THE EXPERIENCE OF STROKE SURVIVORS IN BANDUNG, INDONESIA

Penelitian ini dirancang untuk menggali pengalaman hidup pada penderita stroke di Bandung Indonesia. Tujuan dari penelitian ini adalah (1) menggambarkan makna/arti dan perasaan menjadi seorang penderita stroke, (2) menggambarkan dampak dari stroke pada kehidupan seorang penderita stroke, (3) menggambarkan kebutuhan-kebutuhan seorang penderita stroke. Partisipan dalam penelitian ini berjumlah 10 orang. Tiga jenis alat pengumpulan data yang digunakan yaitu: form data demografik, Barthel index, dan pedoman wawancara. Analisis data menggunakan analisis tema dari van Manen (1990). Hasil penelitian menunjukan bahwa ada empat tema utama menjadi seorang penderita stroke yaitu: taat perintah dokter, seperti anak kecil, dibawah pengawasan dan bantuan orang lain, percaya kepada Allah. Ada lima tema utama yang berkaitan dengan perasaan menjadi penderita stroke yaitu ketidakpastian akan harapan, terbelenggu di rumah, ketergantungan pada orang lain, tidak berdaya, rendah diri. Dampak stroke bagi penderita adalah tidak bisa aktif lagi, penyesuaian terhadap perubahan emosi, ketidakmampuan malakukan aktivitas sosial, gagal dalam mengemban tanggungjawab, semangat beragama yang meningkat. Tema lain yang berkaitan dengan kebutuhan penderita stroke adalah informasi, pengertian dan perhatian, waktu luang dan pilihan pengobatan. Hasil penelitian akan bermanfaat dalam upaya perbaikan sistem pelayanan kesehatan, pendidikan, administrasi dan penelitian pada area stroke rehabilitas, pencegahan dan peningkatan kesehatan. Kata Kunci: penderita stroke, arti/makna, perasaan, dampak, dan kebutuha

Transition in Stroke Patients: Conceptual Analysis

Stroke patients experienced the event of non-disable person to disable one. After having a stroke, they got many changes. Physical, social, emotional and spiritual adjustment needs to be addressed for the stroke patients. They underwent transition during recovery and rehabilitation process. This conceptual analysis is important to reveal the basic element of the transition concept in stroke patients make definitions and terminology associated with it. There were several themes that associated with the concept of transition in stroke patients, such as changes in the temporal order of life (daily routines and activities), change in sense of self and the experience of time, change in connectedness, and change in community integration. This concept analysis will help nurses or health provider during taking care of stroke patient to make the best service for them. The model presented here may useful for nurses and other health professional to develop intervention programs to promote quality of life of stroke patients

GAMBARAN PENGETAHUAN, SIKAP, DAN KELUHAN TENTANG MENSTRUASI DIANTARA REMAJA PUTERI

Latar Belakang: Menstruasi merupakan hal yang biasa terjadi pada perempuan yang sudah memasuki masa remaja remaja. Sebagian remaja memiliki keluhan-keluhan saat menstruasi terjadi. Tujuan penelitian untuk mengetahui gambaran pengetahuan, sikap dan keluhan remaja puteri mengenai menstruasi. Metode: Desain penelitian deskriptif kuantitatif.. Jumlah sampel sebanyak 100 santriwati. Penelitian dilakukan di pondok pesantren Al-Musaddadiyah Garut pada tahun 2017. Instrumen yang digunakan terdiri dari data keluhan saat menstruasi, pengetahuan, dan sikap yang dibuat berdasarkan referensi terkait dan telah dilakukan uji konten dan uji reabilitas serta uji validitas. Data dianalisis dengan analisis univariat. Hasil penelitian menunjukan bahwa lebih dari setengah responden sebanyak 69 orang (69%) mengalami keluhan pegal dan sebagian responden sebanyak 56 orang (56 %) mengalami dismenorhoe saat menstruasi.Pada variabel pengetahuan dan sikap tentang perawatan saat menstruasi ditemukan bahwa semua responden sebanyak 100 orang (100%) berpengetahuan buruk dan sebagian besar responden sebanyak 78 orang (78%) memiliki sikap tidak mendukung terhadap perawatan saat menstruasi . Kesimpulan: para remaja cenderung mengalami keluhan saat menstruasi, serta memiliki pengetahuan buruk dan sikap tidak mendukung tentang perawatan saat menstruasi

