The Correlation between Self-Health Care-Efficacy and Quality of Life Patients with Chronic Kidney Disease undergoing Hemodialysis at Tugurejo Hospital Semarang, Indonesia

Patients suffering from Chronic Kidney Disease (CKD) under haemodialysis process experience changes in their life resulting in lower quality of life. The patients have to undergo self care as advised by medical officer to maintain their quality of life. The role of self efficacy in self care of patients suffering from CKD determines the level of patients’ quality of life. The objective of this study was to determine the correlation between of self efficacy in self health care with CKD patients quality of life undergoing haemodialysis in Tugurejo Hospital, Semarang. The research was a correlative descriptive which involved 63 respondents. Total sampling technique was applied on the entire CKD patients who undergo twice-a-week haemodialysis of age 18-65 years old. Questionnaire used in this research was Self Efficacy Questionnaire with 32 items and WHOQoL-BREF with 26 item. The results of this research show that respondents with good self efficacy (50,8%) and good life quality (54%). There is a correlation between self efficacy and life quality of CKD patients who undergo haemodialysis. Statistical test used is chi square with p value: 0,001. This research expects that nurses can perform regular screening and interventions to improve the self efficacy in treating CKD patients who undergo haemodialisys in order to develop patients’ quality of life. Keywords : chronic kidney disease, self efficacy, quality of life References : 82 (1994-2014

Analysis of Nursing Care based on Self Care Orem’s Theory among Patients with Urinary Elimination Disorders

Introduction : Nursing care in patients with urinary system disorders need to study based on the theory of nursing as an effort to improve the quality of nursing care. Implementation of nursing care in patients with urinary disorders using Self Care Orem’s theory provide an overview of the self-sufficiency level among patients to meet self-care needs independently. This analysis aims to provide an overview of the nursing care implementation based on Self Care Orem’s Theory among patients with urinary system disorders. Method: This case study used 40 respondents with descriptive explorative research design. Role of care provider had performed by implementing nursing care through applying nursing theory of Orem’s Self Care Deficit Theory on 40 patients with renal disease, obstruction urinary tract, carcinoma in urinary tract, and emergency of urinary system. Results: The results of the analysis showed that most of nursing problems are urinary elimination disorder (95%) for universal self-care requisites, lack of knowledge for developmental self-care requisites (82,5%), and anxiety for health deviation self-care requisites (67.5%). Partly compensatory was the most widely used nursing system in nursing diagnoses before evaluation of nursing care was performed (65%). Most patients were at supportive educative compensatory condition when evaluation of nursing care had performed (75%). Guidance, teaching, and directing were the most widely used methods of helping (85%). Conclusion: Nurses can apply the theory of Self Care Orem to improve nursing service quality especially for helping patient with urinary system disorders. Keywords: Self Care Orem’s Theory, Nursing Care, Urinary Elimination Disorde

Upaya Program Balai Edukasi Corona Berbasis Media Komunikasi Dalam Pencegahan Penyebaran Covid-19

Coronavirus 2019 (Covid-19) telah menciptakan krisis kesehatan global yang telah memiliki dampak yang mendalam pada cara kita memahami dunia dan kehidupan kita sehari-hari. Promosi kesehatan melalui program Balai Edukasi Corona berbasis media komunikasi bisa menjadi salah satu program alternatif untuk mengedukasi masyarakat sebagai upaya pencegahan penyebaran Covid-19. Pelaksanaan Program Balai Edukasi Corona dilakukan menggunakan metode komunikasi P-Process, yang berlangsung selama 14 hari  (22 Mei-4 Juni 2020) di Kecamatan Sayung Kabupaten Demak, dengan jumlah partisipan sebanyak 14 orang. Program ini, menggunakan kuesioner dari buku panduan  Balai Edukasi Corona untuk menilai efektivitas program dan menggunakan video animasi dan poster sebagai media edukasinya. Adapun hasil yang didapat setelah dilaksanakannya program Balai Edukasi Corona yaitu terdapat perubahan perilaku yang positif dan peningkatan pengetahuan yang signifikan pada partisipan dalam upaya pencegahan penyebaran Covid-19. Terutama pada perilaku partisipan yang tidak bepergian saat pandemic, yakni dari 0 orang (0%) tidak bepergian, meningkat menjadi 9 orang (64%) yang memilih untuk dirumah saja, dan pengetahuan partisipan yang menjawab benar tentang periode inkubasi Covid-19, yakni dari 5 orang (35%) meningkat menjadi 13 orang (92%)

