Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
Keperawatan Keluarga Santun Lansia sebagai pendekatan pemberdayaan keluarga dalam meningkatkan dukungan dan strategi koping keluarga, serta menurunkan beban keluarga dalam merawat lansia untuk melakukan perawatan secara optimal pada lansia. Tujuan penelitian yaitu memperoleh model keperawatan keluarga santun lansia dalam upaya peningkatan kualitas asuhan keluarga pada lansia.

Penelitian ini menggunakan desain riset operasional melalui 3 (tiga) tahapan penelitian yaitu; Tahap I : Identifikasi masalah dukungan, strategi koping, beban keluarga dalam merawat lansia, status kesehatan lansia dan kejadian salah perlakuan pada lansia. dengan desain kuantitatif (cross-sectional) dengan jumlah sampel sebanyak 135; Tahap II : pengembangan model keperawatan keluarga santun lansia hasil integrasi penelitian tahap 1, studi literature dan konsultasi pakar; Tahap III : Uji coba model dengan quasieksperiment pre-post test with control group dengan jumlah sampel sebanyak 108. Hasil penelitian diperoleh : 1) Tahap I : dukungan informasional dan strategi koping Acquiring Social Support adalah variabel dominan terjadinya salah perlakuan; 2) Tahap II dihasilkan model keperawatan keluarga santun lansia dengan modul, buku kerja dan kurikulum pelatihan; 3) Tahap III : terdapat perbedaan bermakna dukungan keluarga (dukungan informasional dan instrumental), strategi koping keluarga, dan salah perlakuan pada lansia antar pengukuran 3 bulan setelah penerapan model diantara kelompok intervensi dan kontrol. Kesimpulan : model keperawatan keluarga santun lansia efektif meningkatkan dukungan informasional dan instrumental keluarga, meningkatkan penggunaan seluruh strategi koping keluarga, dan meningkatkan kemampuan keluarga untuk tidak melakukan salah perlakuan pada lansia. Rekomendasi : 1) Replikasi model di seluruh Indonesia; 2) Pelatihan berkelanjutan bagi perawat, kader kesehatan dan pelaku rawat dalam merawat lansia di rumah; 3) Penelitian lanjutan yaitu mengidentifikasi lebih objektif mengenai beban pelaku rawat dalam merawat lansia, kualitas hidup lansia yang berkaitan dengan penerapan Model Keperawatan Santun Lansia, difokuskan pada dukungan informasional dan strategi koping Acquiring Social Support yang merupakan variabel yang dominan terhadap. ...... The Cordial Older Family Nursing Model is a family empowerment approach in improving support and coping strategy, as well as reducing family burden in term of providing optimal care for older persons. The objective of this study was to establish The Cordial Older Family Nursing Model in order to improving family care of older persons. This study used operational research design that passed through three steps of research. Step I: Identifying the problems of support, coping strategy, family burden in taking care of older person, the health status of older person, and the incident of elderly abuse through cross-sectional study with 135 samples. Step II: The development of The Cordial Older Family Nursing Model, integrated result of step I of this study, and expert consultation. Step III: Validation of model utilized quasi-experiment pre-post test with control group, 108 samples. The result of this study, were as follows: 1.) Step I: informational of support and coping strategy Acquiring Social Support were predominant variable that provoked the incident of abuse. 2.) Step II: Module, workbook, and training curriculum for The Cordial Older Family Nursing Model were developed 3.) Step III: There were significant differences between family support (informational and instrumental), family coping strategy, and the incident of elderly abuse in 3-months-measurement after the implementation of model between intervention and control group. Conclusion: The Cordial Older Family Nursing Model was able to promote informational and instrumental family support, family coping strategy, and improve family ability not to commit abuse in older persons. Recommendation: 1.) Replication of the model to cities all over Indonesia; 2.) Continuous training for nurses, health cadre, and family caregivers in taking care homebound older adults; 3.) Advanced study that will provide the more objective assessment to identify family burden in taking care of older adults, Quality of Life (QoL) of older adults that is related to the implementation of The Cordial Older Family Nursing Model, the study should be more focused on informational support and coping strategy Acquiring Social Support that was determined as predominant variable towards the incident of abuse and the improvement of self help group for older persons.

Abstrak :
Disertasi ini membahas efektivitas model keperawatan sugesti pola tidur sehat Lansia yang mengalami insomnia dan hipertensi di Kota Surabaya. Hal ini dilakukan karena Surabaya mempunyai jumlah Lansia tertinggi se Jawa Timur, dan secara Nasional Jawa Timur mempunyai persentase Lansia terbanyak ke dua setelah DIY. Lansia sering diikuti penyakit degeneratif, seperti hipertensi. Lansia sering mengalami gangguan tidur jenis insomnia, maka perlu ada model yang memperbaiki kualitas dan kuantitas tidur Lansia agar status kesehatan dan tekanan darah dapat terjadi normotensi. Hasil penelitian tahap I, mengahasilkan pola tidur sehat Lansia, yaitu suatu bentuk pola atau rutinitas tidur Lansia yang dapat menyehatkan Lansia dalam suatu waktu tertentu. Hasil penelitian tahap II, berupa Model keperawatan Sugesti Pola Tidur Sehat Lansia, ini menggunakan pendekatan integrative concept and theory; self care, comfort care, transcendental meditation, aromatherapy, dan hypnosis, yang ditambahkan dengan hasil dari penelitian tahap I yaitu variabel suhu dan dukungan sosial. Penelitian tahap III, didapatkan hasil bahwa model keperawatan sugesti pola tidur sehat Lansia dapat efektif meningkatkan kualitas tidur, status kesehatan dan mampu menurunkan tekanan darah Lansia yang mengalami hipertensi, namun untuk berefek kepada peningkatan kuantitas tidur Lansia tidak secara bermakna. ......Nursing models of Suggestion Elderly Healthy Sleeping Patterns (SPTSL) was developed for elderly with hypertension in meeting the sleeping needs. Elderly with hypertension often experience sleeping disturbances - types of insomnia, that was need to be intervened. Therefore, nursing intervention that can improve the quality and quantity of sleep was necessary to maintain elderly health status and blood pressure. This study applied operational research design. The first phase aimed to identify elderly healthy sleep patterns, phase II produced SPTSL nursing model, and phase III, to test the effectiveness of the model SPTSL in improving sleep quality and health status of the elderly as well as lowering blood pressure in elderly with hypertension. Nursing model SPTSL effectively improve the elderly quality of sleep, which was experience insomnia and hypertension. However, the effect of the model on increasing the elderly quantity of sleep was not statistically significant because physiologically elderly need for sleep decreased up to 5-6 hours per day than when younger. This model is recommended into nursing intervention on elderly who experience sleep disturbances.