Claim Missing Document
Check
Articles

Pengalaman Hidup Pasien Stoma Pasca Kolostomi di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung Jawa Barat Tahun 2014 La Rangki La Rangki; Kusman Ibrahim; Aan Nur’aini
MEDULA JURNAL ILMIAH FAKULLTAS KEDOKTERAN UNIVERSITAS HALU OLEO Vol 5, No 1 (2017)
Publisher : Halu Oleo University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (172.223 KB) | DOI: 10.46496/medula.v5i1.3887

Abstract

ABSTRACTPatient with colostomy followed colorectal has been cancer increasing significantly in Indonesia. Colostomy caused not only physical problems but also psychological and social problems. Health care profesional, especially nurses need to provided hollistic care services to the patients after colostomy. Study with Qualitative method to describe the live experience of the colostomy patient was important. This study was a phenomenological qualitative approach. Data obtained with in-depth interviews to 8 informants consisting of 5 men and 3 women, aged between 30-73 years. The length of time living with a colostomy between 4 months to 6 years. Data were analyzed by using Colaizzi method. Themes emerged from this study: colostomy caused limitations, psychosocial changed, spiritual distres, sexual changed. Living with a stoma required serious attention by health care profesional, access to health services that were important, and decision-making about colostomy influenced by interdisciplinary team and the adequacy of information.Keywords : Lived Experiences, Colostomy, Bandung
The Difference of Perceived HIV Stigma between People Living with HIV Infection and Their Families Ibrahim, Kusman; Kombong, Rita; Sriati, Aat
Nurse Media Journal of Nursing Vol 9, No 2 (2019): (DECEMBER 2019)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (699.393 KB) | DOI: 10.14710/nmjn.v9i2.24256

Abstract

Background: The stigma of HIV and AIDS become a significant barrier to prevention, treatment, and care for HIV infected people. Disclosure of HIV status to the family can help People Living with HIV infection (PLWH) to obtain support and comfort from their family. However, the difference of perceived HIV stigma held by patients and families has become problematic and lead to inadequate responses of PLWH and their families.Purpose: This study aimed to examine the difference in perceived HIV stigma between PLWH and their families.Methods: This was a cross-sectional study involving 60 respondents that consisted of 30 PLWH and 30 family members. They were recruited purposively in an HIV clinic of a residencial hospital in West Java Province, Indonesia. The perceived HIV stigma was measured by the Berger’s HIV stigma scale (BHSS), and the Liu’s Courtesy Stigma Scale (LCSS) was used to measure the perceived HIV stigma at the family level. Data were analyzed using descriptive and inferential analysis (independent t-test) to test the difference in perceived HIV stigma between PLWH and their families.Results: The study found that most PLWH and their families perceived HIV stigma at a moderate level (70% vs. 63.4%, respectively). There was a significant difference in perceived HIV stigma between PLWH and their families (t=3.4; p=0.001). The PLWH perceived HIV stigma was higher than their family members (M=41, SD=13.9 vs. M=28.5, SD=14.0).Conclusion: This study highlighted that PLWH and their family have different perceptions regarding HIV stigma, which can lead to different responses. Therefore, nurses and other health care providers need to be aware and take a comprehensive assessment-related perceived HIV stigma in order to provide a high quality of nursing care, mainly dealing with HIV stigma for both PLWH and their family members.
Studi Kualitatif Fenomenologi Pengalaman Hidup Pasien Pasca Kolostomi di Wilayah Jawa Barat La Rangki; Kusman Ibrahim; Aan Nur'aini
MEDULA JURNAL ILMIAH FAKULLTAS KEDOKTERAN UNIVERSITAS HALU OLEO Vol 6, No 1 (2018)
Publisher : Halu Oleo University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.998 KB) | DOI: 10.46496/medula.v6i1.5369

