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"Short Message Services TB (SMS TB) sebagai salah satu media intervensi keperawatan komunitas berhasil di kembangkan pada praktik residensi spesialis keperawatan komunitas dengan penguatan kelompok pendukung gertak TB. Model diintergasikan dari Community as Partner, Family Center Nursing, Health Belief Model menjadi kerangka kerja penyelesaian masalah pengelolaan manajemen pelayanan keperawatan, asuhan keperawatan keluarga dan komunitas. Hasil intervensi menunjukkan peningkatan Case Detection Rate (CDR) di Kelurahan Cisalak Pasar naik 20%. Peningkatan pengetahuan klien 14,2%, ketrampilan 23,1%, dan sikap 19.0%. Sementara peningkatan pengetahuan kader 45,6%, ketrampilan 46.5%, dan sikap 10%. Ada peningkatan kemandiran III sebesar 60% dan kemandiaran IV sebesar 40%. Media SMS TB akan dilanjutkan oleh Puskesmas melalui upaya penguatan promosi kesehatan pada program tuberkulosis (TB).

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Short Message Services tuberculosis (TB SMS) as a medium of community nursing intervention succeeded in developing the specialist community nursing practice residency at strengthening TB bullying support group. Diintergasikan Model of Community as Partner, Family Center Nursing, Health Belief Model framework for problem solving into the management of the nursing service, nursing care families and communities.

The results showed improvement interventions Case Detection Rate (CDR) in the Village Cisalak market rose 20%. 14.2% Increased client knowledge, skills 23.1%, and 19.0% attitude. While 45.6% increase in the cadre of knowledge, skills, 46.5%, and 10% attitude. There is an increase of 60% kemandiran III and IV kemandiaran by 40%. SMS Media TB will be followed by efforts to strengthen PHC through health promotion program of tuberculosis (TB)."

"Penanggulangan TB menjadi kompleks saat klien sudah resisten terhadap obat TB. Perawat puskesmas memiliki peran penting dalam merawat klien TB MDR. Penelitian ini bertujuan menggambarkan arti dan makna pengalaman merawat klien TB MDR di Puskesmas Wilayah Jakarta Timur. Disain fenomenologi deskriptif digunakan untuk mengeksplorasi pengalaman partisipan. Analisis data dengan teknik Collaizi menghasilkan 12 tema: perawat memahami TB MDR, mampu bersikap profesional, berkontribusi aktif, peran provider, konselor, pendidik, non keperawatan, ketidakpatuhan klien, tidak adekuatnya sarana dan prasarana, perawat mendapatkan dan tidak mendapat dukungan, keinginan mendapatkan perlindungan diri, dan meningkatkan pelayanan. Kesimpulan penelitian, perawat mampu bersikap profesional dalam merawat klien TB MDR.

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TB control becomes complex when the client is resistant to TB drugs. Nurses have an important role in treating MDR TB clients. This study aims to describe the meaning and significance of experience treating MDR TB clients in East Jakarta Region. A descriptive phenomenology design was applied with the Collaizi techniques data analysis. It produces 12 themes: nurses understand MDR TB, professional, actively contributing, role providers, counselors, educators, non-nursing role, client noncompliance, inadequate infrastructure, and nurses get or no support, desire for self protection, and improve service. In conclusion nurses were able to be professional in treating MDR TB clients."

"[ABSTRAKTuberkulosis (TB) masih menjadi masalah kesehatan di Indonesia. Angka deteksi kasus Kota Depok yang masih rendah (57,52%) pada tahun 2013 membuat Pemerintah Kota Depok mendeklarasikan Gertak TB. Perawat memberikan pelayanan TB dengan menggunakan strategi pemberdayaan kader Gertak TB agar masyarakat dapat melakukan pemantauan kasus TB di lingkungannya secara mandiri. Kegiatan yang dilakukan adalah deteksi kasus dan pengawasan menelan obat pada pasien TB. Gertak TB melibatkan 16 orang kader. Keluarga yang diawasi menelan obat sebanyak 10 keluarga. Hasil dari kegiatan Gertak TB didapatkan suspek 158 orang, diantaranya 17 orang dilakukan pemeriksaan BTA, dan 10 orang dinyatakan positif TB paru. Kepatuhan menelan obat pada pasien TB yang telah selesai pengobatan mencapai 100%. Kegiatan Gertak TB perlu dilakukan oleh kader dengan berkoordinasi dengan pengelola program TB.

