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"Pengkajian yang tidak akurat dan penanganan nyeri yang tidak adekuat dapat berakibat pada terapi dan kualitas hidup anak. Penelitian ini bertujuan untuk mengidentifikasi hubungan pengetahuan, sikap perawat dengan pelaksanaan asuhan keperawatan masalah nyeri pada anak kanker. Desain yang digunakan adalah analisis korelasi dengan pendekatan cross sectional. Cara pengambilan sampel adalah accidental sampling technic pada 41 perawat. Analisis data dengan chi square dan regresi logistik. Hasilnya menunjukkan ada hubungan yang signifikan antara pendidikan dengan pengetahuan perawat (p=0,031), variabel pelatihan manajemen nyeri dengan sikap perawat (p=0,022), dan variabel usia dengan pelaksanaan asuhan keperawatan masalah nyeri (p=0,017) pada kelompok pendidikan vokasional. Selain itu, tidak ada hubungan yang signifikan antara pengetahuan, sikap perawat dengan pelaksanaan asuhan keperawatan masalah nyeri (p>0,005). Hasil analisis regresi logistik didapatkan perawat yang berusia ≤ 29 tahun dan telah mendapatkan pelatihan manajemen nyeri mampu melaksanakan asuhan keperawatan masalah nyeri lebih baik. Rekomendasi: Rumah sakit mengadakan pelatihan manajemen nyeri dasar dan berkelanjutan untuk meningkatkan kualitas pelaksanaan asuhan keperawatan masalah nyeri.

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Underassessment and inadequate pain management affected treatment process and the children's quality of life. This research aim to identify the association among nurse's knowledge, attitude and the nursing care for pain problem in children with cancer. Research design was analysis correlation with cross sectional approach. The samples consist of 41 nurses determined by accidental sampling technic. Data was analyzed by chi square and logistic regression.

The result found that there was significant association between education level and nurse's knowledge (p=0,031), between pain management training and nurse?s attitude (p=0,022) and between age and nursing care for pain problem in nursing vocational group (p=0,017). Furthermore there was no significant association among nurse's knowledge, attitude and nursing care for pain problem (p>0,005).

Multivariate analysis shown that nurses less than 29 years old and have trained of pain management are nurses who were better in nursing care for pain. This research imply nurses need to be trained in basic and advanced level in order to increase quality of nursing care for pain."

"ABSTRAKPerawatan mulut untuk mencegah mukositis diperlukan sebelum, selama dan setelah kemoterapi. Edukasi tentang menggosok gigi pada orangtua dan anak merupakan salah satu upaya untuk mencegah keparahan mukositis. Penelitian ini bertujuan untuk mengidentifikasi efektifitas media pendidikan AVA dan leaflet tentang menggosok gigi yang diberikan pada orang tua terhadap kejadian mukositis pada anaknya yang menderita kanker. Disain penelitian adalah quasi experiment pretest dan postest nonequivalent control group design dengan total sampel sebanyak 36 responden yang terdiri dari 2 kelompok yaitu kelompok inyervensi dan kelompok kontrol, yang dipilih dengan metode consecutive sampling. Hasil penelitian menemukan tidak terdapat perbedaan yang signifikan pemberian edukasi menggunakan AVA dan leaflet terhadap kejadian mukositis pada anak ( p value= 0,061). Namun media AVA dan leaflet efektif meningkatkan pengetahuan orangtua menggosok gigi untuk mengurangi kejadian mukositis pada anak kanker selama kemoterapi. Hal ini dapat dilihat dengan peningkatan pengetahuan setelah perlakukan baik pada kelompok kontrol dan kelompok intervensi dengan p value masing-masing 0,003 dan 0,002. Rekomendasi: edukasi perawatan mulut dapat dilakukan dengan pendekatan multidisiplin ilmu sebelum, selama dan setelah pemberian kemoterapi.

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ABSTRACTOral care to prevent mucositis is needed before, during, and after chemotherapy. Education about brushing teeth to parents and children is one way to prevent the severity of mucositis. The purpose of this research was to identify the effectiveness of education media AVA and leaflet about teeth brushing to parents of children suffering cancer to the incidence of mucositis. Design research is quasi experimental nonequivalent pretest and posttest control group design with a total sample of 36 respondents composed of two groups: intervention and control groups, selected with consecutive sampling method. The study found no significant differences education using AVA media and leaflets on the incidence of mucositis in children (p value = 0.061). But AVA media and leaflets effectively improve parental knowledge about brushing teeth to reduce the incidence of mucositis in children during cancer chemotherapy. This can be seen by the increase in knowledge after treatment both in the control group and the intervention group with p value respectively 0.003 and 0.002. Recommendation: educational oral care can be done with a multidisciplinary approach before, during and after administration of chemotherapy"

