Nur Agustini, Nur
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PENGARUH EDUKASI TERHADAP TINGKAT KECEMASAN DAN TINGKAT EFIKASI DIRI IBU DALAM MERAWAT BBLR -, Suyami; Rustina, Yeni; Agustini, Nur
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2014: PROSIDING SEMINAR NASIONAL KEPERAWATAN
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Kelahiran BBLR menuntut penyesuaian orang tua terhadap pengasuhan bayinya. Keyakinan terhadap kemampuan diri mencakup kepercayaan diri, harga diri, dan kompetensi. Ibu yang mempunyai keyakinan terhadap kemampuan diri yang tinggi berdampak positif terhadap interaksiantara ibu dan bayi prematur. Perawatan BBLR di NICU berdampak perpisahan antara ibu dengan bayinya, sehingga kesempatan ibu untuk kontak dengan bayinya menjadi terbatas. Ibu merasa bersalah, sedih, frustasi, marah, dan cemas dengan kondisi bayinya yang dapat memburuk sewaktu-waktu. Edukasi yang diberikan kepada ibu sebelum bayi dipulangkan efektif dalam meningkatkan pengetahuan, mengubah perilaku ibu sehingga mengurangi kecemasan dan meningkatkan efikasidiri. Penelitian ini bertujuan mengidentifikasi pengaruh edukasi dalam perencanaan pulang terhadap kecemasan dan efikasi ibu merawat BBLR. Desain penelitian quasi experiment, pretest posttest with control group. Sampel penelitian 44 ibu BBLR dibagi dua kelompok, 22 kelompokintervensi, dan 22 kelompok kontrol secara consecutive sampling dengan kuesioner Hamilton Anxiety Rating Scale (HRSA) dan Perceived Maternal Parenting Self Efficacy (PMP-SE). Edukasi diberikan dengan media leaflet, video dan phantom bayi. Hasil penelitian menunjukkan sesudah diberikan edukasi 86,4% responden mengalami penurunan kecemasan dan 18,2% responden mengalami peningkatan efikasi diri. Tingkat kecemasan dan efikasi diri pada kelompok intervensi terdapat perbedaan yang bermakna; sedangkan pada kelompok kontrol tidak terdapat perbedaan yang bermakna. Kecemasan berhubungan dengan pendapatan dan pengalaman (p<0,05); sedangkan efikasi diri berhubungan dengan pendapatan, pengalaman, dan jumlah anak (p<0,05). Kesimpulan bahwa edukasi memandikan dan perawatan metode kanguru efektif menurunkankecemasan dan meningkatkan efikasi diri. Rekomendasi edukasi dapat diberikan pada ibu dengan bayi berat lahir rendah..Kata kunci: BBLR ,edukasi, tingkat kecemasan, tingkat efikasi diri
HUBUNGAN ANTARA PENGETAHUAN TENTANG HIV/AIDS DENGAN PERILAKU SEKSUAL PRANIKAH PADA REMAJA Chodidjah, Siti; Agustini, Nur; Ungsianik, Titin
Jurnal Keperawatan Indonesia Vol 8, No 2 (2004): September
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (41.129 KB) | DOI: 10.7454/jki.v8i2.147

Abstract

AbstrakPenelitian ini bertujuan untuk mengidentifikasi hubungan antara pengetahuan HIV/AIDS dan perilaku seksual pranikah. Metode yang digunakan adalah metode kuantitatif, dengan memilih remaja usia 11-22 tahun yang ditemui di mal-mal sebagai responden. Tempat penelitian dilakukan di Mal Blok M dan Cijantung. Data yang diperoleh dianalisa dengan menggunakan teknik analisa regresi linier dan berganda. Berdasarkan perhitungan didapatkan bahwa pengetahuan remaja tentang HIV/AIDS rata-rata tinggi tetapi dalam aktivitas pacaran masih banyak yang berisiko dan berisiko tinggi tertular HIV/AIDS melalui hubungan seksual. Disarankan agar melakukan penelitian lanjut untuk melihat sumbangan faktor lain, seperti moral, orang tua dan peer agar dapat dilakukan upaya pencegahan yang lebih tepat kepada remaja. AbstractThe objective of this research is to identify relationship between HIV/AIDS knowledge and premarital sexual activity in adolescents. The sample of this study are adolescents whose 11-12 years old. This research took place at Blok M and Cijantung Mall. Result of this study found out that adolescents? knowledge about HIV/AIDS is high, but still in high risk for HIV/AIDS on their romantic relationship.
NEONATUS DENGAN IBU DIABETES Agustini, Nur
Jurnal Keperawatan Indonesia Vol 2, No 5 (1998): October
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.466 KB) | DOI: 10.7454/jki.v2i5.307

