri atas 25 kelompok intervensi dan 28 orang kelompok kontrol.Hasil penelitian menunjukkan peningkatan respon kognitif dan sosial serta penurunan respon emosi, perilaku, dan fisiologissecara bermakna (p< 0,05) pada klien yang mendapatkan REBT. REBT direkomendasikan untuk diterapkan pada klien perilakukekerasan bersama dengan tindakan keperawatan generalis.Violent behaviour is a maladaptive anger response, which is shown by people whom treated themselves, others and theenvironment. The study aimed to explain the effect rational emotive behavioural therapy (REBT) in reducing violent behavioural.This research design was quasi-experimental using pre-post tests with control group. The samples of this research were 53clients with paranoid schizophrenia who showed violent behavior, consisted of 25 clients as intervention group and 28 clientsin control group. The Results showed significant increased cognitive as well as social responses and reduced emotionalbehavioural and physiological responses (p< 0.05) on the group who get REBT. REBT is recommended to be given to clientswith violent behaviour together with general nursing inverventiont."

"Hospitalisasi merupakan suatu kondisi seseorang karena sakit dan masuk rumah sakit. Tujuan penelitian mengetahuipengaruh metode bimbingan imajinasi rekaman audio terhadap stres hospitalisasi pada anak usia sekolah di RumahSakit di Kota Palu. Desain penelitian quasi eksperimental dengan pre and post test design with control group. Sampelyaitu anak usia 7–12 tahun sebanyak 26 responden kelompok intervensi dan 26 responden kelompok kontrol. Intervensiyaitu metode bimbingan imajinasi rekaman audio, diberikan 3 kali selama 2 hari (6 sesi @ 15 menit)). Hasil penelitianmenunjukkan ada perbedaan yang signifikan rerata skor stres hospitalisasi setelah intervensi (pv = 0,004). Tidak adakontribusi variabel confounding. Berdasarkan hasil penelitian ini, bimbingan imajinasi rekaman audio dapat diterapkanpada asuhan keperawatan anak sakit di rumah sakit.Audio Recorded Guided Imagery Method to Reduce Stress Hospitalisazation in School Age Children in PaluHospital. Hospitalization is a condition of a person because of illness and hospital admission. Research objectivesdetermine the influence of audio recorded guided imagery method to stress of hospitalization in school-age children inhospital in Palu. Quasi-experimental research design with pre and post test design with control group. The sample ofchildren aged 7-12 years were 26 respondents intervention group and 26 control group respondents. Intervention is themethod of audio recorded guided imagery, three times a day for two days (one session equal to15 minutes). The resultsshowed the significant difference mean stress score of hospitalization after the intervention (Pv = 0.004). Nocontribution of confounding variables. Based on these results, audio recorded guided imagery intervention can beapplied to care the sick pediatric in hospital."

"Pasien asma mengalami bronchospasme dan bronchokontriksi yang dapat menyebabkan penurunan fungsi pernapasan. Penelitian bertujuan mengidentifikasi pengaruh senam asma terhadap peningkatan kekuatan otot pernapasan dan fungsi paru pasien asma di perkumpulan senam asma. Desain penelitian yaitu kuasi eksperimen dengan desain kelompok kontrol. Sampel berjumlah 50 pasien, diambil dengan purposive sampling, dan terdiri atas kelompok intervensi dan kontrol. Hasil penelitian menunjukkan hubungan antara senam asma terhadap peningkatan kekuatan otot pernapasan (p= 0,0005; α= 0,05) dan fungsi paru (p= 0,0005; α= 0,05) pasien asma di perkumpulan senam asma, setelah dikontrol berat badan dan tinggi badan. Rekomendasi agar senam asma menjadi program intervensi keperawatan pada manajemen asma untuk meningkatkan kekuatan otot pernapasan dan fungsi paru pasien asma.

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Patients with asthma have bronchospasm and bronchoconstriction that can cause a decrease in respiratory function. The research aims to identify the effect of exercise asthma to increased respiratory muscle strength and pulmonary function in asthma patients with asthma. The study design is a pretest-Post test Control Group design. Samples numbered 50 patients, taken with purposive sampling, and consists of intervention and control groups. The results of the study, there is a relationship between exercise asthma to increased respiratory muscle strength (p= 0.0005; α= 0.05) and pulmonary function (p= 0.0005; α= 0.05) in patients with asthma, after controlling weight and height. Recommendations for exercise asthma into nursing intervention program on asthma management to improve respiratory muscle strength and lung function of asthma patients."

