scholarly journals Penurunan Kecemasan Keluarga Pasien Stroke Dengan Family Centered Empowerment Model

2021 ◽  
Vol 8 (2) ◽  
pp. 78
Author(s):  
Christina Dewi Prasetyowati ◽  
Sri Wahyuni

Stroke merupakan keadaan yang terjadi akibat adanya gangguan suplai darah ke otak yang awal timbulnya mendadak, progresi cepat berupa defisit neurologis fokal yang berlangsung 24 jam atau langsung menimbulkan kematian. Dampak dari stroke selain bagi pasien juga menimbulkan dampak psikologis kecemasan bagi keluarga pasien dari ketidaksiapan keluarga dalam merawat pasien stroke. Kecemasan pada keluarga dapat diatasi dengan pemberian edukasi berbasis family centered empowerment model. Penelitian ini bertujuan untuk mengetahui penurunan kecemasan keluarga pasien stroke dengan family centered empowerment model di RSUD Gambiran Kota Kediri. Desain penelitian menggunakan pra experiment dengan rancangan one group pretest and posttest design. Pengambilan sampel secara non probability sampling dengan teknik accidental sampling yang berjumlah 54 orang. Pengumpulan data menggunakan kuesioner kecemasan HARS dan dianalisa dengan uji  Wilcoxon Signed Ranks Test. Hasil menunjukkan nilai p = 0,000 yang artinya ada pengaruh family centered empowerment model terhadap penurunan kecemasan keluarga pasien stroke. Kata Kunci : family centered empowerment model; kecemasan; keluarga; strokeAnxiety Reduction Of  Family Patients With Stroke And Family Empowerment Centered ModelAbstractStroke is a condition that occurs due to disruption of blood supply to the brain which has a sudden onset, rapid progression in the form of a focal neurological deficit that lasts 24 hours or immediately causes death. The impact of stroke in addition to the patient also causes psychological effects of anxiety for the patient's family from the family's unpreparedness in caring for stroke patients. Anxiety in the family can be overcome by providing education based on the family centered empowerment model. This study was aimed to determine the decrease in family anxiety of stroke patients with the family centered empowerment model at Gambiran Hospital, Kediri City. The research design used a pre-experimental design with a one group pretest and posttest design. The Sampling was taken by non-probability sampling with accidental sampling technique, totaling 54 people. Data was collected using the HARS anxiety questionnaire and analyzed using the Wilcoxon Signed Ranks Test. The results showed the value of p = 0.000 which means that there is an effect of family centered empowerment model on reducing family anxiety of stroke patients.Key Word: family centered empowerment model; anxiety; family; stroke 

2016 ◽  
Vol 7 (4) ◽  
pp. 75-79 ◽  
Author(s):  
Subina Bajracharya ◽  
Ajit Shrestha

Background: Congenital Heart Diseases (CHD) are among the most pervasive and serious chronic illnesses. Parents of children with a chronic condition must cope with greater demands and adopt different behaviors in order to lessen the impact on the family structure.Aims and Objectives: This study aims to explore the coping mechanism used by parents of children with CHD.Materials and Methods: This descriptive study included 100 parents of children with CHD selected through non-probability purposive sampling technique. Data were collected by interview and analyzed using descriptive statistics.Result: This study revealed that parents of preschool children used more coping mechanism (mean score 30.53 out of total score 57), followed by parents of adolescence (mean score 30). Parents of first-born children with CHD used less coping mechanism (mean score 28.08). Parents of female children used more coping mechanism (mean score 29.52), fathers of children with CHD used more coping mechanism (mean score 29.78), and parents of operated children used more coping mechanism (mean score 29.11).Conclusion: Parental coping mechanism was found to be affected by age, sex, operative status and birth order of children and also by the sex of parent. These findings strongly indicate the need for proper counseling service to parents so that healthy coping is reinforced.Asian Journal of Medical Sciences Vol.7(4) 2016 75-79


2019 ◽  
Vol 2 (2) ◽  
pp. 70
Author(s):  
Patimah Sari Siregar ◽  
Elis Anggeria

