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Abstrak :
Model pemberian asuhan keperawatan merupakan metode/pendekatan yang sangat penting dalam memberikan asuhan keperawatan berkualitas. Tujuan penelitian ini adalah memperoleh model asuhan penyakit kronis pada anak usia sekolah yang mengidap thalassemia f3 mayor untuk meningkatkan kualitas hidupnya. Penelitian ini menggunakan desain riset operasional melalui tiga tahapan penelitian. Tahap I: Identifikasi kebutuhan melalui penelitian kualitatif Tahap II: pengembangaan Modified Chronic Care Model hasil integrasi antara penelitian tahap I, studi literatur, dan konsultasi pakar. Tahap III: uji coba model dengan rancangan quasi experiment with control group. Metode sampling menggunakan simple random sampling dengan jumlah sampel sebanyak 148. Hasil penelitian menunjukkan : 1) Tahap I: diperoleh 15 tema; 2) Tahap II: dihasilkan modifikasi chronic care model dengan 1 buku asuhan keperawatan, 2 buku saku untuk pasien dan keluarga, 1 buku saku untuk perawat; 3) Tahap III: sikap keluarga, kualitas hidup anak, pengelolaan diri dan status fungsional anak yang mendapat intervensi Modified Chronic Care Model lebih tinggi dibandingkan dengan anak yang tidak mendapat intervensi. Kesimpulan, Modified Chronic Care Model efektif meningkatkan kualitas hidup anak, meningkatkan kemampuan pengelolaan diri anak, meningkatkan status fungsional anak dan meningkatkan sikap keluarga dalam merawat anak. Rekomendasi : 1) Replikasi model di rumah sakit pemerintah lain; 2) Pelatihan berkelanjutan bagi perawat di ruang rawat thalassemia; 3) Penelitian lanjut yaitu penghitungan ratio tenaga perawat dengan pasien.

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Nursing care model is the important thing for better quality of nursing care. The aim of this study is to develop nursing care model for thalassemic school age children. This study used operational research design through three stages namely Stage I: Identifying problems and needs. Stage II: Developing the Modified Chronic care Model resulted from integration of the results of stage 1 studies, literature studies, and expert consultation; Stage III: Testing the model with the quasi experiments with control group design. Sampling strategy used simple random sampling method with 148 samples. Results ofresearch were obtained: 1) Stage I: 15 themes were obtained; 2) Stage II: Modification of Chronic Care Model with 1 book o f nursing care, 2 pocket books for patients and their family, 1 pocket book for nurses; 3) Stage III: Children's quality of life, functional status and self-management who received Modified Chronic Care Model intervention were higher than children who didn't receive. Family attitudes who received Modified Chronic Care Model intervention were higher than family who didn't receive. In conclusion, Modified Chronic Care Model effectively increases thalassemic school age children's quality of life, functional status, self- management, and family attitude. Recommendations: 1) Replicate similar models in other government hospitals; 2) Keep continuing training for nurses in thalassemic unit; 3) study about patient-nurse ratio.

Abstrak :
Penelitian ini bertujuan untuk mengembangkan dan menguji pengaruh model peningkatan kemandirian pasien stroke untuk pengelolaan faktor risiko kekambuhan terhadap pengetahuan, self-efficacy dan kemandirian. Penelitian dilakukan melalui dua tahap, yaitu tahap 1 berupa penelitian deskriptif kualititatif dan pengembangan model, serta tahap 2 berupa penelitian kuasi dengan pre-post test control design. Metode sampling yang digunakan adalah purposif sampling. Pada penelitian tahap 1, didapat 8 orang partisipan sedangkan pada tahap 2 didapat sebanyak 32 orang (kelompok kontrol) dan 35 orang (kelompok perlakuan). Pengambilan data pada tahap 1 dilakukan dengan wawancara mendalam, adapun pada tahap 2, data diambil 3 kali, yaitu pre test, post test pada akhir bulan 1 dan post test pada akhir bulan 2. Analisi data dilakukan dengan metode dari Giorgi (tahap 1) serta uji Friedman dan Wilcoxon (tahap 2). Hasil penelitian pada tahap 1 didapat 4 tema yang mendukung keberhasilan pasien mengelola faktor risiko kekambuhannya dan tersusun model peningkatan kemandirian pasien stroke. Pada tahap 2 didapat peningkatan nilai mean pada variabel pengetahuan (x2 = 31,087; p=0,000) dan kemandirian (x2 = 24,569 ; p=0,000). Tidak terjadi peningatkan mean pada variabel self-efficacy (x2 = 4, 947; p=0,84). Kesimpulan, model peningkatan kemandirian terbukti efektif untuk meningkatkan kemandirian dan pengetahuan pasien stroke. Model ini dapat direkomendasikan untuk diaplikasikan pada perawatan pasien stroke di poliklinik.

