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"ABSTRAKDepresi seringkali dialami oleh perempuan penderita kanker payudara. Depresi yang terjadi pada pasien kanker payudara dipengaruhi oleh beberapa faktor. Penelitian ini bertujuan untuk mengetahui faktor yang mempengaruhi kejadian depresi pada pasien kanker payudara. Pengambilan data dilakukan diruang Poli bedah onkologi dan ruang rawat inap, sampel dalam penelitian ini adalah 102 responden. Desain penelitian yang digunakan dalam penelitian ini adalah cross sectional. faktor yang ditemukan paling dominan mempengaruhi terjadinya depresi pada pasien kanker payudara adalah dukungan keluarga (p value = 0,002<0,05). Direkomendasikan untuk menurunkan kejadian depresi yaitu perawat seharusnya memfasilitasi dukungan keluarga yang cukup pada penderita kanker payudara untuk mengurangi kejadian depresi.

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ABSTRACTDepression is frequently experienced by women with breast cancer. Depression that occurs in the breast cancer patients is influenced by several factors. This study aimed to find out the factors influencing the incidence of depression in the breast cancer patients. The data collection was performed at the outpatient oncology surgery center and the inpatient ward. The research samples were 102 respondents. The research design was cross sectional. The most dominant factor affecting the occurrence of depression in the breast cancer patients was family support (p value = 0,002<0,05). It is recommended that nurses facilitate the adequate family support for the breast cancer patients in order to reduce the incidence of depression."

"ABSTRAKPersamaan gender antar perawat dengan pasein kanker ginekologi, menyebabkan perawat merefleksikan kejadian yang dialami pasien terhadap dirinya. Sehingga ada makna tersendiri yang perawat rasakan selama merawat pasien kanker ginekologi. Tujuan penelitian ini mengetahui makna merawat pasien kanker ginekologi bagi perawat perempuan. Penelitian ini menggunakan studi fenomenologi deskriptif dengan wawancara mendalam terhadap lima orang partisipan yang dipilih secara purposive sampling. Data dianalisis menggunakan analisis Colaizzi dan di dapatkan delapan tema. Secara umum perawat merasa bersyukur diberikan kesehatan sebagai bentuk makna yang didapat selama merawat pasien kanker ginekologi. Hasil penelitian ini menyarankan agar perawat lebih bersikap caring terhadap pasien dan himbawan kepada perempuan untuk melakukan papsmear sebagai upaya deteksi dini kanker ginekologi.

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ABSTRACTGender equality among nurses and their patients with gynecologic cancer made nurses reflect on the events experienced by the patients toward her, so that nurses felt a special meaning when treating patient with gynecologic cancer. The purpose of this study is to determine the meaning of caring patients with gynecologic cancer. This study used a descriptive phenomenological study of in-depth interviews with five participants who selected by purposive sampling. Data were analyzed using analysis Colaizzi and get eight themes. In general, nurses feel grateful for given health as a form of meaning which they obtained while caring patients with gynecologic cancer. The results of these study are to suggest nurses to give more caring towards their patients and suggest women to do pap smear as an early detection of gynecologic cancer."

"Caregiver keluarga memegang peranan penting dalam perawatan pasien kanker stadium lanjut yang mengalami masalah akibat kanker dan terapinya. Penelitian bertujuan menggali pengalaman caregiver dalam konteks perawatan. Metode penelitian kualitatif dengan pendekatan fenomenologi deskriptif. Pengumpulan data dengan wawancara mendalam pada 5 partisipan sesuai kriteria inklusi. Temuan memberikan 7 tema utama, yaitu: reaksi caregiver saat mengetahui diagnosa kanker stadium lanjut, pemahaman caregiver tentang kanker, caregiver peran yang melelahkan, caring pada pasien kanker stadium lanjut, mendampingi pasien berobat, beban caregiver pasien kanker, harapan caregiver. Kesimpulan adanya pemahaman caregiver yang kurang dalam merawat pasien kanker mengakibatkan timbulnya distress akibat beban peran. Disarankan pemberian informasi edukasi kanker, kenyamanan caregiver sehingga dapat meningkatkan kualitas hidup pasien kanker stadium lanjut.

