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All Journal Dunia Keperawatan : Jurnal Keperawatan dan Kesehatan Jurnal Keperawatan Silampari Journal of Nursing Care
Kelana Kusuma Dharma
Politeknik Kesehatan Kementerian Kesehatan Pontianak
Health Professions Nursing Physics Public Health

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Studi Efektifitas Pembiayaan Itervensi Model Adaptasi Berbasis Pemberdayaan Keluarga Untuk Meningkatkan Kualitas Hidup Pasca Stroke Kelana Kusuma Dharma; Andi Parellangi; Halina Rahayu
Dunia Keperawatan Vol 8, No 2 (2020): July 2020
Publisher : School of Nursing, Faculty of Medicine, Lambung Mangkurat University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dk.v8i2.8331

Abstract

Tujuan Penelitian: Penelitian ini bertujuan menganalisis efektifitas pembiayaan intervensi model adaptasi berbasis pemberdayaan keluarga dalam meningkatkan kapasitas fungsional dan kualitas hidup pasien pasca stroke dibandingkan dengan program rehabilitasi konfensional di rumah sakit. Metode: Penelitian ini adalah penelitian kuasi eksperimen menggunakan desain pre-test dan post-test kontrol group. Peneliti membagi sampel menjadi 2 kelompok yaitu kelompok intervensi yang mendapatkan pemberdayaan keluarga berbasis model adaptasi (caregiver empowerment program based on adaptation model/CEPBAM) dan kelompok kontrol yang mendapatkan program rehabilitasi medik di RS. Metode sampling yang digunakan yaitu stratified random sampling. Sampel berjumlah 56 orang (28 orang perkelompok) yang dihitung menggunakan rumus jumlah sampel untuk menguji hipotesis dua mean kelompok independen.  Hasil: Tidak ada perbedaan kapasitas fungsional dan kualitas hidup pasca stroke yang bermakna sebelum dan setelah perlakuan diantara kedua kelompok. Terjadi peningkatan kapasitas fungsional dan kualitas hidup yang bermakna sesudah perlakuan pada setiap kelompok (p=0,001). Rasio efektifitas pembiayaan menunjukkan perlunya pembiayaan sebesar Rp 564.634 untuk meningkatkan 1 nilai kualitas hidup menggunakan intervensi CEP-BAM dan Rp 566.527 menggunakan rehabilitasi di RS.  Kesimpulan: Intervensi CEP-BAM dan program rehabilitasi di rumah sakit menunjukkan efektifitas pembiayaan yang sama dalam meningkatkan kapasitas fungsional dan kualitas hidup pasien pasca stroke.  Rekomendasi: CEP-BAM dapat digunakan dalam rehabilitasi pasca stroke terutama di wilayah yang tidak memiliki rumah sakit dengan fasilitas unit rehabilitasi medik.   
Religious Spiritual and Psycososial Coping Training (RS-PCT) Meningkatkan Penerimaan Diri dan Efikasi Diri pada Pasien Paska Stroke Kelana Kusuma Dharma; Andi Parellangi; Halina Rahayu
Jurnal Keperawatan Silampari Vol 3 No 2 (2020): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (450.23 KB) | DOI: 10.31539/jks.v3i2.1147

Abstract

The purpose of this study was to determine the effectiveness of Religious Spiritual and Psychosocial Coping Training (RS-PCT) interventions on self-acceptance and self-efficacy in post-stroke patients. The research method used in this study was an experimental design with a Randomized Control Trial (RCT) pre and post-test control groups. The results of this study showed that there were significant differences in self-acceptance (p = 0.046) and self-efficacy (p = 0.030) after treatment between the RS-PCT and control groups. The multi-analysis of covariance test showed only interventions (RS-PCT) that were significantly related to self-acceptance (p = 0.045) and post-stroke self-efficacy (p = 0.030) after being controlled by confounding variables (age, sex, type of stroke, aphasia, hemiparesis side). In conclusion, RS-PCT intervention is effective in increasing self-acceptance and self-efficacy in post-stroke patients who are recovering at home. Keywords: Self-Efficacy, Spiritual Religious Coping, Self-Acceptance, Psychosocial
THE EFFECTIVENESS OF FAMILY EMPOWERMENT IN THE LATENT TB INFECTION TOWARDS TB PATIENTS’ OBEDIENCE AND CAREGIVER BURDEN Puspa Wardhani; Kelana Kusuma Dharma; Susito Susito
Journal of Nursing Care Vol 4, No 1 (2021): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v4i1.25480

Abstract

Tuberculosis (TB) is a disease caused by Mycobacterium tuberculosis, causing coughing, fever, and chest pain. There were 50 people suffering pulmonary TB                                                In Public Health Center in Siantan Hilir Pontianak who must be treated immediately. Intervention is crucial because of many cases of TB recurrence. This study aimed to determine the effectiveness of family empowerment in latent screening for TB Infection based on WHO guidelines on the level of TB patient obedience and family burden. The research method was a quasi experimental study involving 36 people (family) of TB sufferers with consecutive sampling technique. As many as 18 people received empowerment (treatment) interventions, and 18 others were not treated. Before, they given informed consent in each group. The study was conducted for two months and have given three visits therapy during the study for the intervention group. The instruments used were Morisky Medication Obedience Scale-8 (MMAS-8) and Caregiver Burden Scale (CBS). The results showed that there were significant differences related to family empowerment in WHO-based latent screening on TB Infection in increasing patient obedience with p = 0,000 and for caregiver burden with p= 0,000 (p <0.005). It is expected by applying the family empowerment in screening could prevent and reduced the morbidity of TB sufferers. The family empowerment can increase the obedience of patients with pulmonary TB and reduce the burden on the family. 
Co-Authors Halina Rahayu Parellangi, Parellangi Puspa Wardhani Susito Susito