Stroke is a condition of brain experiencing neurodegenerative disorders such as local or global, occuring in sudden emergence, progressive, and fast. Impaired nerve function in stroke caused by circulatory disorders of the brain non-traumatic. Post-stroke patients need support and help the family in the treatment himself. This study aims to determine the relationship between family support with self-care skills  in patients with post-stroke. The study design is analytic survey with cross sectional approach. The study populations were 40 people and samples of this study were all post-stroke patients who were undergoing rehabilitation of physiotherapy with drawn by saturated sampling technique. The results showed that 47.5% of respondents got enough family support, and 55% of respondents have the ability of self-care with some aid. Based on the test results from Spearman Rank correlation, family support with self-care skills  has a correlation coefficient of 0.38 and Sig. (2-tailed) 0.01, meaning there is a relationship between family support and self-care skills on post-stroke patients in the Royal Prima Hospital Medan. In conclusion, this study shows that family support and self-care skills strongly influence at the level of the patient's recovery. It is hoped that families to be more attentive to the needs and provide optimal support either support of awards/emotional, facilities and support information.


2017 ◽  
Vol 6 (1) ◽  
pp. 39
Author(s):  
Eko Arik Susmiatin ◽  
Rika Yolanda Sari

Basic human needs is the most basic physiological needs, including sexual needs in it. Sexual  fulfillment in the husband-wife not everything can be done well because of several factors, one of them due to heart disease (acute myocardial infarction). AMI patients are usually the same as the other pair, really wants her sexual needs fulfilled, but they are afraid to do it because they fear an attack recurrence. Impacts that could result from unfulfilled sexual needs including couples will quickly get angry or suspicious, unhappy, cynical, psychological relation between husband and wife is getting worse, decreasing the frequency of coitus, having psychosomatic illness. The research objective was to determine the impact of sexual fulfillment disorders after cardiac arrest in patients with acute myocardial infarction (AMI) in men Poly Clinic Heart Dr.Iskak Hospital Tulungagung. The study design used is descriptive design. Population of outpatients each month reaches 5-8, the sample used 8 people, taken with accidental sampling technique. Results of research obtained from all respondents stating no interference effects occur sexuality needs. This is due to the coping meccanism of the respondent and couple, and mutual understanding, and the support the family, so there is no impact of interference sexuality needs.Expected partner (wife) will understand situation the disturbed husband after Acute Myocardial Infarction attack occurred, and should be more active respondents also asked the doctor when the control, so the impact was not to happen. And for nurses, should provide health education about sexuality needs of post-heart attack.


2020 ◽  
Vol 2 (1) ◽  
pp. 73-82
Author(s):  
Arie Sulistiyawati ◽  
Yanti Cahyati

Pressure ulcer is a serious problem on stroke patients. The incidence of pressure ulcer has a negative impact on the physical, psychological, social, spiritual and economic burden of the family. One of the efforts to prevent the pressure ulcer is by providing a sleeping position with a 30 ° or 90 ° sloping position. Some hospitals still apply standard operational procedures with a 90 ° sloping position. Therefore, it is important to retest the prevention of pressure ulcer on stroke patients by using both sloping positions. This study aimed to compare the effect of 30 ° and 90 ° sloping position on the incidence of presssure ulcer on stroke patients at Hasan Sadikin Hospital Bandung. This quasi-experimental study involved 34 patients taken using purposive sampling technique which was then divided into groups of 30° and 90°  sloping positions (17 respondents each) with the matching was based on the Braden scale. Each group was repositioned every 2 hours and the incidence of pressure ulcer was evaluated every day for 72 hours. The results showed the incidence of pressure ulcer in the 30 ° sloping position group (5.88%) and 90° sloping position (41.18%). Statistical results using exact fisher showed a value of p = 0.039 (<0.05) which means that the incidence of pressure ulcer in the 30° sloping group was significantly less than the result of 90° sloping group. Based on the odds ratio of 11.200, it means that stroke patients who were given a 90° sloping position are at risk 11 times higher risk of pressure ulcer than in stroke patients who were given a 30° sloping position. The conclusion in this study is the incidence of fewer pressure ulcer in a 30 ° sloping position. The results and treatment protocol in this study can be used as one of the considerations in efforts to prevent pressure ulcer, especially in stroke patients. Keywords: pressure ulcer, sloping position, stroke