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Family caregivers play an important role in the hospitalization of advanced cancer patient who experience problems due to cancer and its treatment. The study aimed to explore the experience of caregivers in helping patient during hospitalization. Qualitative research method with a descriptive phenomenological approach was used. Collecting data done by in-depth interviews on 5 participants according to inclusion criteria. The findings provided seven main themes, namely: caregiver's reaction confirmed advanced cancer diagnosis, caregiver understanding of cancer, a grueling caregiver role, caring for patients with advanced cancer, treatment with the patient, caregiver burden of a cancer patient, caregiver expectations. As the conclusion, lacking of understanding on caregiver in caring cancer patients has resulted in distress due to the burden of roles. Suggested providing cancer education information, caregiver convenience so as to improve the quality of life for patients with advanced cancer."

"Kebersihan tangan dapat mencegah Health Care Associated Infections (HAIs) dan meningkatkan keselamatan pasien. Penggunaan fluorescence lotion pada pelatihan kebersihan tangan merupakan metode pembelajaran dengan menggunakan experiential learning yang bertujuan untuk meningkatkan pengetahuan dan kepatuhan perawat dalam kebersihan tangan. Tujuan untuk mengidentifikasi pengaruh program pelatihan kebersihan tangan terhadap pengetahuan dan kepatuhan perawat dalam kebersihan tangan. Rancangan penelitian adalah penelitian kuantitatif dengan pendekatan quasy experiment dengan metode pretestposttest designs with comparison group. Sampel dalam penelitian adalah 32 perawat pelaksana untuk kelompok intervensi dan 38 perawat pelaksana untuk kelompok kontrol. Ada perbedaan pengetahuan dan kepatuhan kebersihan tangan antara kelompok eksperimen dan kelompok kontrol setelah pelatihan kebersihan tangan (p<0,001, CI pengetahuan = 2,061 ; 3,541, CI kepatuhan = 6,792 ; 10,929, α = 0.05). Pelatihan kebersihan tangan perlu dilakukan berkesinambungan.

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Hand hygiene prevents Health-Care-Associated Infections (HAIs) and improves patient safety. The use of fluorescence lotion in hand hygiene training is the implementation of a learning method which makes use of experiential learning aiming at improving the level of knowledge and compliance of nurses in maintaining hand hygiene. The research objective is to identify the influence of hand hygiene training program on the level of knowledge and compliance of nurses in maintaining hand hygiene. The research is a quantitative quasy experiment research using pretest-posttest design with comparison group. The research sample consists of 32 nurses in experiment group and 38 nurses in control group. The result shows a difference in the knowledge after hand hygiene training was conducted (p<0.001 , CI knowledge = 2,061 ; 3,541, CI compliance = 6,792 ; 10,929, α = 0.05α = 0.05) between those in the control group and those in the experiment group. It is recommended to sustainably conduct hand hygiene training program."

"Kantong stoma standar memiliki harga yang tidak bisa dijangkau oleh ostomate dengan tingkat ekonomi rendah sehingga diperlukannya alternatif lain dengan fungsi yang sama dan iritasi kulit yang minimal. Penelitian ini bertujuan menganalisa efektifitas penggunaan skin barier batok kelapa dengan kantong stoma standar terhadap cost effectiveness dan iritasi kulit peristoma. Desain penelitian ini menggunakan RCT (randomized control trial) dengan metode pengumpulan sampel secara consecutive sampling; cross over design. Pengambilan sampel menggunakan randomisasi blok dan single blind. Sampel dalam penelitan ini adalah penyandang stoma yang berada di wilayah Palembang dengan jumlah 8 orang. Cost effectiveness diukur berdasarkan jumlah kali ganti dan harga ganti sedangkan iritasi kulit peristoma dinilai berdasarkan hiperemia yang terjadi menggunakan The SACS Instrument pada hari 0, 3 dan 7. Hasil penelitian menggunakan paired t-test didapatkan perbedaan cost effectiveness (jumlah kali ganti) antara masing-masing kelompok, tidak terdapat perbedaan cost effectiveness (harga ganti) masing-masing kelompok. Hasil analisis menggunakan Mc Nemar didapatkan bahwa tidak terdapat perbedaan iritasi kulit peristoma pada masing-masing kelompok (p=0,072). Dalam jumlah kali ganti, penggunaan kantong stoma standar jauh lebih efektif dalam waktu dan tenaga dibandingkan kantong stoma standar. Hasil penelitian ini juga mendapatkan perbedaan kejadian iritasi kulit peristoma antara batok kelapa dan kantong standar sama besarnya. Perlu dilakukan penelitian lanjutan mengenai tingkat kecembungan batok kelapa yang paling efektif sebagai skin barier, lama waktu penggunaan batok kelapa dan berapa ketebalan batok kelapa yang paling efektif sebagai skin barier. Serta perlu adanya penggabungan teknologi tepat guna dalam pengembangan batok kelapa sebagai skin barier.