Resilience in Adolescents to Disaster Management Using the Simulation Method

Introduction: The Unitary State of the Republic of Indonesia is one of the countries that has a high level of disasters, West Java is one of the disaster-prone areas. Lembang is one of the fault areas that has the threat of flooding, landslides, and strong winds. Aims:This research focuses on the readiness and participation of youth in disaster preparedness. The aim of the research is to analyze the readiness of youth for disaster management before and after the simulation method is carried out. Settings and Design:The study used quantitative analysis methods, with a Pre-Experimental Design to measure the Pre and Post resilience of students who received simulation exercises without a control group. Sampling used the Quota Sampling technique with the criteria of Grade 10 and Grade 11 students as many as 30 students at SMA Negeri I Parongpong, Lembang, West Badung Regency. Methods and Material:The instrument used in the study used the Connor-Davidson Resilience Scale (CD-RISC) questionnaire Statistical analysis used: Satatistikal analisis used dependent t-test. Results: The results of the study showed that there were differences in the value of resilience in adolescents towards disaster management with a mean value before 67.9 7 and after 73.97 the stimulation method was carried out with a p value of 0.000. Conclusions: The simulation method is a better learning model in increasing resilience to disaster management

Barriers and Challenges of End-of-Life Care Implementation in the Intensive Care Unit: Literature Review

Aims: End-of-life care in ICU involves a wide range of staff from every discipline including nurses, who have a lot of interaction time with patients. Most of the patients in the intensive care room have unconscious characteristics and family acts as the holder of autonomy in decision making, so nurses must have competence and experience in caring for patients in the end-of-life phase. However, nurses feel many barriers and challenges in facing the end-of- life in the intensive care environment. This study aimed to identify barriers and challenges of end-of-life care implementation in the ICU Designs: This study used literature review that analyzes articles from five reputable databases such as Pubmed, Proquest, CINAHL, Science Direct, and Google Scholar with the publication year between 2010 - 2021. The keywords used are 'critical care', 'critical care nursing', 'intensive care unit', 'end-of-life care', 'barriers', and 'challenges' with the help of bolean operators 'OR' and 'AND', articles were selected in stages using PRISMA. From the results of 2,186 articles, only 11 articles were identified that met the inclusion and exclusion criteria. Results: The results of the review showed that some barriers of end-of-life care implementation in the ICU are lack of communication, lack of knowledge and training about end of life care, differences in religious and cultural backgrounds, medical team work in the ICU, patient and family factors, and environmental factors. Meanwhile, the challenges of end-of-life care in ICU are communication and decision making in end-of-life care and unrealistic family expectations. Conclusions: There are still many barriers and challenges identified on implementation of end-of-life care in intensive care units, mostly due to lack of knowledge and communication during end-of-life care.  As a recommendation in improving end-of-life care services in the ICU, health service agencies need to increase knowledge and training of health workers about communication and end-of-life care in critical patients

Pengembangan Buku Monitoring Deteksi Kesehatan Ginjal pada Penderita Diabetes Melitus

This study aims to develop a kidney care monitoring book for Diabetes Mellitus patients in the working areas of several Health Centers in Ogan Ilir Regency, South Sumatra. The method used is the research and development method with a descriptive research type. Limited trials were conducted in the working areas of several Health Centers in Ogan Ilir Regency, South Sumatra. The instruments used were validation questionnaires and assessment questionnaires for the feasibility of the Monitoring book by material experts and media experts. Data analysis used a Likert scale that was expressed as a percentage to determine the level of feasibility of the monitoring book. The results of the study showed that the product trial was conducted by two experts, namely material experts and media experts. Material experts with a very valid category with a feasibility percentage of 93.33% and media experts with a very valid category with a feasibility percentage of 92.30%. So that the product is feasible for small-scale trials, conclusion, Based on the feasibility test by material experts and media experts, the kidney care monitoring book is declared feasible to be continued in small-scale trials.   Keywords: Kidney Care Monitoring Book, Diabetes Mellitus, Kidne

Kebutuhan informasi pada keluarga pasien di intensive care unit: A scoping review