Abstract

Kehamilan pada seorang ibu dengan diabetes sangat mempengaruhi kondisi bayi yang akan dilahirkannya. Kondisi tersebut dapat timbul karena selama janin dalam kandungan kadar gula darah ibu senantiasa mempengaruhi kadar gula darah janin, sedangkan kadar insulin ibu tidak. Hal ini mengakibatkan hiperinsulinisme pada janin, yang kemudian meyebabkan timbulnya berbagai komplikasi yang berbahaya pada janin ataupun pada bayi setelah dilahirkan. Masalah utama yang timbul akibat hiperinsulinisme adalah hipoglikemia dan ditres pernapasan. Pemahaman yang baik tentang bayi dengan ibu diabetes harus dimiliki oleh seorang perawat, agar kelak dapat memberikan perawatan yang tepat untuk mendukung tumbuh kembang anak secara optimal. AbstractA pregnancy in a woman with diabetes mellitus can affect the health status of her fetus. This is because the level of blood sugar in a fetus will be affected by the level of blood sugar in the mother, which on the other hand the level of insulin of a mother does not affect the level; of insulin of her fetus. This condition may produce a hyperinsulinism that leads to hypoglycemia and respiratory distress in a newborn. A well understanding on a baby of diabetic mother is required for a nurse to deliver a comprehensive nursing care as an effort to assist a growth and development process of a baby optimally.Keywords: A level of blood sugar, hyperinsulinism.
KUALITAS TIDUR ANAK USIA SEKOLAH YANG MENJALANI KEMOTERAPI DI RUMAH SAKIT KANKER Rahmayanti, Novita Dewi; Agustini, Nur
Jurnal Keperawatan Indonesia Vol 18, No 2 (2015): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (311.605 KB) | DOI: 10.7454/jki.v18i2.408

Abstract

Kemoterapi diyakini efektif dalam menghambat pertumbuhan sel kanker. Namun demikian kemoterapi juga menimbulkan efek samping bagi penderita kanker, salah satunya yaitu gangguan pemenuhan kebutuhan tidur. Penelitian ini bertujuan untuk mendapatkan informasi tentang gambaran kualitas tidur anak usia sekolah yang sedang menjalani kemoterapi di rumah sakit kanker. Penelitian menggunakan metode potong-lintang dengan melibatkan 40 responden yang diambil dengan teknik total sampling. Responden mengisi kuesioner berupa data demografi dan kuesioner Pittsburgh Sleep Quality Index (PSQI). Analisa data menggunakan uji univariat. Hasil penelitian menunjukkan rerata skor PSQI adalah 7 dari maksimal 21 (95% CI, 6,24?7,76) yang berarti responden memiliki kualitas tidur buruk. Tenaga kesehatan (khususnya perawat) diharapkan dapat melakukan monitoring untuk evaluasi pemenuhan kebutuhan tidur anak kanker. Abstract Quality of Sleep of School Age Children are Undergoing Chemotheraphy in Cancer Hospital Chemotherapy is believed to be effective in inhibiting cancer cell?s growth. However, this therapy has side effects for cancer patients, one of them is sleeping needs disturbance. This study aims to get information about the status of sleep quality in school-age children whom are undergoing chemotherapy at cancer hospital, Jakarta. This study used cross sectional design with 40 participants using total sampling technique. Participants filled the questionnaire consisting of demographic data and the Pittsburgh Sleep Quality Index (PSQI). This study was analyzed using univariate test. The result showed that participants have quality sleep index with average score 7 from total 21 (95% CI, 6.24?7.76). It?s indicated that participants have poor sleep quality. Health providers (especially nurses) are expected to conduct monitoring to evaluate sleep quality in children with cancer.Keywords: cancer, chemotherapy, school-age children, sleep quality
PENINGKATKAN KUALITAS HIDUP PASIEN KANKER DENGAN IMPLEMENTASI PERAWATAN KESEHATAN PSIKOSEKSUAL Afiyati, Yati; Keliat, Budi; Ruwaida, Ida; Rachmawati, Imami; Agustini, Nur
Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.722 KB) | DOI: 10.20473/%oj.Ners111%y7-16