GAMBARAN KEBUTUHAN SPIRITUALITAS PASIEN GAGAL JANTUNG DI INSTALASI ELANG RSUP KARIADI SEMARANG

Spiritual needs are basic needs needed by every human being. Spiritual fulfillment can improve the quality of life as well as patients with heart failure. Heart failure patients susceptible to spiritual distress of the condition of the disease due to the high risk of death and various symptom experienced. Therefore, the spiritual needs of patients with heart failure is very important to note. The aim to this study was describing spiritual needs of patients with heart failure in the Elang ward Kariadi Hospital Semarang. This research was a descriptive study with survey approach. 102 respondents as samples were taken using consecutive sampling technique, in Elang ward Kariadi Hospital. Data were taken using Spiritual Needs Questionnaire (SpNQ) and being analyzed by univariate analysis. The Results showed that the spiritual needs were very important (62.7%). Based on aspect of the spiritual needs, inner peace needs(62,7%), actively giving needs (58,8%), religiousity needs (56,9%), and the aspect of exiistential (42,2%). The conclusion of this study is the spiritual needs is a very important need for patients with heart failure. Conditions of pain in patients with heart failure caused an increased need for conditions of peace, love, religion and the existence of God. The results of this study can be used as input for nurses and hospitals to pay more attention to the spiritual needs of heart failure patients by providing nursing interventions and facility spiritual fulfillment. Keywords: spiritual needs, heart failure ABSTRA

Analysis of Correlation between Self-Efficacy of Self-Care and Demographic Characteristic with Attitude of Low Salt Diet among Patients with Hypertension

Introduction: Hypertension self-care low salt diet that requires long-term care. It makes patients must be adapted with their new lifestyle. They need positive attitude for making adaptive coping mechanism while facing the obstacle. Self-efficacy can change mindset and attitude, so it can influence one's basic interests for forming a commitment to maintain self-care. This study aimed to identify the relationship between self-efficacy levels and attitudes in low-salt diet in hypertensive patients. Methods: Quantitative descriptive correlative with cross-sectional approach. The sampling method is consecutive sampling with 158 respondents. Data collection used 2 questionnaires based on Albert Bandura and Allport theories which created by researcher that had been tested the validity and reliability. Statistical analyses were conducted using crosstab chi-square analyses. Results: It shows that 53.2% of respondents had high self-efficacy level and 56.3% of respondents had positive attitude in low salt diet. There was a significant relationship between self-efficacy level and hypertension attitudes in low salt diet (p=0,000), meaning that person with higher self-efficacy level would have more positive attitude in low salt diet. Conclusions: This research is expected to be a recommendation for nurse to increase hypertension patient’s self -efficacy to create positive attitude in low salt diet by giving intervention self-efficacy training that involve their family. It is expected to pay attention to the attitudes and self efficacy to maintain compliance with low-salt diet. Key words: low salt diet; hypertension; self-efficacy; self-car

FAKTOR-FAKTOR YANG MEMPENGARUHI KUALITAS HIDUP PASIEN HIV/AIDS YANG MENJALANI PERAWATAN DI RSUPN CIPTO MANGUNKUSUMO JAKARTA