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Standardize stoma bags has a prices that wasn't affordable by poor ostomates, and another alternatif tool had a similarity in used it of and functions with low risk for peristomal skin irritation was needed. This research is aimed to analyze the effectiveness of coconut shell skin barrier and stoma bag for cost effectiveness and peristomal skin irritation to the colorectal cancer patient.

RCT was used in this research with cross over design approach and 8 ostomates was joined which is lives in Palembang region. Block randomization and single blind was used for sampling technique. The cost effectiveness was measured by the changes of frequency on number and price between the group and The SACS Instrumens was used to measured the peristomal skin irritation at 0, 3 and 7 days.

The results was used paired t-test that there were differences of cost effectiveness (account) and no differences of cost effectiveness (prices) between group. The result of McNemar test showed that there were no differences between group in peristomal skin irritation (p=0,072). Stoma bag was cost effectifeness (the changes of frequency on number) in time and effort better than coconut shell as a skin barrier.

This research found that there were no diferences of incidence in peristomal skin irritation between the groups. Need another continuity about the efficacy in convexity of coconut shell, how long the coconut shell could use as a skin barier and the efficacy in tight of coconut shell. And need the compounding of appropriate technology in develop of coconut shell as a skin barrier."

"Pasien kanker yang menjalani kemoterapi mengalami nyeri. Tujuan penelitian ini mengetahui adakah pengaruh terapi musik gamelan Jawa terhadap tingkat nyeri pemasangan infus dan kemoterapi pada pasien kanker di Ruang One Day Care(ODC). Penelitian ini menggunakan desain quasi eksperimen dengan rancangan nonequivalent control group after only design. Jumlah sampel 52 pasien (26 pasien kelompok kontrol dan 26 pasien kelompok intervensi) dengan tehnik consecutive sampling. Pengukuran tingkat nyeri menggunakan VAS rentang 1-10 cm. Analisis data menggunakan Independent T test, Mann Whitney test, Dependen T test, Wilcoxon test dan Kruskal Wallis test. Hasil penelitian menunjukkan terapi musik gamelan Jawa berpengaruh terhadap tingkat nyeri pemasangan infus (nilai p 0,000) dan tingkat nyeri kemoterapi (nilai p 0,000). Rekomendasi penelitian ini adalah terapi musik gamelan Jawa menjadi program intervensi keperawatan pada pasien kanker untuk mengurangi tingkat nyeri pemasangan infus dan kemoterapi.

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Cancer patient during chemotherapy experience pain. This research aimed to identify the influence of Javaness gamelan music therapy to level pain of infussion canulation and chemotherapy of cancer patient in One Day Care (ODC). Design of this research is quasi experiment with nonequivalent control group after only design. A 52 sample (26 patient of control group and 26 patient of intervenstion group ) is chosen by using consecutive sampling. Measurement of pain use VAS range 1-10 cm. Analyses of data use Independent T test, Mann Whitney Test, Dependent T test, Wilcoxon Test and Kruskal Wallis test. This research show that the Javaness Gamelan Music Therapy influence level pain of infussion canulation ( p value 0,000) and chemotherapy (p value 0,000). Base on the research, it is recommended that Javaness Gamelan Music Therapy become nursing intervention program for cancer patient treatment management to reduce level pain of infussion canulation and chemotherapy."