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The purpose of this study were to develop the Stroke self-care model for stroke recurrent risk factor management and to examine the effect of the model on on knowledge, self-efficacy and self-care for stroke recurrent risk factor management. There were two phase on this research. The first phase was phase to develop Stroke self-care model for stroke recurrent risk factors management and modules through study literature and a qualitative research. The second phasee was a quasi experiment with pre-post test control design. Eight participant were involved in the first phase, while in second phase there were 32 respondents in control group and 35 respondents in intervention group whom recruited by purposive sampling. Data in first pahse were colected using in-depth interview, and in second phase, data were collected at three points: pre test; one month and two month after intervention. Data in first phase were analyzed with Giorgi methode; and in the second phase using Friedman, and Wilcoxon test. The results in fist phase identified four themes that contribute to success story stroke patient in a manage stroke risk factors. In second phase, data showed the significant increase of patients? knowledge mean (x2 = 31,087; p=0,000) and self-care mean (x2 = 24,569 ; p=0,000) after 1 dan 2 month after intervention. There was no incrase in patients? self-efficacy mean (x2 = 4, 947; p=0,84). In conclusion, stroke self-care model for stroke recurrent risk factor management is effective to increase stroke patients? knowledge and self-care. This research recomend that, this model can be applied in nursing care for stroke patient in outpatient clinic.

Abstrak :
Pendidikan kesehatan pada ibu dapat meningkatkan praktik perawatan bayi berat lahir rendah (BBLR), namun kemampuan ibu untuk melakukan praktik perawatan BBLR di rumah belum banyak digali. Penelitian ini bertujuan untuk menilai pengaruh paket pendidikan kesehatan pada ibu terhadap praktik perawatan BBLR di Jakarta Pusat. Penelitian dilakukan terhadap 159 ibu dengan BBLR yang bayinya dinyatakan boleh pulang dari ruang Perinatologi dengan pendekatan quasi eksperimen (78 ibu kelompok intervensi dan 81 ibu kelompok kontrol) dan teknik pengambilan sampel secara consecutive sampling. Ibu dengan BBLR yang berdomisili di wilayah intervensi mendapatkan paket pendidikan kesehatan yang diberikan oleh perawat puskesmas. Paket pendidikan kesehatan terdiri dari penyuluhan tentang perawatan BBLR, yang diberikan pada 3-5 hari setelah BBLR keluar RS dan pendampingan pada ibu dan keluarga pada minggu ke-2 dan ke-6 setelah penyuluhan atau pengukuran awal. Ibu yang berdomisili di wilayah kontrol mendapatkan booklet tentang perawatan BBLR. Kedua kelompok dilakukan pengukuran dengan waktu yang sama sebanyak 4x yaitu 3 hari setelah keluar RS, 2, 6 dan 12 minggu setelah penyuluhan atau pengukuran awal. Pengumpulan data kualitatif juga dilakukan untuk melengkapi informasi yang diperlukan setelah mendapatkan gambaran hasil kuantitaif. Analisis multvariat dilakukan dengan Regresi Linier Ganda General Estimating Equation (GEE). Hasil memperlihatkan pemberian paket pendidikan kesehatan pada ibu dengan BBLR memberikan efek peningkatan praktik ibu dalam perawatan BBLR sebesar 25,19%. Praktik perawatan BBLR pada ibu di kelompok intervensi lebih tinggi dibandingkan kelompok kontrol pada setiap waktu pengukuran (p=0,000). Variabel sikap dan dukungan kader kesehatan yang dilatih merupakan konfonder yang mempengaruhi hubungan pendidikan kesehatan terhadap praktik ibu dalam perawatan BBLR. Kesimpulan: Pemberian paket pendidikan kesehatan yang dilakukan berkelanjutan selama 6 minggu berdampak efektif terhadap peningkatan praktik perawatan BBLR di rumah dan terhadap peningkatan status kesehatan bayi. Paket pendidikan kesehatan dapat dikembangkan di komunitas dengan melibatkan kader kesehatan untuk memberikan pendampingan pada ibu dengan BBLR diwilayahnya. Pelatihan ataupun sosialisasi tentang perawatan BBLR perlu diberikan pada tenaga kesehatan puskesmas dan kader kesehatan, sehingga dapat melakukan pendampingan secara tepat pada ibu dengan BBLR.

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Health education for mothers can improve low birth weight (LBW) infant care practices. Yet, the ability of mothers to exercise LBW infant care at home has not been much explored. This study aims to assess the effect of health education packages on mothers towards LBW infant care practices in Central Jakarta. The study was conducted on 159 LBW mothers whose babies were permitted to return from the perinatology room with a quasi-experimental approach (78 mothers in the intervention group and 81 mothers in the control group). The sampling technique of this study was consecutive sampling. LBW mothers who were domiciled in the intervention areas received health education packages provided by nurses in health centers. The health education package consisted of counseling on LBW care given in 3-5 days after LBW infant out of the hospital and mentoring for mothers and families at the 2nd and 6th weeks after counseling or initial measuring. Mothers who lived in the control area received a booklet on LBW infant care. The two groups were measured with the same time as much as 4 times, which was 3 days after leaving the hospital, 2, 6 and 12 weeks after counseling or the initial measurements. Qualitative data collection were also done to complete the information needed after getting a picture of the quantitative results. Multivariate analysis was carried out with Multiple Linear Regression General Estimating Equation (GEE). The results showed the provision of health education packages to mothers with LBW have an effect to increase the practice of mothers in LBW infant care by 25.19%. The practice of LBW infant care among mothers in intervention group were higher than those in control groups at each measurement (p = 0,000). The attitude and support of trained health cadres variable are confounders that influence the relationship of health education to the practice of mothers in LBW care. Conclusion: The provision of health education packages carried out continuously for 6 weeks has an effective impact on improving the practice of LBW infant care at home and has an impact on improving the health status of infants. Community-based health education packages developed by involving health cadres to provide assistance to mothers with LBW infant in their area. Training or socialization of LBW infant care to be given to health center workers and cadres, so they could provide appropriate assistance to LBW mothers.