Abstract

ABSTRACTPatient with colostomy followed colorectal has been cancer increasing significantly in Indonesia. Colostomy caused not only physical problems but also psychological and social problems. Health care profesional, especially nurses need to provided hollistic care services to the patients after colostomy. Study with  Qualitative method to describe  the live experience of the colostomy patient was important.  This study was a phenomenological  qualitative approach . Data obtained with in-depth interviews to 8 informants consisting of 5 men and 3 women, aged between 30-73 years. The length of time living with a colostomy between 4 months to 6 years. Data were analyzed by using  Colaizzi method. Themes  emerged from this study: ;sources of support;live with a colostomy; live adaptation; the burdens living with a colostomy. Living with a colostomy faced problems including the limitation to fulfill their needs, psychosocial changes, spiritual distress, and economic problems. Based on those problems, nurses can give support and attention for post colostomy patients. Keywords : Lived Experiences, Colostomy, Bandung
PENGALAMAN PSIKOLOGIS PASIEN INFARK MIOKARD AKUT SELAMA DIRAWAT DI RUANG INTENSIF Emaliyawati, Etika; Sutini, Titin; Ibrahim, Kusman; Trisyani, Yanny; Prawesti, Ayu
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 3, No 1 (2017): Vol 3, No. 1 (2017)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v3i1.7477

Abstract

Infark Miokard merupakan salah satu penyakit terminal yang memerlukan perawatan intensif. Perawataan intensif yang diperlukan harus holistik, mencakup bio psiko sosial dan spiritual. Psikologis infark miokard harus selalu diperhatikan, karena salah satu penyebab infark miokard adalah dari psikologis atau dikenal dengan stress. Tujuan dari penelitian ini untuk mengetahui pengalaman pasien infark miokard akut yang menjalani perawatan di ruang intensif. Jenis penelitian adalah deskriptif kualitatif dengan pendekatan phenomenology yang dilakukan di salah satu rumah sakit di Bandung periode Juni-Juli 2013. Jumlah informan 10 orang pasien infrak miokard akut yang pada saat dilakukan wawancara sudah dalam perbaikan killip I dan II yang diambil secara purposive sampling, dirawat di ruang intensif dan kondisinya telah stabil. Pengumpulan data dilakukan dengan wawancara mendalam kemudian dianalisa menggunakan content analysis dari Hancoch. Hasil penelitian didapatkan 3 tema penelitan yaitu seluruh responden merasa tidak berdaya, 9 responden mengalami ketidakpastian menghadapi masa depan dan 10 responden menyatakan ketakutannya akan kematian. Seluruh pasien infrak miokard mengalami masalah psikologis, oleh karena itu hasil penelitian ini dapat menjadi rekomendasi dalam memberikan layanan kesehatan bagi pasien kondisi terminal; infark miokard akut yang sedang menjalani perawatan intensif. Penting kiranya untuk dapat mengelola dan mengintegrasikan pelayanan perawatan pada pasien infark miokard akut yang sedang dirawat di unit intensif secara holistik meliputi fisik psikologis sosial dan spiritual. ABSTRACTCommunication is a very important process in human relationship. In providing nursing care, nurses should have a good knowledge and communication skill as the beginning of a good relationship between nurses, patients, and their families. Nurses with good communication skill had an easier opportunity to make a good relationship with the patient and their families. This study aimed to identify effective communication barriers among nurses in developing communication with patients’ family according to nurses’ perspective in Intensive Care Unit Rumah Sakit Umum Al Islam Bandung. This descriptive explorative study involved 10 nurses were taken with accidental sampling. Data were gathered using interview and observation. Data analyzed with the content analysis. Result showed that there were at least five topic of effective communication barriers among nurses in developing communication with patients’ family according to nurses’ perspective in Intensive Care Unit Rumah Sakit Umum Al Islam Bandung; role conflict, family demographic factors, misunderstanding, environment and situation in the ICU, and family psychological condition. So, training related to communication between nurses and patients’ family were necessary to undertake in order to improve the ability of nurses such as foreign language skills and patience in dealing with the situation in the ICU especially in relation to the patient's family. This is because nurses are the spearhead of health care service in hospital.
MANAJEMEN DIRIUNTUK MENGATASI FATIGUE PADA PASIEN HEMODIALISIS: KAJIAN LITERATUR SISTEMATIS Ibrahim, Kusman; Malisa, Novi
Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi Vol 16, No 1 (2016): Agustus 2016
Publisher : STIKes BTH Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.971 KB) | DOI: 10.36465/jkbth.v16i1.172