"Kemoterapi merupakan salah satu metode utama dalam penanganan kanker namun memiliki sifat vesican dan iritan yang memicu terjadinya flebitis. Respon kerusakan jaringan akibat flebitis ialah nyeri. Penelitian ini bertujuan mengetahui efektivitas pemberian minyak wijen terhadap intensitas nyeri flebitis pada pasien kanker yang menjalani kemoterapi. Penelitian ini menggunakan desain Randomized Controlled Trial. Jumlah sampel empat puluh orang yang terdiri dari 2 kelompok: kontrol dan intervensi. Analisis dengan Paired T test menunjukkan adanya perbedaan signifikan rata-rata skor intensitas nyeri sebelum dan setelah intervensi (p=0,001) dan hasil analisis Independent T test terdapat perbedaan signifikan rata-rata skor intensitas nyeri antara kelompok kontrol dan intervensi setelah intervensi (p=0,001). Berdasarkan hal tersebut direkomendasikan bahwa minyak wijen dapat digunakan untuk menurunkan intensitas nyeri pada pasien flebitis yang menjalani kemoterapi.

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Chemotherapy is one of the main methods in the treatment of cancer but has a vesicant and irritant that trigger of phlebitis. The response tissue damage due to of phlebitis is pain. This study aimed to determine the effectiveness administration of sesame oil to pain intensity of phlebitis in cancer patients undergoing chemotherapy. This study used a randomized controlled trial design. Forty samples were devided groups: control and intervention groups. This study analysed was Paired T test showed a significant mean difference pain intensity scores before and after intervention (p = 0.001) and the results showed that there was a significant difference between two groups (p = 0.001). These results recommended that sesame oil can be used to reduce phlebitis pain in patients undergoing chemotherapy."

"ABSTRAKProgram mentoring kepala ruangan yang dijalankan dengan tepat dapat meningkatkanperilaku perawat dalam menjaga keselamatan diri dari bahaya kemoterapi. Fenomenaditemukan di RS.Kanker Dharmais mentoring kepala ruangan, perilaku perawatpelaksana dan keselamatan diri dari bahaya kemoterapi belum optimal. Penelitian inibertujuan untuk mendapatkan gambaran efektifitas program mentoring kepalaruangan terhadap peningkatan perilaku perawat dalam menjaga keselamatan diri daribahaya kemoterapi di ruang rawat inap RS.Kanker Dharmais. Penelitian inimengunakan metode quasi experiment dengan Pretest-Posttest Control GroupDesign. Sampel yang digunakan pada 66 perawat pelaksana (33 kelompok intervensi,33 kelompok kontrol). Intervensi program mentoring dilakukan pada kelompokintervensi setelah pelatihan program mentoring kepala ruangan. Hasil penelitianmenunjukkan perilaku perawat dalam menjaga keselamatan diri dari bahayakemoterapi ada perbedaan yang signifikan sebelum dan sesudah dilakukan programmentoring kepala ruangan pada kelompok intervensi (p<α, α=0.05), sehingga dapatdisimpulkan bahwa program mentoring kepala ruangan dapat meningkatkan perilakuperawat dalam menjaga keselamatan diri dari bahaya kemoterapi.Program mentoring kepala ruangan dengan cara pembinaan, monitoring, dan evaluasiperlu terus dilakukan terhadap perilaku keselamatan diri perawat dari bahayakemoterapi di Rumah Sakit.

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ABSTRACTMentoring program by head nurse can increase the behavior of nurses inmaintaining the safety away from hazards chemotherapy. The phenomenon was foundin the head space RSKD mentoring, behavior and safety nursed themselves from thehazards of chemotherapy has not been optimal. This study aims to get a picture of theeffectiveness of mentoring programs to increased head nurses conduct themselves inmaintaining the safety of the hazards of chemotherapy in inpatient room RSKD. Thisstudy used the method of quasi experiment with pretest-posttest control group design.The sample used in 66 nurses (33 intervention group, 33 control group). Interventionmentoring program conducted in the intervention group after training mentoringprogram head nurse. The results showed the behavior of nurses in maintainingpersonal safety from hazards chemotherapy was significant difference before andafter the mentoring program head nurse in the intervention group (p <α, α = 0.05level), so it can be concluded that mentoring programs can improve the behavior ofhead nurse in keep away from the hazards of chemotherapy safety. Mentoringprogram head nurse by way of coaching, monitoring, and evaluation needs to beconducted on the behaviour of personal safety from hazards chemotherapy nurse atthe hospital."