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ABSTRACTPulmonary Tuberculosis (TB) remains a public health problem in Indonesia. In 2013 Case Detection Rate (CDR) in Depok was low (57,52%), urging the Depok Government declared Gertak TB. The nurse provided TB service by empowering community, to build surveillance system in their own community. The activities of Gertak TB were case detection and observation TB patients treatment. Gertak TB involved 16 cadres. The families whom were observed TB treatment were 10. The results were 158 persons TB suspected, seventeen of them undertook the screening, and ten of them were positive to smear sputum. The treatment adherence of TB patients were 100%. Gertak TB is needed to be promoted by cadre by coordinating with TB nurse in primary health care service delivery., Pulmonary Tuberculosis (TB) remains a public health problem in Indonesia. In 2013 Case Detection Rate (CDR) in Depok was low (57,52%), urging the Depok Government declared Gertak TB. The nurse provided TB service by empowering community, to build surveillance system in their own community. The activities of Gertak TB were case detection and observation TB patients treatment. Gertak TB involved 16 cadres. The families whom were observed TB treatment were 10. The results were 158 persons TB suspected, seventeen of them undertook the screening, and ten of them were positive to smear sputum. The treatment adherence of TB patients were 100%. Gertak TB is needed to be promoted by cadre by coordinating with TB nurse in primary health care service delivery.]"

"Tuberkulosis TB paru merupakan salah satu penyakit infeksi paru menular yang hingga saat ini masih menjadi perhatian. Penyakit TB paru merupakan salah satu penyakit yang masih menimbulkan stigma di masyarakat. Stigma yang ada akan menghambat program pengendalian TB dan meningkatkan risiko penularan, sehingga dibutuhkan suatu intervensi. Intervensi keperawatan dapat dilakukan ditatanan keluarga maupun komunitas melalui asuhan keperawatan. Karya ilmiah akhir ini bertujuan untuk mengetahui gambaran pelaksanaan asuhan keperawatan di keluarga melalui peningkatan peran keluarga maupun komunitas dengan membentuk kelompok pendukung Warga Peduli TB Wali TB untuk mencegah dan meminimalkan stigma TB. Hasil intervensi didapatkan peningkatan pengetahuan, sikap, dan keterampilan keluarga maupun masyarakat terkait TB dan penurunan stigma TB di keluarga serta masyarakat. Peningkatan peran keluarga dalam memberikan dukungan bagi klien TB dan adanya kelompok pendukung berupa Wali TB merupakan salah satu intervensi yang dapat dilakukan dalam mencegah dan meminimalkan stigma TB.

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Pulmonary tuberculosis is a contagious lung infection disease that still becomes public concern. Pulmonary tuberculosis poses stigma in the community. Stigma will inhibit TB control programs and increase the risk of transmission. Therefore, it needs interventions. Nursing interventions can be provided to family and community settings through nursing care. This study aims to portrait the implementation of nursing care in the family through increasing the role of family and community. It was done by forming a support group of TB as namely Community Care for Tuberculosis Wali TB to prevent and minimize TB stigma. The result showed that increasing the role of family and community by Wali TB able to increase knowledge, attitude, and skill of family and community related to TB and decrease of TB stigma within family and community. Increasing the role of the family in providing support for TB clients and the presence of Wali TB are nursing interventions that can be done in preventing and minimizing TB stigma."

"Remaja merupakan kelompok berisiko terhadap masalah yang berhubungan dengan kesehatan reproduksi Mudahnya paparan media pornografi dan kurangnya layanan kesehatan reproduksi di sekolah menyebabkan terjadinya perilaku hubungan seksual pranikah terus meningkat Perawat Spesialis Komunitas mempunyai peran untuk mencegah terjadinya masalah tersebut Karya Ilmiah Akhir ini bertujuan memberikan gambaran konseling kesehatan reproduksi berbasis IT KB IT sebagai bentuk intervensi keperawatan komunitas untuk meningkatkan kesehatan reproduksi remaja di SMP F Kelurahan Cisalak Pasar.Hasil kegiatan menunjukkan peningkatan pengetahuan sebesar 27 7 sikap 4 7 dan praktik 4 Rerata 90 siswa menyatakan KB IT bermanfaat KB IT dapat diaplikasikan dalam upaya pencegahan masalah kesehatan reproduksi di sekolah KB IT disarankan menjadi program pengembangan dan pembinaan pihak sekolah puskesmas dan dinas kesehatan Kata Kunci KB IT Remaja Kesehatan reproduksi Keperawatan Komunitas Daftar Pustaka 108 1956 ndash 2012.