Abstract

Introduction: The contribution of nurses in improving the quality of life of patients with cancer has caused them to have needs of getting knowledge and skills to provide services on psychosexual health care. Training on psychosexual health care has been developed, implemented and given to oncology nurses in Indonesia in order to fulfill the needs so that the nurses are able to provide psychosexual health care to cancer survivors and their spouse. Method: The training utilized a method of pre- and post-test evaluation to identify outcomes including changes of evaluation scores of knowledge, belief, practice, and self-efficacy of trainees before and after receiving psychosexual health care training. Result: The training has been implemented on 46 oncology nurses in Indonesia so that they can have knowledge, practice, belief and self-efficacy in providing psychosexual health care to patients with cancer and their spouse. After training and mentorship had been provided, there were significant changes on knowledge, belief and self-efficacy in providing psychosexual health care services to patients with cancer and their spouse; however, there were no significant changes on practices. Discussion: The training has become a standard nursing care for cancer in Indonesia and has provided scientific evidences that nurses have contribution in improving quality of life of patients with cancer by providing a comprehensive nursing care through implementation of psychosexual health care in their daily nursing care for patients with cancer and their spouse. Keywords:  Psychosexual health care, training, nursing, cancer
Faktor-Faktor Berhubungan dengan Kualitas Hidup Anak Leukemia Limfositik Akut yang Menjalani Kemoterapi Novrianda, Dwi; Yetti, Krisna; Agustini, Nur
Jurnal Keperawatan Padjadjaran Vol 4, No 1 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (791.523 KB) | DOI: 10.24198/jkp.v4i1.132

Abstract

Leukemia limfositik akut merupakan tipe leukemia yang paling banyak terjadi pada anak-anak yaitu sekitar75-80%. Kemajuan pengobatan kemoterapi pada pasien leukemia limfositik akut telah meningkatkan angkakeberhasilan hidup. Akan tetapi, lama kehidupan yang dapat dicapai oleh pasien belum diiringi dengan pencapaiankualitas hidup yang lebih baik akibat efek sekunder kemoterapi terhadap fisik dan psikososial pasien. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kualitas hidup anak leukemia limfositik akut yang menjalani kemoterapi. Penelitian kuantitatif dengan pendekatan cross sectional dilakukan pada 25 anak secara consecutive sampling. Pengumpulan data menggunakan PedsQLTM 4.0 Generic Core Scale dan peran perawat (Cronbach α = 0,90). Analisis data menggunakan korelasi Pearson dan uji t independen untuk mengetahui hubungan antar variabel serta regresi linear berganda untuk mengetahui faktor yang paling berhubungan dengan kualitas hidup generik. Hasil menunjukkan terdapat hubungan fase kemoterapi dan peran perawat dengan kualitas hidup generik(p<0,05). Peran perawat merupakan faktor prediktor kualitas hidup generic. Dengan demikian diperlukan upaya peningkatan peran perawat melalui pendidikan pelatihan terkait manajemen kemoterapi dan efek sampingnya.Kata kunci: Fase kemoterapi, kualitas hidup generik, peran perawat.Factors that are Related to Quality of Life of Children with Acute Lymphocytic Leukemia who Undergo ChemotherapyAbstractAcute lymphocytic leukemia is a type of leukemia that is most prevalent among children which is around 75-80%. The progress of chemotherapy for acute lymphocytic leukemia has increased the survival rate for this cancer. However, the length of life of the patients is often not accompanied by the better quality of life due to chemotherapy side effects towards patients’ physical and psychosocial conditions. This study aimed to identify factors that are related to the quality of life of children with acute lymphocytic leukemia who undergo chemotherapy in Dr. M.Djamil Hospital, Padang. Quantitative research with cross sectional approach was used to study 25 children who wererecruited using consecutive sampling. The data collection was conducted using PedsQLTM 4.0 Generic Core Scaleand nurses roles (Cronbach α = 0,90). The data analysis uses Pearson correlation and independent t-test to examinethe relationships between variable and multiple linear regression to identify the factor that is most related with the generic quality of life. The results showed that there was correlation between chemotherapy phases and nurses roles with generic quality of life (p<0.05). Nurses roles is a predictor factors for generic quality of life. Thus, there is a need to improve nurses’ roles through education and training regarding chemotherapy management and its side effects.Keywords: Chemotherapy phases, generic quality of life, nurses’ roles.
Improving Quality of Life on Cancer Patient by Implementation of Psychosexual Health Care Afiyati, Yati; Keliat, Budi; Ruwaida, Ida; Rachmawati, Imami Nur; Agustini, Nur
Jurnal Ners Vol 11, No 1 (2016): Vol 11 No 1 April 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.722 KB) | DOI: 10.20473/jn.V11I12016.7-16