"[ABSTRAKKanker urogenital dan penatalaksanaannya sering kali menyebabkan perubahanidentitas seksual dan juga merubah struktur tubuh baik secara nyata ataupun keluhansubjektif pasien. Penelitian ini bertujuan mengidentifikasi gambaran pengalamankehidupan seksual pasien kanker urogenital bersama pasangannya, yang telahmenjalani kemoterapi, terapi radiasi atau pembedahan. Penelitian menggunakanpenelitian fenomenologi. Metode pengambilan data menggunakan teknik wawancara.Penelitian dilakukan di Siloam Hospitals Lippo Village. Partisipan adalah pasienkanker urogenital beserta pasanganya. Pengolahan Data dilakukan dengan caraverbatim, selanjutnya dianalisis dengan content analysis menggunakan teknik Colaizzi.Hasil penelitian didapatkan empat tema, yaitu ketidaknyamanan dalam melakukanhubungan seksual sebagai dampak perubahan kondisi fisik, ketidakterbukaan pasangandalam menyampaikan kepuasan seksual untuk lebih berfokus pada upaya pengobatan,pengalihan hasrat dalam berhubungan seksual sebagai upaya beradaptasi denganperubahan kondisi fisik, dan ketidakjelasan tentang pola hubungan seksual yang amanselama masa pengobatan. Kesimpulan: perubahan kondisi fisik dan psikososial pasienkanker urogenital menyebabkan permasalahan dalam kehidupan seksualnya. Hasilpenelitian ini merekomendasikan agar perawat proaktif dalam melakukan upayaprofesionalnya dalam perawatan klien kanker urogenital termasuk pemenuhankebutuhan seksual.

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ABSTRACTUrogenital cancers and their management leads to changes in sexual identity and alsochange the structure of the body, either real or subjective complaints. This study aimsto identify the description of the sexual life experience among urogenital cancerpatients with their partner, who had chemotherapy , pre-surgery or post-surgery. Thestudy used a qualitative research design with a phenomenological approach. Locationof this research in Siloam Hospitals Lippo Village. Participant were patients diagnosedwith urogenital cancer and their partner. Data processed in verbatim form, thenanalyzed using content analysis with Collaizi technique. Results of this study, foundfour themes, these are the themes had found: discomfort in sexual intercourse as aresult of changes in physical conditions, Lack of openness partner in delivering sexualsatisfaction in order to focus on treatment efforts, diversion of desire in intercourse asan attempt to adapt to the changing physical conditions, Attention couples (wife) as aneffort to adapt with changing physical condition of the client (the husband),Obscuration of pattern in safe sex during the treatment period. Conclusion: thephysical condition and psychosocial changing of urogenital cancer patients led toproblems in sexual life. The results of this study indicated that nurses proactive in theirprofessional efforts in the treatment of urogenital cancer clients including sexualfulfillment;Urogenital cancers and their management leads to changes in sexual identity and alsochange the structure of the body, either real or subjective complaints. This study aimsto identify the description of the sexual life experience among urogenital cancerpatients with their partner, who had chemotherapy , pre-surgery or post-surgery. Thestudy used a qualitative research design with a phenomenological approach. Locationof this research in Siloam Hospitals Lippo Village. Participant were patients diagnosedwith urogenital cancer and their partner. Data processed in verbatim form, thenanalyzed using content analysis with Collaizi technique. Results of this study, foundfour themes, these are the themes had found: discomfort in sexual intercourse as aresult of changes in physical conditions, Lack of openness partner in delivering sexualsatisfaction in order to focus on treatment efforts, diversion of desire in intercourse asan attempt to adapt to the changing physical conditions, Attention couples (wife) as aneffort to adapt with changing physical condition of the client (the husband),Obscuration of pattern in safe sex during the treatment period. Conclusion: thephysical condition and psychosocial changing of urogenital cancer patients led toproblems in sexual life. The results of this study indicated that nurses proactive in theirprofessional efforts in the treatment of urogenital cancer clients including sexualfulfillment, Urogenital cancers and their management leads to changes in sexual identity and alsochange the structure of the body, either real or subjective complaints. This study aimsto identify the description of the sexual life experience among urogenital cancerpatients with their partner, who had chemotherapy , pre-surgery or post-surgery. Thestudy used a qualitative research design with a phenomenological approach. Locationof this research in Siloam Hospitals Lippo Village. Participant were patients diagnosedwith urogenital cancer and their partner. Data processed in verbatim form, thenanalyzed using content analysis with Collaizi technique. Results of this study, foundfour themes, these are the themes had found: discomfort in sexual intercourse as aresult of changes in physical conditions, Lack of openness partner in delivering sexualsatisfaction in order to focus on treatment efforts, diversion of desire in intercourse asan attempt to adapt to the changing physical conditions, Attention couples (wife) as aneffort to adapt with changing physical condition of the client (the husband),Obscuration of pattern in safe sex during the treatment period. Conclusion: thephysical condition and psychosocial changing of urogenital cancer patients led toproblems in sexual life. The results of this study indicated that nurses proactive in theirprofessional efforts in the treatment of urogenital cancer clients including sexualfulfillment]"