Latar belakang: Penyakit HIV/AIDS bersifat kronis dan progresif sehingga berdampak luas pada segala aspek kehidupan baik fisik, psikologis, sosial, maupun spiritual penderitanya. Berbagai faktor yang dapat mempengaruhi kualitas hidup pasien HIV/AIDS diantaranya yaitu jenis kelamin, usia, tingkat pendidikan, status marital, pekerjaan, kondisi ekonomi, lama menderita penyakit, stadium penyakit, masalah psikososial (depresi), dan dukungan keluarga. Tujuan penelitian ini adalah untuk mengidentifikasi faktor- faktor yang dapat mempengaruhi kualitas hidup pasien HIV/AIDS.Metode: Penelitian ini menggunakan rancangan studi potong lintang dengan sampel sebanyak 92 responden dengan teknik purposive sampling. Adapun pengumpulan data menggunakan kuesioner terstruktur untuk mengukur faktor-faktor yang mempengaruhi kualitas hidup dan kualitas hidup pasien HIV/AIDS. Analisis data menggunakan uji Chi-Square dan Regresi Logistik Berganda.Hasil: Hasil penelitian menunjukkan mayoritas pria (70,7%), berpendidikan tinggi (93,5%), bekerja (79,3%), tidak kawin (52,2%), berpenghasilan tinggi (68,5%), stadium penyakit lanjut (80,4%), depresi (51,1%), dukungan keluarganya non-supportif (55,4%), dankualitas hidup kurang baik (63,0%). Dari hasil analisis korelasi pada alpha 5% didapatkan ada hubungan yang bermakna antara depresi, dukungan keluarga, jenis kelamin, pendidikan, status marital, pekerjaan, penghasilan, dan stadium klinis penyakit dengan kualitas hidup (p=0,000; p=0,000; p=0,009; p=0,048; p=0,021; p=0,047; p=0,041; p=0,000). Selanjutnya, hasil uji regresi logistik menunjukkan responden yang mengalami depresi dan mempersepsikan dukungan keluarganya non-supportif beresiko untuk memiliki kualitas hidup kurang baik setelah dikontrol oleh jenis kelamin, status marital, dan stadium penyakit. Selain itu, diketahui pula bahwa dukungan keluarga merupakan faktor paling dominan yang berhubungan dengan kualitas hidup dengan nilai OR=12,06.Simpulan: Rekomendasi dari penelitian ini adalah perlu dilakukan intervensi untuk memberdayakan keluarga agar senantiasa memberikan dukungan pada pasien HIV/AIDS. Selain itu, upaya pencegahan serta penanganan terhadap masalah depresi juga perlu dilakukan agar dapat memperbaiki kualitas hidup pasien HIV/AIDS. Kata kunci: kualitas hidup, HIV/AID

Effect of Benson’s Relaxation Response on Physiological Responses in Patients with Acute Ischemic Stroke in Several Regional Hospitals in Semarang

Introduction: Increased physiological responses in patients with Acute Ischemic Stroke (AIS) describe an adaptation of body to stress due to illness. It may have a long term ischemic effect which can promote the risk of recurrent complications and strokes. These physiological responses include the motoric, sensory, visual domains, and the level of consciousness. Relaxation response is one of the nursing interventions which can decrease the physiologic response in patients with AIS. It is an intervention which is practiced through a stable body and mind approach to manage stress, it has proven to be useful in various populations. Method: This study aimed to analyze the effects of relaxation response on the physiologic responses with AIS. This study was an experimental study with a pre-posttest control group design. The subjects were 42 acute ischemic stroke patients, consisting of 21 patients in the control group and 21 patients in the intervention group. Results: The results showed any significant diffrences of physiological responses between intervention dan control groups. The intervention group showed better values than the control group with p=0.001. Conclusion: The study concluded that Benson’s relaxation response was effective in decreasingthe physiologic responses for example the motoric in patients with AIS. Based on the results of this study, it is suggested that Benson’s relaxation response with word or prayer repeated could be used as a standard operating procedure in nursing care. Further studies could examine the effects of Benson’s relaxation response which is performed as early as possible in AIS patients by involving other interventions. Keywords: Benson’s Relaxation Response, Physiological Response, Acute Ischemic Strok