2019 ◽  
Vol 6 (2) ◽  
pp. 106
Author(s):  
Prastiwi Puji Rahayu ◽  
Retno Utami

Dampak adanya halusinasi dapat mengakibatkan seseorang mengalami ketidakmampuan untuk berkomunikasi atau mengenali realitas yang menimbulkan kesukaran dalam kemampuan seseorang untuk berperan sebagaimana mestinya dalam kehidupan sehari-hari. Dampak bagi keluarga halusinasi sulit diterima oleh masyarakat, individu dan dipandang negatif oleh lingkungan.Mengetahui hubungan lama hari rawat dengan tanda dan gejala serta kemampuan pasien dalam mengontrol halusinasi di RSJ Grhasia Yogyakarta. Penelitian ini menggunakan menggunakan Desain penelitian studi korelasional (Corrrelation study). Penelitian ini menggunakan teknik total sampling, Sampel yang digunakan dalam penelitian ini berjumlah 45 pasien halusinasi yang ada diruang inap Rumah Sakit Jiwa Grhasia Yogyakarta. Metode analisis yang digunakan adalah uji statistik menggunakan kendal Tau. Hasil penelitian ini menunjukkan bahwa berdasarkan lama hari rawat pasien halusinasi Di RSJ Grhasia Yogyakarta didapatkan  paling banyak lebih dari 30 hari sebanyak 42 responden, tanda dan gejala pasien halusinasi Di RSJ Grhasia Yogyakarta didapatkan paling banyak kategori kurang sebanyak 30 responden, dan kemampuan pasien dalam mengontrol halusinasi Di RSJ Grhasia Yogyakarta didapatkan paling banyak  kategori cukup sebanyak 27 responden.Tidak ada  hubungan lama hari rawat dengan tanda dan gejala dilihat dari nilai p-value sebesar 0,170<0,05, dan terdapat hubungan lama hari rawat dengan kontrol halusinasi dilihat dari nilai p-value sebesar 0,030<0,05 dengan nilai keeratan hubungan 0,325 dalam kategori rendah. Bagi pimpinan RS agar memberikan pengembangan pelayanan kesehatan pada pasien dalam meningkatkan kualitas pelayanan, khususnya dalam lama hari rawat dengan tanda dan gejala kemampuan pasien dalam mengontrol halusinasi. Alahkah baiknya ada perbandingan antara tanda dan gejala sebelum di teliti dan sesudah di teliti. Kata kunci: Lama hari rawat, tanda dan gejala, kemampuan mengontrol halusinasi THE CORRELATION BETWEEN INPATIENT DURATION, AND SIGNS, SYMPTHOMS AND PATIENT’S ABILITY TO CONTROL HALLUCINATIONS ABSTRACTHallucinations can cause disability to communicate or recognize the reality that creates difficulties to act properly in everyday life. The impact of hallucinations on the family is hard to accept by society and individuals, and it is viewed as negative thing by the environment. The study aims to identify the correlation between inpatient duration and signs, symptoms and patient's ability to control the hallucinations at Grhasia Mental Hospital of Yogyakarta. This study used correlational study design. This study used total sampling technique. The samples were 45 hallucination patients at impatient wards at Grhasia Mental Hospital of Yogyakarta. The analytical method used statistical test using Tau constraints. The results of this study indicated that based on the hallucination of inpatient duration at Grhasia Mental Hospital of Yogyakarta, there were 42 respondents who had 30 days of inpatient duration; there were 30 respondents of hallucination patients at Grhasia Mental Hospital of Yogyakarta who have signs and symptoms in low category; there were 27 respondents at Grhasia Mental Hospital of Yogyakarta who had the ability in controlling hallucinations in moderate category. There was not any correlation between inpatient duration and signs and symptoms that can be seen from the p-value of 0.170 <0.05, and there was correlation between the inpatient duration and the control of hallucinations that can be seen from the p-value of 0.030 <0.05 with the closeness value 0.325 in low category. Hospital boards are suggested to provide the development of health services to patients in improving the quality of care, especially about inpatient duration and signs and symptoms of the patient's ability to control hallucinations. Is it better to have a comparison between the signs and symptoms before and after being studied. Keywords: Inpatient Duration, signs and symptoms, ability to control hallucinations