Abstract

Fatigue merupakan gejala yang paling sering dikeluhkan oleh pasien Gagal Ginjal Terminal yang menjalani terapi hemodialisis yaitu sebanyak 60-97% dari total pasien yang menjalani hemodialisis, menyebabkan konsentrasi menurun, malaise, gangguan tidur, gangguan emosional, dan penurunan kemampuan pasien dalam melakukan aktivitas sehari harinya yang dapat menurunkan kualitas hidup pasien hemodialisis.Kajian literatur diperlukan untuk mengetahui intervensi berbasis fakta untuk mengatasi fatigue. Artikel ini bertujuan untuk mengetahui strategi intervensi manajemen diri pasien hemodialisis dalam mengelola fatigue. Metode yang digunakan dalam membuat artikel ini adalah cirtical review. Proquest(tahun 2005-2015)dan Google Scoolar(tahun 2005-2015) merupakan database yang digunakan dalam review ini.Key word yang digunakan adalah fatigue, nursing intervention, end stage renal deseases, chronic kidney deseases, hemodialysis, self management, intervensi keperawatan, penyakit ginjal, gagal ginjal kronis, hemodialisis dan manajemen diri.Didapatkan 6 artikel penelitian yang sesuai dengan tujuan dan kriteria review. Ada3strategi untuk mengatasi fatigue, yaitu latihan fisik, penggunaan sinar infra merah dan relaksasi: yoga. Penerapan intervensi ini terbukti menurunkan fatigue. Dari 6 penelitian,pelaksanaan intervensi yang memungkinkan sebagai self management pasien adalah intervensi latihan fisik saja. Akan tetapi pelaksanaan latihan fisik ini perlu pendampingan dari ahli untuk memantau tanda-tanda vital dan kondisi pasien secara keseluruhan setelah latihan fisik, oleh karena itu disarankan perlunya penelitian mengenai empowering interventionyang benar benar melibatkan pasien secara langsung dan pelaksanaannya dapat dilaksanakan secara mandiri oleh pasien sehingga pasien dapat mengelola kondisi yang dialaminya setiap saat sehingga dapat menurunkan tingkat ketergantungan pasien yang berdampak pada peningkatan kualitas hidup pasien.
Pengaruh Foot Massage terhadap Parameter Hemodinamik Non Invasif pada Pasien di General Intensive Care Unit Anita Setyawati; Kusman Ibrahim; Titin Mulyati
Jurnal Keperawatan Padjadjaran Vol. 4 No. 3 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (714.36 KB) | DOI: 10.24198/jkp.v4i3.291