"ABSTRAKMukositis merupakan efek samping yang dialami anak dengan kemoterapi. Mukositis menyebabkan gangguan fisiologis dan fungsional yang menurunkan kualitas hidup anak kanker. Intervensi nonfarmakologis untuk mengatasi hal tersebut adalah berkumur menggunakan larutan salin sebagai protokol standar di rumah sakit dan intervensi mengunyah permen karet. Tujuan penelitian ini adalah untuk mengidentifikasi perbandingan efektivitas mengunyah permen karet dan berkumur larutan salin terhadap skor mukositis pasien. Rancangan Penelitian menggunakan quasi experiment non equivalent control group, before and after design. Besar sampel 44 orang terbagi dalam dua kelompok. Analisis data menggunakan Mann Whitney Test. Hasilnya terdapat perbedaan bermakna antara skor mukositis oral setelah intervensi mengunyah permen karet dan berkumur salin (p=0,001). Analisis selanjutnya menunjukkan terdapat perbedaan bermakna rata-rata selisih penurunan skor mukositis oral, kelompok mengunyah permen karet lebih besar dibandingkan berkumur larutan salin (p=0,001). Dengan demikian mengunyah permen karet lebih efektif dibandingkan berkumur larutan salin dan dapat digunakan sebagai salah satu protokol perawatan anak dengan kemoterapi.

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ABSTRACTMucositis is one of side effect in patients received chemotherapy, it can cause physiological and functional disturbance which lead to decrease quality of life in pediatric cancer patients. An established non pharmacological intervention to overcome oral mucositis is gurgling with saline solution and chewing gum. The aim of this study was to compare effectiveness of chewing gum and gurgling with saline solution in the oral mucositis score. This study used an quasi experiment. Sample size was 44 children divided into two groups. The analysis of the data was using Mann Whitney Test. There was a significant difference between oral mucositis score after intervention (p=0,001). It was also shown a significant mean difference between both group, which was the mean differrence of decreasing oral mucositis score in chewing gum was higher than gurgling with saline solution (p=0,001). In conclusion, chewing gum is more effective than gurgling with saline solution, and it can be used as a nursing protocol for pediatric cancer."

"ABSTRAKGangguan tidur mempengaruhi kualitas hidup anak yang mendapatkan kemoterapi. Penelitian bertujuan untuk mengidentifikasi pengaruh relaksasi otot progresif terhadap kualitas tidur dan efek samping kemoterapi pada anak dengan kanker. Desain penelitian randomized clinical trial dengan metode single blind, 30 anak secara random dialokasikan pada kelompok kontrol dan kelompok intervensi. Kelompok intervensi mendapat relaksasi otot progresif 2x sehari, pagi dan malam hari, 15 menit setiap sesi selama 7 hari. Kelompok kontrol mendapat tindakan keperawatan rutin. Hasil penelitian menyimpulkan tidak ada perbedaan yang bermakna pada kedua kelompok terhadap fatigue, nyeri, dan mual muntah, namun bermakna pada kualitas tidur dimana terdapat penurunan skor kualitas tidur. Terapi relaksasi terutama relaksasi otot progresif dapat menjadi salah satu tindakan keperawatan untuk meningkatkan kualitas tidur dan mengurangi efek samping kemoterapi pada anak dengan kanker.

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ABSTRACTSleep disturbances affects quality of life in children receiving chemotherapy. The aim of this study to identify the effect of progressive muscle relaxation for the sleep quality and side effects of chemotherapy in children with cancer. In this study randomized clinical trial with single blind method applied, 30 children were allocated randomly to the control group and intervention group. The intervention group received progressive muscle relaxation twice a day, in the morning and evening, 15 minutes each session for 7 days. Control group received routine nursing care. The study concluded there was no significant difference in the two groups on fatigue, pain, and nausea, vomiting, however progressive muscle relaxation significant on the quality of sleep in which there is a decrease in sleep quality scores. Relaxation therapy particularly progressive muscle relaxation may be one of the nursing care to improve sleep quality and reduce the side effects of chemotherapy in children with cancer. "

"Kemoterapi pada anak kanker dapat menimbulkan masalah kesehatan seperti kelelahan, gangguan tidur serta penurunan kemampuan beraktivitas. Penelitian ini bertujuan untuk mengidentifikasi pengaruh kombinasi intervensi edukasi tidur sehat dan terapi musik terhadap perubahan kelelahan, kualitas tidur dan status fungsional anak dengan kanker di rumah singgah. Desain penelitian adalah quasi experiment pre-post test with control group. Sampel terdiri dari 58 anak usia sekolah dan remaja yang terbagi menjadi kelompok kontrol n=29 dan kelompok intervensi n=29. Kombinasi edukasi tidur sehat dan terapi musik diberikan kepada kelompok intervensi, dan kelompok kontrol mendapat perawatan rutin. Hasil analisis dengan independen t test menunjukkan terdapat perbedaan skor kelelahan, kualitas tidur dan status fungsional setelah diberikan intervensi antara kelompok kontrol dan kelompok perlakuan dengan p.