Abstract

Introduction: The contribution of nurses in improving the quality of life of patients with cancer has caused them to have needs of getting knowledge and skills to provide services on psychosexual health care. Training on psychosexual health care has been developed, implemented and given to oncology nurses in Indonesia in order to fulfill the needs so that the nurses are able to provide psychosexual health care to cancer survivors and their spouse. Method: The training utilized a method of pre- and post-test evaluation to identify outcomes including changes of evaluation scores of knowledge, belief, practice, and self-efficacy of trainees before and after receiving psychosexual health care training. Result: The training has been implemented on 46 oncology nurses in Indonesia so that they can have knowledge, practice, belief and self-efficacy in providing psychosexual health care to patients with cancer and their spouse. After training and mentorship had been provided, there were significant changes on knowledge, belief and self-efficacy in providing psychosexual health care services to patients with cancer and their spouse; however, there were no significant changes on practices. Discussion: The training has become a standard nursing care for cancer in Indonesia and has provided scientific evidences that nurses have contribution in improving quality of life of patients with cancer by providing a comprehensive nursing care through implementation of psychosexual health care in their daily nursing care for patients with cancer and their spouse.
PERSEPSI ANAK DAN ORANG TUA TENTANG KUALITAS HIDUP ANAK PENDERITA DIABETES MELLITUS TIPE 1 Agustini, Nur; Allenidekania, Allenidekania; Efendi, Meriam
Jurnal Ners Vol 11, No 1 (2016): April 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1167.315 KB) | DOI: 10.20473/jn.V11I12016.51-55

Abstract

Introduction: Type-1Diabetes mellitus (T1D) management is important to increase the quality of life in diabetic children. This research aimed to explore and to compare the parents and children perspective in the quality of life related to T1D.Methods: Cross sectional method was used to 35 dyad children (8-18 years old) and their parents. Children have been registered in top referral hospital in Indonesia. They filled the PedsQL® Module Diabetes 3.2 by self-report. Data were analyzed by t-test. The characteristic of respondents consist of the children and parents age, length of being diagnoses with T1D and the number of visit in the last 6 months.  Quality of life dimensions were measured in the last month since data collected. It consists of sign and symptom, disease and therapy, T1D management concern related to complication and communication.Results: showed that the children mean age was 13.11 + 2.85 years old compared to parents (41.03 + 8.34 years old). The average length of being diagnoses with T1D was 4.54 +2.87 years and the average number of visit in the last 6 months was 5.8 + 1.79. Total score of quality of life from parents and children perspective were 64.41% + 10.97 and 63.09% + 13.25. Moreover, t-test analysis found that there was significant difference in parent perspective compared to the children perspective regarding quality of life related to T1D.Conclusion: children have relatively lower perception in evaluating their quality of life in T1D compared to the parents. Therefore, it is necessary for nurses to explore the influencing factors as well as coping mechanism related to T1D management so that nurses can develop individual nursing plan to increase the T1D children's quality of life.
PERKEMBANGAN BAYI USIA 6–12 BULAN DENGAN RIWAYAT ASFIKSIA PERINATAL Indriani, Ninis; Rustina, Yeni; Agustini, Nur
Jurnal Keperawatan Indonesia Vol 18, No 2 (2015): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (502.773 KB) | DOI: 10.7454/jki.v18i2.414