Abstract

Kondisi hemodinamik yang tidak stabil merupakan kondisi yang biasa terjadi pada pasien di General IntensiveCare Unit (GICU). Hal ini dapat disebabkan karena stresor yang berasal dari aspek fisiologis, psikologis, maupunlingkungan. Saat ini terapi yang diberikan pada pasien di GICU didominasi oleh terapi farmakologi. Sementaraberdasarkan teori keperawatan holistik, asuhan perawatan pada pasien dapat dioptimalkan dengan terapikomplementer seperti foot massage. Penelitian ini bertujuan untuk mengetahui pengaruh foot massage terhadapparameter hemodinamik non invasif pada pasien di ruang GICU RSUP Dr. Hasan Sadikin Bandung. Rancanganpenelitian ini menggunakan quasi experimental design dengan pendekatan time series design. Jumlah sampelyang digunakan sebanyak 33 pasien dengan teknik consecutive sampling. Data penelitian dianalisis menggunakanuji Friedman dan dilanjutkan dengan analisis Post-Hoc. Hasil penelitian menunjukkan terdapat pengaruh footmassage secara signifikan terhadap penurunan MAP (p<0,001), penurunan denyut jantung (p=0,002), danpenurunan frekuensi pernafasan (p<0,001); namun tidak terdapat pengaruh foot massage secara signifikanterhadap peningkatan saturasi oksigen (p=0,150). Foot massage dapat menimbulkan aktivitas vasomotor dimedula. Aktivitas vasomotor ini dapat menurunkan resistensi perifer dan merangsang saraf parasimpatisuntuk menurunkan frekuensi jantung yang selanjutnya dapat meningkatkan curah jantung sehingga membuatpengiriman dan penggunaan oksigen oleh jaringan menjadi adekuat. Oleh karena itu, diharapkan perawat dapatmelakukan praktik foot massage terhadap pasien untuk melengkapi terapi farmakologi yang sudah diberikan.
Prediktor Adekuasi Dialisis pada Pasien Haemodialisis di Rumah Sakit PKU Muhammadiyah Yogyakarta Chayati, Nur; Ibrahim, Kusman; komariah, Maria
Majalah Kedokteran Bandung Vol 47, No 1 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (593.232 KB)

Abstract

Keadaan umum lemah, badan kurus, tekanan darah tinggi, anemia, gatal di kulit, warna kulit menjadi lebih gelap, mual adalah tanda tidak adekuatnya hemodialisis secara klinis. Berdasarkan telaah literatur didapatkan sembilan faktor yang berpengaruh langsung terhadap adekuasi dialisis yaitu body mass index (BMI), jenis akses vaskular, lama hemodialisis, frekuensi hemodialisis, kecepatan aliran darah, ultrafiltrasi rata-rata, luas permukaan dializer, jenis heparinisasi, dan hematokrit. Penelitian bertujuan untuk mengetahui prediktor dominan terhadap adekuasi dialisis pada pasien hemodialisis di Rumah Sakit PKU Muhammadiyah Yogyakarta berlangsung dari bulan Mei–Juni 2013. Studi potong lintang dilakukan pada 90 responden secara purposive sampling. Adekuasi dialisis dihitung dengan rumus Kt/V. Semua data diambil pada sesi kedua hemodialisis. Data dianalisis menggunakan uji regresi linier ganda. Diperoleh adekuasi dialisis rata-rata 1,36±0,377. Terdapat hubungan yang bermakna adekuasi dialisis dengan BMI dan jenis heparinisasi. Tidak terdapat hubungan yang bermakna jenis akses vaskular, kecepatan aliran darah, ultrafiltrasi rata-rata, hematokrit, lama hemodialisis, frekuensi hemodialisis, dan luas permukaan dializer dengan adekuasi dialisis. Simpulan, faktor dominan yang memengaruhi adekuasi dialisis pada pasien hemodialisis adalah BMI dan jenis heparinisasi. [MKB. 2015;47(1):29–34]Kata kunci: Adekuasi, body mass index, hemodialisis, prediktorPredictor of Dialysis Adequacy in Hemodialysis Patients in PKU Muhammadiyah Hospital YogyakartaWeakness, thin appearance, , high blood pressure, anemia, itches, darkened skin color and nausea are the clinical signs of inadequate hemodialysis. Based on literature reviews, there are 9 factors that directly influence the adequacy of hemodialysis; body mass index (BMI), vascular access, length and frequency of hemodialysis, blood flow rate, ultrafiltration rate, dialyzer surface area, heparinization, and hematocrit. This study aimed to study the dominant predictor of dialysis adequacy in hemodialysis patients in PKU Muhammadiyah Hospital Yogyakarta. Cross sectional study was done involving 90 respondents through purposive sampling method. The hemodialysis adequacy was assessed using the Kt/V formula. All data were collected during the second session of hemodialysis. Data were examined using double linier regression. The ,ean dialysis adequacy was 1.36±0.377. The statistic test result revealed a significant correlation between dialysis adequacy and BMI and the type of heparinization. There was no significant correlation with the type of vascular access, blood flow rate, ultrafiltration rate, hematocrit, length and frequency of hemodialysis, and dialyzer surface area with dialysis adequacy. In conclusion, the dominant factors influencing dialysis adequacy on hemodialysis patients are  BMI and type of heparinization. [MKB. 2015;47(1):29–34]Key words: Adequacy, body mass index, hemodialysis, predictors DOI: 10.15395/mkb.v47n1.410   
Pengalaman Pasien Mengalami Serangan Jantung Pertama Kali yang dirawat di Ruang CICU Didi Kurniawan; Kusman Ibrahim; Ayu Prawesti
Jurnal Keperawatan Padjadjaran Vol. 3 No. 2 (2015): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (714.605 KB) | DOI: 10.24198/jkp.v3i2.102