"ABSTRAKPerawat manajer harus memiliki sejumlah kompetensi dalam menjalankan peran dan fungsi manajemen keperawatan yang menjadi tanggung jawabnya. Kompetensi perawat manajer dalam bidang praktek klinik salah satunya adalah kemampuan menyusun standar yaitu Standar Prosedur Operasional (SPO). SPO adalah hasil dari keputusanyang diambil melalui suatu proses berpikir. Kemampuan menggunakan proses berpikir adalah kemampuan berpikir kritis. Kemampuan berpikir kritis dapat ditingkatkan salah satunya melalui pelatihan. Penelitian ini bertujuan untuk mengetahui pengaruh dari pelatihan dengan metode simulasi terhadap kemampuan berpikir kritis yang dilihat melalui hasil pembuatan SPO perawat manajer. Desain yang digunakan adalah quasi experiment dengan pre test and post test with control group.Hasil yang didapatkan dari 40 sampel perawat manajer di RSUD Tarakan menunjukkan adanya peningkatan persentase nilai kemampuan berpikir kritis perawat setelah dilakukan pelatihan dengan metode simulasi yaitu dari sebesar 3,75% menjadi 57,50% perawat yang berada dalam dalam rentang kemampuan berpikir kritis tingkat komitmen.Analisis menunjukkan kenaikan keterampilan berpikir kritis perawat yang mendapatkan intervensi lebih tinggi secara bermakna dibandingkan dengan keterampilan berpikir kritis perawat yang tidak mendapatkan intervensi sejenis (p 0,001; 0,05).Kesimpulan dari penelitian ini adalah simulasi mampu meningkatkan kemampuan berpikir kritis perawat manajer yang dilihat dari pembuatan SPO

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ABSTRACT

Nurse managers should have some competence in performing the role and functions of nursing management as their responsibility. One of competences nurse manager in the field of clinical practice is the ability to set standards as Standard Operating Procedures (SOPs). SOP is the result of decisions taken through a process of thinking. The ability to use the process of thinking is the ability to critical thinking. Critical thinking skills can be improved through training. This study aimed to determine the effect of training with simulation methods against critical thinking skills are seen through the results of the SOP manufactured nurse manager. The design used was quasi experimental with pre-test and post-test with control group.

The results obtained from 40 samples of nurse managers in Tarakan Hospital showed an increase in the percentage of the value of critical thinking skills of nurses after training with simulation method that is equal to 57.50% within the range of critical thinking skills from the previous level of commitment of 3.75%. Analysis showed an increase critical thinking skills of nurses who received the intervention were significantly higher compared with the critical thinking skills of nurses who do not get the kind of intervention (p 0.001; 0.05).

The conclusion from this study is the simulation can improve critical thinking skills nurse manager is seen from the manufacture of SOP."