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Chemotherapy in children could cause health problem such as fatigue, sleeping disorder and the decreasing of activity daily living. The objective of this research was to identify the effect of combining therapy of healthy sleep education and music therapy to the alteration of fatigue, sleep quality and functional status of children with cancer in shelter homes. This research design was quasy experiment pre post test with control group. Sample of this research was as much as 58 school age children and teenagers divided into control group n 29 and intervention group n 29. The combining therapy of healtthy sleep education and music therapy was given to the intervention group and control group was given routine care. The analysis result using independent T test showed that there were the diverification on fatigue score, sleep quality and functional status between intervention group and control group with p."

"ABSTRAKLeukemia merupakan kanker yang terjadi pada pembentukan sel darah. Manajemen terapi pada anak dengan leukemia adalah kemoterapi. Chemotherapy Induced Nausea and Vomiting CINV merupakan masalah yang sering terjadi pada anak dengan pengobatan kemoterapi dan dapat mempengaruhi berat badan anak. Metode yang digunakan pada penelitian kuantitatif ini adalah quasi experiment dengan pendekatan pretest and posttest nonequivalent control group. Responden dalam penelitian ini diambil dengan cara consequtive sampling dengan jumlah sampel minimal 28 anak dengan leukemia yang sedang menjalani kemoterapi, rentang usia anak 3-18 tahun yang terbagi menjadi kelompok perlakuan n= 14 dan kelompok kontrol n=14 . Data yang diambil pada penelitian ini adalah skor mual-muntah anak INVR dan perubahan berat badan anak yang diperoleh melalui pengukuran sebelum dan sesudah intervensi edukasi dengan rentang pengukuran 7 hari. Pengetahuan orang tua pada kelompok perlakuan dilakukan pengukuran sebelum dan sesudah intervensi edukasi. Intervensi edukasi manajemen nutrisi diberikan kepada orang tua dari anak dengan leukemia melalui video yang berdurasi 10-15 menit sebelum kemoterapi diberikan. Hasil analisis menunjukkan bahwa edukasi manajemen nutrisi yang diberikan kepada orang tua tidak memiliki pengaruh yang signifikan terhadap skor mual-muntah antara sebelum dan setelah intervensi p value>0,05 . Dan pada hasil analisis skor mual-muntah setelah intervensi dan perubahan berat badan antara kelompok perlakuan dan kelompok kontrol tidak menunjukkan adanya perbedaan yang signifikan pula p value>0,05 . Hasil yang tidak signifikan pada penelitian ini terjadi disebabkan oleh faktor agen kemoterapi yang memiliki hubungan yang bermakna terhadap skor mual-muntah setelah intervensi dan variabel perubahan berat badan. Melalui hasil penelitian diketahui bahwa terjadi peningkatan pengetahuan orang tua yang mendapatkan intervensi edukasi manajemen nutrisi.

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ABSTRACT Leukemia is a cancer that occurs in the production of blood cells. Therapeutic management in the children with leukemia is chemotherapy. Chemotherapy Induced Nausea and Vomiting CINV is common problem in children with chemotherapy and may affect to the children rsquo s weight. The method was used in this quantitative study is quasi experiment with pretest and posttest nonequivalent control group. The respondents in this study were taken by consecutive sampling and the minimum sample size is 28 children with leukemia who are undergoing chemotherapy treatment with an age range of 3 to 18 years old that divided into treatment group n 14 and control group n 14 . The data that was collected in this study were nausea and vomiting scores as measured by Instrument of Nausea and Vomiting Retching INVR and children rsquo s weight changes that was measured before the education was gave and 7 days later. Parent rsquo s knowledge of nutritional management in the treatment group was measured before and after intervention. The interventions about nutritional management are given to parents of the children with leukemia through the video on the duration of 10 until 15 minutes before chemotherapy was administered. The results of the analysis showed that nutritional management education that was given to parents did not have a significant effect on the scoring of nausea vomiting between before and after intervention p value 0,05 . And on the result of the analysis to nausea vomiting scoring after intervention and weight changes between the treatment and control group is also did not show any significant differences p value 0,05 . Insignificant results on this study occurred due to chemotherapy agent factors that had a significant relationship to the score of nausea vomiting after intervention and weight changes variable. Through the result of the study is known that there are increasing in parent rsquo s knowledge who got nutritional management education intervention."