Abstract

Serangan jantung merupakan peristiwa terhambatnya aliran darah pada arteri koroner yang menyebabkan otot jantung kekurangan oksigen sehingga terjadi kerusakan irreversibel miokard, reaksi tidak percaya, penolakan, marah, dan takut akan kematian. Serangan jantung pada pasien dapat berdampak pada aspek fisik dan psikologis pasien tersbut dan keluarganya. Staf pelayanan kesehatan termasuk perawat perlu lebih memahami perubahan yang terjadi sepanjang perjalanan hidup pasien yang mengalami serangan jantung pertama kali agar tercapai asuhan keperawatan holistik.Penelitian ini menggunakan metode kualitatif fenomenologis terhadap empat laki-laki dan tiga perempuan yang berusia antara 42–68 tahun melalui wawancara mendalam. Analisis hasil wawancara menggunakan metode Colaizzi. Pengalaman hidup pasien yang mengalami serangan jantung pertama kali dikelompokkan ke dalam tiga tahapan. Tahap pertama yaitu sebelum serangan; situasi yang mencetuskan dan menyebabkan serangan jantung. Tahap kedua yaitu saat terjadi serangan jantung; nyeri dada seperti dihimpit beton, takut meninggal dunia, tidak percaya mengalami serangan jantung, pentingnya kehadiran keluarga saat serangan, dan putus asa mencari pelayanan kesehatan. Tahap ketiga yaitu selama perawatan; merasa sudah sembuh karena tidak nyeri dada lagi, pasrah dan berdoa serta menganggap sakit sebagai cobaan dari Tuhan, keinginan tetap beribadah meskipun sakit, kebahagiaan memeroleh kehidupan ke dua dari Tuhan, gangguan tidur selama perawatan, dan kesulitan pembayaran biaya rumah sakit.Penelitian menemukan wawasan baru yaitu putus asa mencari pelayanan kesehatan, merasa sudah sembuh karena tidak nyeri dada lagi, dan kebahagiaan memeroleh kesempatan hidup kedua dari Tuhan. Berdasarkan hasil temuan maka perlu membuat sistem pertolongan yang cepat pada korban serangan jantung,  meningkatkan pemahaman pasien melalui pendidikan kesehatan mengenai serangan jantung yang dialami sehingga tercapai pelayanan yang paripurna.Kata kunci: Koroner, pengalaman, serangan jantung pertama.Life Experiences of First-Time Heart Attack Patients who are Hospitalised in CICUAbstractA heart attack is an inhibition of blood flow in the coronary arteries that causes oxygen deficiency to the heart muscles, causing irreversible myocardial damage as well as disbelief, denial, anger, and fear of death in patients. A heart attack affects the physical and psyhological aspects of the patient and their family. This situation requires doctors and nurses to better understand the changes in the lives of patients who have their first heart attack in order to reach holistic nursing care. This study uses qualitative method with phenomenological approach. Data was collected by in-depth interviews with 4 men and 3 women between the age of 42 to 68. Data were analyzed with Colaizzi method. Life experiences of patients who have their first heart attack are categorised into 3 phases. The first phase is before heart attack occurs, i.e. circumstances that triggered heart attack. The second phase is when heart attack occurs, e.g. chest pain as if being squeezed by a piece of concrete, fear of death, disbelief, the importance of family during the attack, and desperately seeking medical services. The third phase is during treatment, e.g. feeling better because chest pain has subsided, resignation, praying, considering pain as a test from God, the intention to keep practicing religion in spite of being sick, feeling relieved and happy to receive a second chance from God, sleep disorder during treatment, and difficulty to pay hospital costs.This study discovered new forms of life experiences, including desperately seeking medical care, feeling better because chest pain has subsided, and feeling happy to receive a second chance from God. The findings of this study suggest the need for timely medical response for people having a heart attack, increased involvement of family during the treatment of early heart attack, visits from clergy and improved understanding of patients through health education, in order to develop an excellent medical service.Key words: Heart attack, life experience, phenomenology.
Kualitas Hidup Pasien Pasca Bedah Pintas Arteri Koroner (BPAK) Ida Rosidawati; Kusman Ibrahim; Aan Nuraeni
Jurnal Keperawatan Padjadjaran Vol. 4 No. 2 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1048.578 KB) | DOI: 10.24198/jkp.v4i2.238

