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"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.

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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."

"Kanker menimbulkan masalah pada anak baik fisik maupun psikologis.Teori kenyamanan Kolcaba memberikan arahan dalam pemenuhan rasa nyaman pada pasien anak kanker dengan masalah fatigue. Karya ilmiah ini bertujuan untuk menganalisis penerapan teori kenyamanan Kolcaba pada 5 kasus kelolaan sebagai upaya mengoptimalisasi pemberian asuhan keperawatan pada anak kanker yang menjalani kemoterapi dengan masalah fatigue. Asuhan Keperawatan dilakukan berdasarkan tahapan kenyamanan, yaitu pengkajian (kenyamanan fisik, psikospiritual, sosiokultural dan lingkungan), merumuskan diagnose keperawatan, menetapkan intervensi (berdasarkan standard comfort, coaching dan comfort food for the soul), implementasi dan evaluasi. Teori kenyamanan Kolcaba dapat diterapkan pada anak kanker dengan masalah fatigue. Hal ini perlu diterapkan pada kasus yang lebih besar

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Cancer provokes physical and psychological problems. Kolcaba's comfort theory gives direction in fulfilling comfort feeling in children with cancer that have fatigue issue. This case study aims is to analyze application of Kolcaba comfort in 5 cases of management theory regarding optimizing nursing care for children with cancer that having chemotherapy and fatigue issue. Nursing care was applied based on comfort level such as assessment (physical comfort, psychospiritual, sociocultural and environmental), nursing diagnoses , determine interventions (based on comfort standards, coaching and comfort food for the soul), implementation and evaluation. Kolcaba comfort theory mau apply for children with cancer that having fatigue issue. Experience of children with cancer that have been hospitalized because of fatigue issue could be explored. This needs to be applied to a larger case."

"Nyeri pada anak kanker berdampak jangka panjang dan jangka pendek. Sebagian besar orang tua tidak mengetahui cara mengkaji nyeri pada anak dan belum menggunakan skala nyeri yang sesuai dengan usia anak untuk mengukur nyeri. Pendidikan kesehatan tentang manajemen nyeri yang diberikan kepada pasien belum terstruktur sehingga informasi yang diberikan tidak optimal. Penelitian ini bertujuan untuk mengidentifikasi dampak intervensi edukasi terhadap pengetahuan, sikap dan keterampilan orang tua dalam mengelola nyeri pada anak dengan kanker. Desain penelitian ini menggunakan kuasi eksperimen dengan one grup pre test post test. Sampel berjumlah 29 orang di RSAB Harapan kita dan RSPAD Gatot Soebroto yang diambil secara consecutive sampling. Analisis data menggunakan McNemar dan Uji Chi Square. Hasil penelitian menunjukkan adanya perbedaan yang signifikan dalam aspek pengetahuan, sikap dan keterampilan orang tua dalam mengelola nyeri pada anak sebelum dan sesudah pendidikan kesehatan (pengetahuan, p=0,001; Sikap, p=0,001 dan keterampilan, p<0,001). Karakteristik orang tua yang berhubungan dengan pengetahuan dan sikap adalah pengalaman manajemen nyeri. Rekomendasi dari penelitian ini adalah pendidikan kesehatan tentang mengelola nyeri pada anak sebaiknya dilakukan secara intensif.

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Pain in children suffers from cancer gives effect in short term and long term. Most parents do not know how to assess pain in children. They have not used a pain scale based on children age to measure pain. Health education pain management has not been structured for patients so the given information is not optimal.

This study aims to identify the impact of education intervention to the parent's knowledge, attitudes, and skills in managing pain of children suffers from cancer. This study used a quasi-experimental with one group pretest-posttest. The sample was 29 people in RSAB Harapan Kita and Gatot Subroto Army Hospital, taken by consecutive sampling. The data was analyzed by McNemar and Chi Square.

The results showed a significant difference in the aspect of knowledge, attitudes and skills of parent in the pain management of children before and after health education (knowledge, p = 0.001; Attitudes, p = 0.001 and skill, p < 0.001). Characteristics of parents associated with the knowledge and attitudes who have children suffers from cancer is pain management experience. Recommendation for this study is the health education about pain management should be carried out intensively."

"ABSTRAKAngka 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.

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ABSTRACTAdvances 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."