"ABSTRAK Demam Berdarah Dengue (DBD) merupakan penyakit demam akut tanpa sebab yang jelas disertai bintik-bintik merah pada kulit. Karya ilmiah ini membahas asuhan keperawatan yang diberikan pada anak dengan kasus demam berdarah dengue di Teratai 3 Selatan RSUP Fatmawati. Karya ilmiah ini bertujuan untuk menggambarkan asuhan keperawatan anak dengan DBD. Salah satu masalah keperawatan yang terjadi adalah hipertermia. Tindakan keperawatan terkait hipertermia meliputi monitor suhu, peningkatan asupan cairan, penggunaan pakaian yang tipis dan menyerap keringat, tepid sponge dan kolaborasi pemberian antipiretik. Asuhan keperawatan yang diberikan berupa tepid sponge dan pemberian antipiretik untuk membantu menurunkan demam pada anak. Hasil yang didapat anak mengalami penurunan suhu tubuh sebesar rata-rata 1,1ºC setelah 30 menit pemberian tepid sponge yang disertai dengan pemberian antipiretik. Tepid sponge dapat menambah keterampilan perawat dalam menurunkan demam pada anak secara nonfarmakologis. Kata kunci: Demam berdarah dengue, hipertermia, tepid sponge.ABSTRACT Dengue Hemorrhagic Fever (DHF) are acute febrile illness with no obvious cause red spot on the skin. This paper discussed the nursing care given to children in Fatmawati?s Hospital with dengue hemorrhagic fever (DHF) cases. The purpose of paper is to describe the nursing care o the children with DHF. One problem that occurs is nursing a fever. Fever related to nursing actions include monitoring the temperature, increased fluid intake, use of thin clothes and absorbs perspiration, tepid sponge and collaboration antipyretic administration. Nursing care is given in the form of tepid sponge and antipyretic administration to help reduce fever in children. Having obtained a description of intervention, children decreased body temperature after 30 minutes of administration 1,1°C of tepid sponge with combined of antipyretic administration. Tepid sponge can increase the skills of nurses in reducing fever in children.;Dengue Hemorrhagic Fever (DHF) are acute febrile illness with no obvious cause red spot on the skin. This paper discussed the nursing care given to children in Fatmawati?s Hospital with dengue hemorrhagic fever (DHF) cases. The purpose of paper is to describe the nursing care o the children with DHF. One problem that occurs is nursing a fever. Fever related to nursing actions include monitoring the temperature, increased fluid intake, use of thin clothes and absorbs perspiration, tepid sponge and collaboration antipyretic administration. Nursing care is given in the form of tepid sponge and antipyretic administration to help reduce fever in children. Having obtained a description of intervention, children decreased body temperature after 30 minutes of administration 1,1°C of tepid sponge with combined of antipyretic administration. Tepid sponge can increase the skills of nurses in reducing fever in children.;Dengue Hemorrhagic Fever (DHF) are acute febrile illness with no obvious cause red spot on the skin. This paper discussed the nursing care given to children in Fatmawati?s Hospital with dengue hemorrhagic fever (DHF) cases. The purpose of paper is to describe the nursing care o the children with DHF. One problem that occurs is nursing a fever. Fever related to nursing actions include monitoring the temperature, increased fluid intake, use of thin clothes and absorbs perspiration, tepid sponge and collaboration antipyretic administration. Nursing care is given in the form of tepid sponge and antipyretic administration to help reduce fever in children. Having obtained a description of intervention, children decreased body temperature after 30 minutes of administration 1,1°C of tepid sponge with combined of antipyretic administration. Tepid sponge can increase the skills of nurses in reducing fever in children.;Dengue Hemorrhagic Fever (DHF) are acute febrile illness with no obvious cause red spot on the skin. This paper discussed the nursing care given to children in Fatmawati?s Hospital with dengue hemorrhagic fever (DHF) cases. The purpose of paper is to describe the nursing care o the children with DHF. One problem that occurs is nursing a fever. Fever related to nursing actions include monitoring the temperature, increased fluid intake, use of thin clothes and absorbs perspiration, tepid sponge and collaboration antipyretic administration. Nursing care is given in the form of tepid sponge and antipyretic administration to help reduce fever in children. Having obtained a description of intervention, children decreased body temperature after 30 minutes of administration 1,1°C of tepid sponge with combined of antipyretic administration. Tepid sponge can increase the skills of nurses in reducing fever in children."