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The youth is at risk aggregate for problems related to reproductive health Easy exposure to pornography media and lack of reproductive health services in school lead to increase premarital sexual behavior Community Specialist nurses have role to prevent such problems This final scientific paper aims to provide an overview of IT based counseling on reproductive health as a form of community nursing intervention to improve the adolescents rsquo reproductive health at F Junior High School Cisalak Pasar.The results show an increasing trend by 27 7 for knowledge activities 4 7 for attitude and 4 for practice The mean 90 of students stated they got benefits from KB IT To conclude KB IT can be applied to prevent reproductive health issues in schools Furthermore KB IT is suggested to be development program and coaching by school Community Health Center and district health office."

"Remaja merupakan kelompok berisiko terhadap masalah yang berhubungan dengan kesehatan reproduksi. Perawat Spesialis Komunitas mempunyai peran untuk mencegah terjadinya masalah tersebut. Karya Ilmiah Akhir ini bertujuan memberikan gambaran konseling kesehatan reproduksi berbasis IT (KB-IT) sebagai bentuk intervensi keperawatan komunitas untuk meningkatkan kesehatan reproduksi remaja di SMP F Kelurahan Cisalak Pasar. Hasil kegiatan menunjukkan peningkatan pengetahuan sebesar 27,7 %; sikap 4,7 %; dan praktik 4%. Rerata 90% siswa menyatakan KB-IT bermanfaat. KB-IT dapat diaplikasikan dalam upaya pencegahan masalah kesehatan reproduksi di sekolah. KB-IT disarankan menjadi program pengembangan dan pembinaan pihak sekolah, puskesmas dan dinas kesehatan.

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The youth is at risk aggregate for problems related to reproductive health. Community Specialist nurses have role to prevent such problems. This final scientific paper aims to provide an overview of IT-based counseling on reproductive health as a form of community nursing intervention to improve the adolescents’ reproductive health at F Junior High School, Cisalak Pasar. The results show an increasing trend by 27.7% for knowledge activities; 4.7% for attitude and 4% for practice. The mean 90% of students stated they got benefits from KB-IT. To conclude, KB-IT can be applied to prevent reproductive health issues in schools. Furthermore, KB-IT is suggested to be development program and coaching by school, Community Health Center and district health office."

"Salam aktif yang dimodifikasi merupakan bentuk intervensi keperawatan komunitas untuk menurunkan hipertensi lansia yang dapat dilanjutkan keluarga dan masyarakat melalui kepung tensi. Penulisan bertujuan memberikan gambaran pelaksanaan salam aktif dalam pelayanan dan asuhan keperawatan komunitas melalui integrasi CAP, FCN, konsekuensi fungsional, dan manajemen pada lansia dengan hipertensi di Kelurahan Cisalak Pasar. Hasil peningkatan perilaku pada 19 kader yaitu pengetahuan 82,89; sikap 82,46; 47,4% sangat baik dan 52,6% baik melakukan salam aktif; dari 10 keluarga 80% mandiri tingkat IV dan 20% tingkat III; 73 lansia pengetahuan 80,04; keterampilan 53,9; sikap 79,77; penurunan tekanan darah tinggi dan melakukan salam aktif secara mandiri.

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The modified 'Salam Aktif' is a community nursing intervention to reduce hypertension elderly which can be continued by families and communities through the 'kepung tensi' This study aimed to provide an overview of the implementation of the 'Salam Aktif' in management and community health care nursing through the integration of the CAP FCN functional consequences and management theory of hypertension in the elderly with Cisalak Pasar Village It resulted 19 cadres have increased the behavior of knowledge 82 89 attitude 82 46 and very good 47 4 and good 52 6 conduct 'Salam Aktif' than 10 families independent level IV 80 and level I 20 73 elderly knowledge 80 04 skills 53 9 attitude 79 77 lowering high blood pressure and performa."

"Upaya deteksi dan pencegahan dini di keluarga menjadi salah peran perawat spesialis komunitas untuk mengatasi permasalahan diare balita. Karya Ilmiah Akhir ini bertujuan untuk menggambarkan kegiatan Kelompok Pendukung Sanitasi Anak Keluarga dan Area (SAKA) dalam pencegahan diare balita. SAKA merupakan integrasi dari program pencegahan diare yang sudah ada yaitu LINTAS diare dan Sanitation and Family Education (SAFE). Hasil p value 0.000 menunjukkan ada hubungan antara perilaku keluarga dalam penerapan SAKA terhadap penurunan angka kejadian diare balita di Kelurahan Cisalak Pasar. Kegiatan Kelompok Pendukung SAKA disarankan dilaksanakan sebagai upaya pemberantasan penyakit menular oleh Puskesmas dan Dinas Kesehatan karena efektif mengendalikan diare.