Abstract

Penyakit Jantung koroner (PJK) merupakan salah satu penyebab utama dan pertama angka kematian di negara maju dan berkembang, termasuk Indonesia. Angka kematian akibat PJK yang semakin meningkat perlu mendapatkan perhatian khusus. Upaya yang dapat dilakukan yaitu dengan tindakan Bedah Pintas Arteri Koroner (BPAK) yang dapat meningkatkan kualitas hidup pasien. Pasien pasca BPAK mengalami perubahan dalam hal bio-psiko-sosio-spiritual yang dapat memengaruhi kualitas hidup. Instrumen yang digunakan untuk mengukur kualitas hidup selama ini masih umum dan mengacu pada budaya dan pelayanan kesehatan di luar negeri, padahal kualitas hidup dipengaruhi oleh budaya setempat. Tujuan penelitian ini adalah untuk mengeksplor kualitas hidup pasien pasca BPAK di RSUP Dr. Hasan Sadikin Bandung. Metode penelitian yang digunakan adalah deskriptif kualitatif, dengan jumlah partisipan sebanyak 6 orang. Pengumpulan data dilakukan dengan cara wawancara semi terstruktur yang mengacu pada intrumen Short Form36. Analisa data menggunakan content analysis. Hasil Penelitian yaitu secara fisik semua partisipan masih merasakan nyeri di bekas luka operasi seperti kesemutan dan baal, tetapi tidak sampai mengganggu aktivitas sehari-harinya. Secara emosional semua partisipan mengungkapkan rasa bahagia karena sudah terbebas dari penyakitnya, walaupun tidak sembuh secara total tetapi semua partisipan menerima keadaan dirinya. Secara Sosial semua partisipan mengungkapkan bahwa dukungan keluarga dan dukungan orang sekitar sangat dibutuhkan. Bentuk spiritualitas pada penelitian ini adalah partisipan merasa lebih dekat dengan Tuhan dan lebih mensyukuri keadaannya sekarang. Berdasarkan hasil penelitian terdapat aspek baru yang didapatkan dari hasil penelitian ini yaitu pentingnya spiritualitas dalam kualitas hidup partisipan. Hasil penelitian ini diharapkan menjadi bahan pertimbangan dalam proses asuhan keperawatan.Kata kunci:Bedah Pintas Arteri Koroner, Kualitas Hidup,Short Form36.Quality of Life among Patients with Post Coronary Artery Bypass SurgeryAbstractCoronary Artery Diseases (CAD) remains one of the major problems lead to a high mortality rate in many countries including Indonesia. Thus, treatment such as coronary artery bypass surgery is considered as a common treatment to reduce the fatal risks. However, post-surgical problems may arise which can diminish the patient’s quality of life regardless cultural and contextual causal factors. This descriptive qualitative study aimed to explore the quality of life among patients undergone the coronary artery bypass surgery in Dr. Hasan Sadikin General Hospital Bandung. Data were collected using an individual semi-structured interview following the Short Form 36 instrument (SF-36) with six participants were recruited. Content analysis was employed to analysis the transcribed data. Findings revealed that all participants have experienced pain, numbness and tingling sensations particularly on the surgical sites without the presence of any daily activity living disturbances. They expressed more positive emotional feelings because of having freedom from their illness. The presence of strong social supports given by families and relatives has motivated the patients to face their recovery phase. In addition, participants expressed the need to have spiritual care which can help them to feel getting closer to the Lord and being more grateful for whatever situations they may have at the moment. Findings have further emphasised the importance of spirituality in the achievement of good quality of life among the participants. The result is expected to contribute to the improvement of best quality of post-operative nursing care plan. Keywords: Coronary Arterial By-Passed Surgery, post-operative care, quality of life, spirituality.
Hubungan antara Fatigue, Jumlah CD4, dan Kadar Hemoglobin pada Pasien yang Terinfeksi Human Immunodeficiency Virus (HIV) Kusman Ibrahim; Yusshy Kurnia H; Laili Rahayuwati; Baiq Emi Nurmalisa; Siti Ulfah Rifa’atul Fitri
Jurnal Keperawatan Padjadjaran Vol. 5 No. 3 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1506.348 KB) | DOI: 10.24198/jkp.v5i3.649