2017 ◽  
Vol 4 (2) ◽  
pp. 167-178
Author(s):  
Pomarida Simbolon Simbolon

Stroke is a symptom that occurs due to impaired blood circulation in the brain. Stroke diseases has the third death sequence in the world after heart disease and cancer. Good family support is needed in improving self-concept for stroke patients. This research which aims to determine the relationship of family support with self-concept in patients with stroke in Santa Elisabeth Hospital Medan. The design used in research was analytic survey design using the “cross-sectional” with a sample of 34 respondents and the sampling technique is purposive sampling. The data were collected by questionnaires and held in April 2016. Data analysis using chi-square test with significance level of 5%. Results of the study revealed that good family support (55,9%) and negative self-concept (65,6%). The result of statistical test family support with self-concept value p=0,004 (p<0,05) It means there was significant relationship the family support with self-concept in stroke patients in Santa Elisabeth Hospital Medan. It was expected to nurses improve service to patients, motivate and assistsick family members and nurses work with the famiies in maintaining self concept patients. As for the family was expected to pay attention to patients health condition, motivate sick family members by giving motivation to recover, and assisting the patient in the process of healing.


2007 ◽  
Vol 4 (2) ◽  
pp. 78
Author(s):  
Sri Sedono Iswandi ◽  
Endy Paryanto Prawirohartono ◽  
Abidillah Mursyid

Background: Under nutrition remains a major malnutrition problem in Indonesia. In dealing with the problem, the Indonesian government has already implemented strategies including empowering health workers and families. It is very likely that the nutrition problem and the family awareness on nutrition are closely related. Families that practice balanced nutrition are able to recognize and cope with their nutrition problems are defined as nutritionally aware or better known as Kadarzi.Objective: To study the impact of nutrition training on family awareness on nutrition in Samarinda province of East Kalimantan.Method: This observational study was carried out using cross-sectional design. The study population was household with under five years old children in Samarinda. A hundred and thirty two households were drawn from the population with cluster random sampling technique. The data gathered in the study were Kadarzi indicators, achievement program on Kadarzi, and related information that was collected by inter-viewing Head of Primary Health Care Center (puskesmas) and Integrated Health Service Center (posyandu) cadres at the village level.Result: The training on nutrition had an effect to attainment of the family awareness (Kadarzi) in Samarinda (OR=6,9; 95 % CI =1,98 – 23,82). Other variable which playing a part in of the influence was mother education.Conclusion: Nutrition staff who were well trained had an effect to attainment of the family awareness.


2020 ◽  
Vol 76 ◽  
pp. 01043
Author(s):  
Reynaldo Reynaldo ◽  
Widjojo Suprapto ◽  
Yahya Jani

Indonesia is a country consisting of thousands of islands surrounded with straits and seas. Along with the increasing online businesses, the number of shipping expeditions is growing as well. In order to win the competition, many shipping expeditions offer various conveniences and services. This research is testing the impact of service conveniences and service quality to customer satisfaction in shipping expedition businesses in Surabaya. The data are collected by questionnaires because this is a quantitative research. The questionnaires are distributed to 100 respondents who are selected from the consumers using a non-probability sampling technique. Then, the data are processed using a SmartPLS program to obtain the results that service convenience does not bring any effect on customer satisfaction, but service convenience has a positive significant effect on service quality and service quality also has a positive significant effect on customer satisfaction


Jurnal NERS ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. 98 ◽  
Author(s):  
Yuni Sufyanti Arief ◽  
Nursalam Nursalam ◽  
I Dewa Gede Ugrasena ◽  
Shrimarti Rukmini Devy ◽  
Eileen Savage

Introduction: Children with leukemia desperately need serious attention, commitment and it is a hard struggle for family members. Powerlessness experienced by the family will affect the ability of the families to provide care for their children. Many factors can affect the empowerment of families in providing care to their families.Methods: The purpose of this study was to develop a family-centered empowerment model related to the family's ability to care for their child suffering from leukemia. The research design used was an explanation survey. The sample consisted of 140 families with children suffering from leukemia in the pediatric ward of Dr. Soetomo Hospital.Results: The family-centered empowerment model was formed from the family factor, patient factor and nurse factor. The greatest effect was on the nurse factor, with the T statistic value = 6.590.Conclusion: Family factors and nurse factors need to be taken into account in family-centered empowerment. The patient factor has little influence on family empowerment in relation to caring for children. More research is needed on family-centered empowerment models in relation to their ability to care for children with leukemia. For example, a nurse providing a nursing intervention, especially a pediatric nurse, in relation to empowering a parent at the time of caring for their child with leukemia.


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