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Early detection and prevention efforts in the family became one of the role of specialist community nurses to overcome the problems of toddlers diarrhea. This final scientific paper aims to describe support group activities of Children-Family-Neighborhood-Sanitation (CFNS) in the prevention of diarrhea in toddlers. CFNS is an integration of diarrhea prevention program uses existing LINTAS diarrhea and Sanitation and Family Education (SAFE). The result shows there is no relationship between family behavior in SFNS implementation to the decrease of diarrhea incidence among under five children at Cisalak Pasar (p value= 0.000). CFNS support group is suggested activities to be implemented."

"Kontrol TB merupakan intervensi keperawatan keluarga yang bertujuan untuk meningkatkan kesembuhan tuberculosis. Intervensi ini dilakukan melalui kelompok pendukung KKP-TB. Tujuan dari penulisan ini untuk melihat pengaruh pelaksanaan Kontrol TB melalui integrasi CAP, FCN dan manajemen pada kelompok dewasa tuberculosis di kelurahan Curug. Hasil intervensi menunjukkan peningkatan angka penemuan kasus dan angka kesembuhan pasien TB. Peningkatan pengetahuan anggota KKP-TB melaksanakan Kontrol TB 11,2% dan sikap 5,6%. Keterampilan KKP-TB melakukan edukasi dengan rerata 23,5 dan keterampilan deteksi kasus serta rujukan dengan rerata 15,4. Intervensi Kontrol TB dapat diterapkan di puskesmas melalui upaya penguatan promosi kesehatan pada program TB.

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Kontrol TB is a family nursing intervention that aims to improve the tuberculosis recovery. This intervention was done by a support groups named KKP-TB. The purpose of this paper was to look at the effect of the implementation of the Kontrol TB through the integration of the CAP, FCN and management of tuberculosis in the adult population in Curug Village. The results of the intervention showed an increase in case detection rate and cure rate of TB patients. The increase of the knowledge of KKP-TB members to implement Kontrol TB was 11.2% and the attitude was 5.6%. The skills of KKP-TB to provide educatation was at the mean= 23.5 and a case detection and referral skills were at the mean of=15.4. Kontrol TB interventions can be applied in health centers through health promotion efforts to strengthen tuberculosis eradication programs."

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Prevalensi kasus hipertensi terus bertambah seiring meningkatnya populasi lansia di wilayah perkotaan. Salah satu intervensi keperawatan yang dapat menurunkan tekanan darah yaitu terapi masase dan relaksasi napas dalam. Pelibatan keluarga dalam pemberian asuhan keperawatan merupakan sistem pendukung dasar utama bagi lansia dalam mempertahankan status kesehatannya. Studi kasus ini bertujuan untuk menggambarkan hasil intervensi keperawatan keluarga Bapak A dengan hipertensi melalui terapi masase dan relaksasi napas dalam terhadap perubahan tekanan darah. Intervensi dilakukan 10 kali dengan 2 kali dalam seminggu selama 6 minggu dengan durasi 15 menit. Hasil menunjukkan penurunan sistolik sekitar 5 – 15mmHg dan 15 – 20 mmHg pada diastolik. Hasil pengukuran tekanan darah dianalisis dengan Paired Sample T-Test menunjukkan adanya pengaruh signifikan antara terapi masase dan relaksasi napas dalam dengan penurunan tekanan darah saat sebelum dan sesudah intervensi (p value = 0,000). Terapi masase dan relaksasi napas dalam dapat dilakukan sebagai upaya preventif pencegahan komplikasi kardiovaskular terutama keluarga lansia dengan hipertensi.

 

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Massage Therapy and Deep Breathing Relaxation as Nursing Intervention to Maintain and Decreaing Blood Pressure in Hypertension. The enhancement prevalence of hypertension cases continues as the elderly population increased in urban areas. Family involvement in nursing care is the main basic support system for the elderly to maintain their health status. This case study aims to describe the results of massage therapy and deep breath relaxation in changing blood pressure which conducted in the elderly family with hypertension. This intervention performed 10 session in 2 times a week within 6 weeks in 15 minutes duration. The results showed the blood pressure has decreased, in systolic around 5 - 15mmHg and 15 - 20mmHg in diastolic. Blood pressure measurement results has been analyzed by Paired Sample T-Test, showed a significant effect between massage therapy and deep breath relaxation in decreasing blood pressure before and after the intervention (p value = 0,000). Massage therapy and deep breathing relaxation could be applied to maintain and decreasing blood pressure to prevent cardiovascular complications especially in elderly families

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