Abstract

Keberadaan Human Immunodeficiency Virus (HIV) di dalam tubuh secara terus menerus menyebabkan gangguan pada hampir semua sistem tubuh yang berdampak pada munculnya gejala kelelahan (fatigue). Fatigue banyak dilaporkan pada penderita HIV/AIDS dengan prevalensi berkisar antara 20% sampai 60%. Penelitian ini bertujuan menguji hubungan antara fatigue dengan jumlah CD4 dan kadar Hb pada pasien HIV/AIDS. Sebanyak 77 responden direkrut secara purposif di sebuah Klinik Rawat Jalan Rumah Sakit di Kota Bandung. Fatigue diukur menggunakan kuesioner HIV Related Fatigue Score (HRFS). Data yang terkumpul dianalisis menggunakan uji pearson correlation. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara fatigue dengan jumlah CD4 dalam darah (r = -.289, p< 0.05) dan kadar Hb (r = -.349, p< 0.05). Selain itu, kadar Hb memiliki hubungan yang bermakna dengan jumlah CD4 pada pasien HIV/AIDS (r = .360, p < .01). Hasil penelitian ini mengindikasikan perlunya monitoring kadar CD4 dan Hb secara berkala dan melakukan intervensi untuk mengatasi penurunan Hb dan CD4 sesegera mungkin sehingga dapat mencegah agar fatigue tidak berkelanjutan.Kata kunci: CD4, fatigue, hemoglobin, HIV/AIDS. The Correlation of Between Fatigue, CD4 Cell Count, and Hemoglobin Level among HIV/AIDS PatientsAbstractThe existence of Human Immunodeficiency Virus (HIV) in the body continuously causes disruption in almost all body systems that impact on the emergence of symptoms of fatigue. Fatigue was widely reported in HIV/AIDS patients with prevalence ranging from 20% to 60%. This study examined the relationship between fatigue and CD4 cell count and hemoglobin levels in HIV/AIDS patients. A total of 77 respondents were recruited purposively in Outpatient Clinic, General Hospital Bandung City. Fatigue was measured using the HIV Related Fatigue Score (HRFS) questionnaire. The collected data were analyzed using pearson correlation product moment. The results showed there were significant relationship between fatigue and CD4 count in blood (r = -.289, p< 0.05) and hemoglobin level (r = -.349, p< 0.05). In addition, CD4 had significantly correlation with Hb (r = .360, p < .01). The results of this study indicated that nurses or health care providers need to periodically monitor the CD4 and Hb levels and provide early intervention to manage the hemoglobin and CD4 cell count at optimum levels to prevent prolonging fatiguel.Keywords: CD4, fatigue, hemoglobin, HIV/AIDS.