Abstract

Bayi dengan asfiksia perinatal sangat rentan mengalami komplikasi baik jangka pendek seperti disfungsi multiorgan maupun jangka panjang dengan terjadinya gangguan perkembangan. Tujuan penelitian ini adalah untuk mengetahui hubungan riwayat asfiksia perinatal dengan perkembangan bayi usia 6?12 bulan. Desain penelitian menggunakan potong lintang, yang melibatkan 56 bayi dengan riwayat asfiksia perinatal (berat, sedang, dan ringan) di Kabupaten Banyuwangi. Hasil penelitian menunjukkan ada hubungan yang signifikan antara riwayat asfiksia perinatal dengan perkembangan bayi (p= 0,026). Rekomendasi dari penelitian ini adalah perlu melakukan deteksi dini penyimpangan perkembangan khususnya bayi risiko tinggi dan mengoptimalkan peran serta orang tua dalam proses perkembangan anak.  Abstract Development of Infant Age 6?12 Months with History Perinatal Asphyxia. Infant with perinatal asphyxia history is very susceptible to have both short term complications such as multiple organ dysfunctions and long-term complications with development disorder. The purpose of this study is to indentify the correlation between perinatal asphyxia history and infant?s development age 6 to 12 months. Design of study used cross sectional, which involves 56 infants with severe, moderate, and mild asphyxia history in Banyuwangi Regency. The result of this study indicates that there is a significant correlation between perinatal asphyxia history and infant?s development (p= 0,026). The recommendations of this study is that it is necessary to do early detection development disorder especially for high risk infants and optimize the participation of parents in a child's development process. Keywords: infant?s development, perinatal asphyxia history
PENGETAHUAN, SIKAP, DAN PERILAKU IBU DALAM PEMENUHAN GIZI BALITA: SEBUAH SURVEI Setyaningsih, Sanny Rachmawati; Agustini, Nur
Jurnal Keperawatan Indonesia Vol 17, No 3 (2014): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (591.296 KB) | DOI: 10.7454/jki.v17i3.451

Abstract

Gizi merupakan faktor yang berperan penting dalam pertumbuhan dan perkembangan balita. Pada aspek gizi, peran orang tua terutama ibu sangatlah penting karena merupakan orang yang terdekat bagi anak. Penelitian pendahuluan ini bertujuan memperoleh gambaran tentang pengetahuan, sikap, dan perilaku ibu dalam pemenuhan gizi balita. Survai ini melibatkan ibu yang memiliki anak berusia 13 sampai 59 bulan di Wilayah Pancoran Mas, Depok, Jawa Barat sebanyak 112 responden. Teknik pengambilan sampel yang digunakan adalah multistage random sampling dan consecutive sampling. Hasil survai menunjukkan sebanyak 75,9% ibu berpengetahuan cukup, 57,1% ibu memiliki sikap yang cukup baik, serta 71,4% ibu berperilaku baik dalam pemenuhan gizi balita. Hasil penelitin ini menunjukkan kondisi yang positif tetapi perlu diteliti lebih mendalam lagi sehingga permasalahan utama berkaitan dengan gizi balita dapat diidentifikasi. AbstractKnowledge, Attitude, and Behavior of Mothers related to Nutritional for Preschool Children: An Observation. Nutrition is an important factor for the growth and development of preschool children. On nutritional aspects, the role of parents, particularly mothers is important because they are the closest relatives to the children. This observation aims to identify mothers' nutrition knowledge, attitude, and behavior involving 112 mothers who have children aged between 13 until 59 months. Respondents were selected with multistage random sampling and consecutive sampling technique. The results show that 75.9% of mothers have moderate knowledge, 57.1% of mothers have moderate attitude, and 71.4% of mothers show good behavior toward nutrition fulfilment. The results of this research can be used as a reference a new and deep to develop strategies to address nutritional problems in preschool children Keywords: preschool children, mothers' attitude, mothers' behavior, mothers' knowledge, nutrition fulfilment