Background: The families of patients play a crucial role in supporting the care and recovery process of patients in the Intensive Care Unit (ICU). One critical aspect of this role is the need for comprehensive and relevant information about the patient's condition and care in the ICU. Purpose: To explore the information needs of families of patients in the intensive care unit (ICU). Method: Literature search was conducted in Scopus, PubMed, and CINAHL databases and google scholar search engine. The initial articles found were 12,056, then 9 articles were included in the study. Data were extracted and synthesized to provide a comprehensive picture of the information needs of patient families in the ICU. Results: Families need in-depth information about the patient's condition, the care provided, and the medical team involved in the care. A variety of communication and education methods have been used to meet this information need, including the use of easy-to-understand language and the provision of written or visual materials. Education that is tailored to the family's preferences and needs and pays attention to the language used is key to providing effective support to families of patients in the ICU. Conclusion: Families play a vital role in understanding and addressing the informational needs of ICU patient families. Enhancing communication and education tailored to family needs can improve family involvement in patient care and overall care outcomes.   Keywords: Information Needs; Intensive Care Unit; Patient's Family.   Pendahuluan: Keluarga pasien memiliki peran penting dalam mendukung proses perawatan dan pemulihan pasien di Intensive Care Unit (ICU). Salah satu aspek krusial dalam peran keluarga ini adalah kebutuhan akan informasi yang komprehensif dan relevan tentang kondisi dan perawatan pasien di ICU. Tujuan: Untuk mengeksplorasi kebutuhan informasi keluarga pasien di intensive care unit (ICU). Metode: Pencarian literatur dilakukan di database Scopus, PubMed, dan CINAHL serta search engine Google Scholar. Artikel awal yang ditemukan adalah 12,056, kemudian 9 artikel disertakan dalam penelitian. Data diekstraksi dan disintesis untuk memberikan gambaran komprehensif tentang kebutuhan informasi keluarga pasien di ICU. Hasil: Keluarga membutuhkan informasi yang mendalam tentang kondisi pasien, perawatan yang diberikan, dan tim medis yang terlibat dalam perawatan. Berbagai metode komunikasi dan edukasi telah digunakan untuk memenuhi kebutuhan informasi ini, termasuk penggunaan bahasa yang mudah dipahami dan penyediaan materi tertulis atau visual. Edukasi yang disesuaikan dengan preferensi dan kebutuhan keluarga serta memperhatikan bahasa yang digunakan menjadi kunci dalam memberikan dukungan yang efektif kepada keluarga pasien di ICU. Simpulan: Keluarga memiliki peran penting dalam memahami dan memenuhi kebutuhan informasi keluarga pasien di ICU. Memperbaiki komunikasi dan edukasi yang disesuaikan dengan kebutuhan keluarga dapat meningkatkan keterlibatan keluarga dalam perawatan pasien serta meningkatkan hasil perawatan secara keseluruhan.   Kata Kunci: Intensive Care Unit; Kebutuhan Informasi; Keluarga Pasien

Hubungan Sosiodemografi Orang Tua dengan Sikap Remaja Tentang Kesehatan Reproduksi Remaja

Sosiodemografi orang tua memiliki peranan yang cukup besar dalam membentuk sikap anak remaja,salah satunya sikap anak remaja tentang kesehatan reproduksi remaja (KRR). Tujuan penelitian untuk mengetahui hubungan sosiodemografi orang tua terhad sikap remaja tentang KRR. Rancangan penelitian cross sectional. Pengumpulan data dilakukan melalui pengisian instrumen quisioner. Data dianalisa menggunakan Chi Squere. Penelitian dilakukan tahun 2017 di SMPN dan SMAN wilayah Kabupaten Bandung. Populasi  penelitian ini adalah seluruh siswa SMP dan SMA yang digunakan sebagai lokasi penelitian sejumlah 12.000. Sample berjumlah 668 siswa menggunakan rumus Slovin. Tehnik pengambilan sample dengan stratified random sampling. Hasil penelitian diperoleh bahwa Variabel sikap berhubungan dengan pekerjaan orang tua (p=0,000), pendidikan orang tua (p=0,000), dan pendapatan keluarga (p=0,000). Kesimpulan: sosiodemografi orang tua memiliki hubungan dengan sikap pada anak remaja. Berdasarkan hasil penelitian dan pembahasan, disarankan agar orang tua dapat menjalankan perannya sebagai pengendali sikap anak remaja dalam mendukung perilaku anak remaja terhadap kesehatan reproduksi remaja.&nbsp