PENGARUH INTERVENSI SUPPORT GROUP TERHADAP KUALITAS HIDUP PASIEN PENYAKIT GINJAL KRONIS YANG MENJALANI HEMODIALISA

ABSTRACT Nugroho Lazuardi Effects of Support Group Intervention on Quality of Life of Patients with Chronic Kidney Disease Undergoing Hemodialysis XVI + 137 pages + 11 tables + 4 figures + 11 appendixes Patients with chronic kidney disease undergoing hemodialysis are at risks of decreased quality of life and will give effects on the deterioration of their physical, psychological, social, spiritual and environmental health. The support group is one of the therapeutic processes in a group of people who have similar problems to motivate each other and learn together to care themselves according to the problem, and thus will improve their quality of life. This study aimed to determine the effects of support group intervention on the quality of life of patients with chronic kidney disease undergoing hemodialysis. This study used a quasi-experimental pre-post-test design without a control group with an intervention of support group. The study was conducted in July to August 2016 and involved 60 patients undergoing hemodialysis treatment in Tugurejo public hospital. The participants were requested to complete the questionnaire of the WHOQOL-BREF before the support group intervention was given. After the treatment for 12 sessions, the participants were again requested to fill out the quality of life questionnaire. The collected data were analyzed using the Wilcoxon test. To determine the relationship between the potential confounding variables and the quality of life variable, a chi-square test was used. A multivariate analysis was also performed by ANCOVA test. The results showed a significant difference in the quality of life of the participants before and after the intervention of support group (p = 0.000). Furthermore, there was no relationship between the potential confounding variables (age = 0.802, gender = 0.387, education = 0.504, marriage = 0.910, occupation = 0.610, duration of hemodialysis treatment: 0.508, and Hb = 0.839) on the quality of life. A further analysis showed that the covariate variables gave no effects on the difference in the quality of life after the support group intervention (p-value ranged from 0.52 to 0.756). The support group intervention was evident to improve the quality of life of the patients with chronic kidney disease undergoing hemodialysis. The support group intervention needs to be continuously implemented and developed in the hemodialysis unit as a nursing intervention to improve the quality of life of the patients. Keywords: Support Group, Hemodialysis, Chronic Kidney Disease References: 50 (year 2000 - year 2016

Kepemimpinan Transformational Sebagai Upaya Peningkatan Pendidikan Perawat Untuk Mendukung Layanan Keperawatan Profesional: Literatur Review

Latar Belakang: Peningkatan pendidikan bagi setiap perawat merupakan hal yang sangat penting. Hal ini dikarenakan dengan peningkatan ilmu pengetahuan baik melalui seminar, pelatihan, maupun studi lanjut maka kualitas pelayanan keperawatan juga akan semakin meningkat dalam mendukung kesehatan masyarakat yang optimal. Pendekatan kepemimpinan transformational merupakan salah satu yang dapat mendukung upaya ini. Tujuan: Studi literatur ini bertujuan untuk menjelaskan terkait peningkatan pendidikan bagi perawat untuk mendukung layanan keperawatan profesional dipandang dari sisi kepemimpinan transformasional. Metode: Penelitian ini menggunakan metode literature review. Adapun penelusuran artikel pada studi ini melalui Science Direct, PubMed, Cinahl, Medline, EBCSO, dan Google Scholar dengan menggunakan kata kunci sebagai berikut: Leadership, Transformational, dan Nursing Education. Pencarian itu terbatas pada artikel penelitian dalam bentuk fulltext yang ditulis pada tahun 2012 sampai 2017. Selain itu, penelusuran ini juga memenuhi kriteria sebagai berikut artikel penelitian 5 tahun terakhir, undang-undang/textbook/materi kuliah umum terbitan 10 tahun terakhir, serta literatur dalam bahasa Indonesia atau bahasa Inggris. Literatur yang sesuai dengan kriteria berjumlah 14 buah, kemudian dianalisa secara narasi. Hasil: Penelusuran data dengan menggunakan kata kunci dan kriteria pada electronik data based di atas, didapatkan 6 buah penelitian, perundang-undangan 5 buah, textbook 2 buah dan paparan kuliah umum 1 kali. Berdasarkan penelusuran literatur tersebut dikatakan bahwa kepemimpinan transformational sangat bermanfaat dalam peningkatan pendidikan perawat. Hal ini meliputi hasil sebagai berikut: 1). Diperlukannya pendidikan tinggi untuk perawat melakukan perawatan profesional, 2). Pendidikan berkelanjutan untuk peningkatan pelayanan keperawatan sangat diperlukan untuk dapat meningkatkan pengetahuan dan kepuasan dalam memberikan layanan kesehatan profesional, dan 3). Diperlukan metode kepemimpinan transformational untuk mewujudkan harapan peningkatan pendidikan perawat dalam mendukung pelayanan profesional di bidang keperawatan. Kesimpulan: Transformatinal leadership dengan cara memotivasi perawat untuk meningkatkan pendidikannya baik formal maupun non formal sangat menunjang pencapaian kompetensi perawat yang optimal dalam pelayanan kesehatan profesional. Kata kunci: Kepemimpinan Transformational, Pendidikan Perawat, Layanan Keperawatan Profesional