"Penelitian ini bertujuan untuk mengetahui perbedaan status hidrasi, perubahan nilai total serum bilirubin, dan perbedaan durasi fototerapi bayi yang mendapat fototerapi dengan diberi ASI dan susu formula Desain penelitian yang digunakan adalah deskriptif, observasional, dan prospektif terhadap 34 bayi cukup bulan yang sehat di sebuah rumah sakit di Jakarta. Responden dibagi ke dalam tiga kelompok, yaitu; kelompok bayi yang hanya diberi susu formula, kelompok bayi yang hanya diberi ASI, dan kelompok bayi yang diberi ASI dan susu formula. Hasil penelitian, menggunakan analisa data univariat dan bivariat dengan tes statistik Chi-square, ANOVA dan Mann-Whitney, menunjukkan bahwa tidak ada perbedaan status hidrasi dan perbedaan perubahan nilai total serum bilirubin (p= 0,76; α= 0,05), tetapi ada perbedaan durasi fototerapi antara ke tiga kelompok (p= 0,001; α= 0,05). Kelompok yang diberi ASI mempunyai durasi fototerapi tersingkat. Penelitian ini merekomendasikan agar perawat memastikan keefektifan breastfeeding selama fototerapi.

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This study aims to determine differences in hydration status, changes in value of total serum bilirubin, and the difference induration of phototherapy newborns who received phototherapy with breast-fed and formula feeding. The study design used is descriptive, observational, and prospective to 34 healthy newborns at a hospital in Jakarta. Respondents were divided in to three groups, there is group of newborns with formula feeding, group of newborns with breast-fed, and group of newborns with breast -fed and formula feeding. The results, using univariate and bivariate data analysis with statistical chi-square test,ANOVA, and Mann-Whitney, shows that there is no difference in hydration status and differences in changes in value of total serum bilirubin (p= 0.76; α= 0.05) , but there are differences in the duration of phototherapy between to the three groups (p=0.001; α= 0.05). The group who were breastfeed has the shortest duration of phototherapy. This study recommends that nurses ensure the effectiveness of breastfeeding during phototherapy."

"Kemampuan perawatan diri anak tuna grahita, kemampuan perawatan diri dapat dipengaruhi oleh beberapa faktor, baik faktoreksternal (karakteristik orangtua dan lingkungan) maupun faktor internal (karakteristik anak). Penelitian ini bertujuan untukmengetahui faktor-faktor yang berhubungan dengan kemampuan perawatan diri anak tuna grahita. Rancangan penelitian crosssectional dengan sampel adalah 65 orangtua anak tuna grahita di Sekolah Luar Biasa (SLB). Analisis data menggunakan ujiChi-Square dan regresi logistik ganda menunjukkan kemampuan perawatan diri pada anak tuna grahita masih rendah.Terdapathubungan bermakna antara pendidikan orang tua, umur, dan kekuatan motorik pada anak tuna grahita dengan kemampuanperawatan diri (p < 0,005). Faktor paling dominan yang mempunyai hubungan adalah faktor kekuatan motorik anak tunagrahita dengan OR= 4,77.

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Children with mental retardation, self-care can be influenced by various factors, external (parents and environment characteristics) as well as internal (children characteristics). This study aimed to explore determinant factors that related to self-care ability in mental retardation children. Study design was cross sectional with samples are 65 parents whose mental retardation children registered in special education school. Using Chi-Square and Logistic Regression. Result of this study found that the self-care ability among retarded children is relatively low and there was significantly relationship between parents’ education, children’s age and gross motor performance to self-care ability in mental retarded children (p < 0,005).Gross motor performance of mental retarded children is the most dominant factor that contributed to self-care ability(OR= 4,77)."

"Kepemimpinan efektif merupakan salah satu faktor yang berperan dalam keberhasilan penerapan budaya keselamatanpasien. Tujuan penelitian untuk mengetahui hubungan kepemimpinan efektif head nurse dengan penerapan budayakeselamatan pasien. Desain yang digunakan analisis korelasi secara cross sectional pada 206 perawat pelaksana.Analisis data dengan Pearson, Spearman, t independent, dan regresi linear. Hasil analisis menunjukkan hubunganlemah dan positif antara kepemimpinan efektif Head Nurse dengan penerapan budaya keselamatan pasien. Penelitianmerekomendasikan peningkatan pengetahuan head nurse pada fungsi pengorganisasian dengan pembentukan strukturorganisasi, uraian tugas, pelatihan budaya keselamatan pasien, pendidikan keperawatan berlanjut, diskusi keselamatanpasien, sistem penghargaan atas penerapan budaya keselamatan pasien.Effective Leadership of Head Nurse Increase the Implementation ofd Patient Safety Culture by NursePractitioners of Dr. Cipto Mangunkusumo National Hospital, Jakarta. Leadership effectiveness is one factor thatcontributes to successfully patient safety culture applied. This study aimed to identify the correlation of leadershipeffectiveness of head nurse to apply the patient safety culture in the wards. Research design used correlation analyticwith cross sectional approach to 206 clinical nurses as samples. Data analysis used Pearson, Spearman, t independentand linier regression. This study shown there was a weak positive correlation between head nurse leadershipeffectiveness and the application of patient safety culture by clinical nurses. This study’s recommendation were 1)improvement of the head nurses’ knowledge related to organizational function, 2) appropriate job description, 3) patientsafety culture training, 4) continuing nursing education program, and 5) relevant reward system based on patient safetyachievement."