Co-Authors Aan Nur&#039;aini Aan Nuraeni Aan Nur’aeni Aan Nur’aini Aat Sriati Aat Sriati Alfian Alfian ANA IKHSAN HIDAYATULLOH Anita Setyawati Asadul Islam Astilia, Astilia Ayu Prawesti Ayu Prawesti Priambodo Ayu Prawesti, Ayu Baiq Emi Nurmalisa Budiawan, Heri Cahyo Nugroho, Cahyo Cecep Eli Kosasih Derison Marsinova Bakara Derison Marsinova Bakara Desy Indra Yani Devi Harmita Dian Adiningsih Didi Kurniawan Dyah Setyorini Dyah Setyorini Earlyana Octavia limbong Ermiati Ermiati Etika Emaliyawati Etika Emliyawati Eva Nurlaela Faizal Idrus Fera Imelia Agustin Gina Nurdina Hadi Nasbey Hana Rizmadewi Agustina Harun, Hasniatisari Harun, Hasniatisari Harwadi, Hendra Hasanah, Ulung Hayaty, Helmi Helmi Hayaty Hendra Harwadi Herliani, Yusshy Kurnia HIDAYATULLOH, ANA IKHSAN Ida Maryati Ida Rosidawati Ihda Al Adawiyah Mz Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Imas Rafiyah Indriono Hadi Inriyana, Ria Ita Vusfita Iyus Yosep Jajang Ganjar Waluya Jayalangkara Tanra Kesumawati, Rianti Kombong, Rita La Rangki La Rangki La Rangki Laili Rahayuwati Lia Meilianingsih Lia Meilianingsih Lilin Rosyanti Lilis Lismayanti Lilis Lismayanti Lilis Mamuroh limbong, Earlyana Octavia Maria komariah Maria komariah Meilita Enggune Mochammad Hatta Mustari Aji, Nandang Nia Kurniasih Novi Malisa, Novi Nur Chayati Nur Maziyya Nursiswati N Nursiswati Nursiswati Oktavia Nur Azizah Jain Purwo Suwignyo Raden Nabilah Putri Fauziyyah Raden Nabilah Putri Fauziyyah Rahmi Muthia Ria Bandiara Ria Inriyana Riri Amalina Riri Amalina Rudi Kurniawan Rudi Wisaksana Sandra Pebrianti Septian Andriyani, Septian Setiyawan Setiyawan Siti Romadoni Siti Romadoni, Siti Siti Ulfah Rifa’atul Fitri Slamet Riyanto Sri Elis Rohaeti Sri Hartati Pratiwi Sri Hendrawati Sri Hendrawati SRI WULANDARI Stevani Basry Suryani Suryani Titin Mulyati Titin Sutini, Titin Titis Kurniawan Titis Kurniawan Titis Kurniawan Tuti Pahria Upit Pitriani Urip Rahayu Urip Rahayu Urip Rahayu, Urip Veny Hadju Windiramadhan, Alvian Pristy Witdiawati Witdiawati Witdiawati Witdiawati, Witdiawati Yanny Trisyani Yeni Yeni Yulianti Yusshy Kurnia H Yusshy Kurnia Herliani Yusshy Kurnia Herliani Zahara Farhan