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"Pendahuluan: Nyeri kronik merupakan fenomena biopsikososial yang kompleks yang berlangsung lebih dari 3 hingga 6 bulan dengan intensitas nyeri yang persisten. Merupakan salah satu masalah kesehatan terbesar di dunia.. Hasil penelitian multisenter 14 Rumah Sakit pendidikan yang dilakukan Pokdi Nyeri PERDOSSI tahun 2002 didapatkan 4.456 kasus nyeri dimana 9,5% diantaranya adalah nyeri neuropatik. Nyeri neuropatik dikenal sebagai salah satu kumpulan gejala yang sulit diidentifikasi dengan tatalaksana yang suboptimal. Tujuan: Didapatkannya instrumen kuesioner painDETECT versi Indonesia yang valid dan reliabel. Metode: Penelitian dengan menggunakan studi validasi transkultural ISPOR disertai analisis validasi kriteria dan uji reliabilitas konsistensi internal dan tes retes secara guided interview menggunakan kuesioner painDETECT. Hasil: Didapatkan 150 sampel dengan nyeri kronik berdasarkan skor kuesioner painDETECT versi Indonesia, 75 pasien dengan nyeri nosiseptif, 42 pasein dengan nyeri campuran dan 33 pasien dengan nyeri neuropatik. Pada analisis validasi kriteria didapatkan korelasi tinggi dengan instrumen standar emas LANSS (r= 0,082,p<0,001), AUC 85,5%, sensitivitas 78,3% dan spesifisitas 78,7% dengan titik potong optimal ≥17. Pada uji reliabilitas konsistensi internal didapatkan nilai Alpha Cronbach 0,710 dan nilai reliabilitas tes retes 0,96. Simpulan: Didapatkannya kuesioner painDETECT versi Indonesia yang valid dan reliabel dengan nilai sensitivitas dan spesifisitas yang baik dalam menapis komponen nyeri neuropatik.

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Background: Chronic pain is a complex biospsychosocial phenomena. Pain that lasting more than 3 to 6 months with persistence intensity. Representing one of the biggest health problem in the world. Based on the results of a multicentre study in 14 Education Hospital, PERDOSSI Pain Study Group conducted in 2002 found 4,456 pain cases in which 9.5% were neuropathic pain. Whereas neuropathic pain is known as one of the hardest to overcome which are often missed identified and causing a suboptimal treatment.

Objective: To develop an Indonesian version of PainDETECT Questionnaire (PDQ-Ina) and assess its validity and reliability.

Methode: Using ISPOR transcultural validation study and criteria validation analysis followed with reliability internal consistency test and test retest based on PDQ guided interview.

Result: There were 150 subjects with chronic pain. Divided in to 3 types of group based on Indonesian version PDQ scoring, 75 patients having nociceptive pain, 42 were mixed pain and 33 patients having neuropathic pain. Within validation criteria analysis there were high correlation between PDQ-Ina with LANSS instrument as gold standard (r= 0,082,p<0,001), AUC 85,5%, sensitivity 78,3% and specificity 78,7% with the optimal cut off point ≥17. The reliability of internal consistency Cronbach’s Alpha value were 0,710 and the test retest realibility were 0,96.

Conclusion: The Indonesian version of the PDQ is a valid and reliable scale and have a good sensitivity and specificity to be used to determine neuropathic component of chronic pain."

"Penyakit ginjal kronik merupakan salah satu penyakit yang menjadi masalah di masyarakat perkotaan. Penyakit ginjal kronik menyebabkan beberapa komplikasi, salah satunya adalah anemia. Perawat berperan penting dalam pemberian edukasi untuk mencegah rehospitalisasi karena anemia kepada pasien penyakit ginjal kronik. Karya ilmiah ini bertujuan untuk memberikan gambaran asuhan keperawatan pada penyakit ginjal kronik, khususnya mengenai penerapan edukasi pasien untuk mencegah rehospitalisasi karena anemia pada penyakit ginjal kronik. Edukasi yang diberikan kepada pasien berupa penjelasan tentang anemia, perencanaan diet untuk anemia pada pasien ginjal kronik, medikasi, adaptasi toleransi aktivitas, dan waktu kontrol kesehatan. Pasien mampu mengenal masalah, memutuskan perawatan, dan bersedia melanjutkan perawatan.

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Chronic kidney disease (CKD) was the one of problem of urban health. Anemia was one of CKD's complications. Nurses had an important role to give education about how to prevent CKD patient's rehospitalization caused by anemia. This paper aimed to provide an overview of nursing care in chronic kidney disease, particularly regarding implementation of patient education to prevent rehospitalization because of anemia in chronic kidney disease. Patient got education about description of anemia, dietary planning for anemia in patients with chronic kidney, medication, how to increase tolerance adaptation, and schedule of health control. The patient was able to recognize the problem, deciding care, and are willing to continue treatment."

"PPola hidup merupakan salah satu penyebab terjadinya penyakit gagal ginjal kronik. Prilaku hidup tidak sehat di Masyarakat perkotaan di Indonesia sangat mempengaruhi terjadinya kasus gagal ginjal kronik. Hemodialisis adalah pengganti fungsi ginjal yang harus di jalani penderita gagal ginjal kronik seumur hidupnya, sehingga dapat menimbulkan stress dan kecemasan. Karya Ilmiah ini bertujuan untuk menganalisis intervensi terapi psikologis teknik relaksasi guided imagery mengurangi kecemasan pada penderita gagal ginjal kronik yang menjalani hemodialisis di Ruang Rawat IPD, Lantai 7 Zona A, RSUP Ciptomangunkusumo. Metodologi yang digunakan adalah metode studi kasus dan analisa penelitian yang telah ada. Hasil analisa yang didapat menunjukkan intervensi dengan guide imagery dapat menurunkan kecemasan. Teknik relaksasi adalah tindakan madiri perawat yang dapat diakukan kepada pasien yang mengalami masalah psikologis.

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Unhealthy Life style is one of the leading cause of chronic kidney disease (CKD) among urban citiziens. Hemodialysis acting as the replacement of kidney function is a life time treatment for patient with CKD and often leads to stress and anxiety. This report aims to analyze physichological therapy guided imagery to reduce anxiety in patient with CKD. The method uses in this reportare study case and analysis of existing studies. The analysis shows guided imagery can reduce stress. Relaxation technique is independent."

"Gagal Ginjal Kronik (GKK) merupakan salah satu masalah kesehatan yang terjadi di daerah perkotaan. Salah satu masalah yang dialami pasien GGK akibat tidak berfungsinya ginjal adalah masalah kelebihan cairan. Pengaturan pemasukan cairan akan mengurangi penambahan cairan di dalam tubuh di antara dua waktu hemodialisis (HD). Tujuan penulisan ini adalah untuk melakukan analisis evidence based mengenai pembatasan cairan dalam mengatasi masalah kelebihan volume cairan di antara dua waktu dialisis. Metode penulisan ini adalah studi kasus dan studi literatur. Pembatasan cairan pada pasien ini terbukti optimal dalam mengurangi risiko kelebihan cairan di antara dua waktu dialisis. Rekomendasi penulisan ini ialah agar perawat perlu mengajarkan pembatasan cairan kepada pasien GGK di antara dua waktu dialisis untuk mengatasi masalah kelebihan volume cairan.

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Chronic Kidney Disease (CKD) is one of prominent health problem in urban area. Fluid overload is one of problems in CKD. Arrangement of intake fluids will reduce fluids excess in the body inter-dialysis time. This aims to analyze evidence based practice of fluid restriction to treat fluid excess inter-dialysis time. Methode of this paper is case study and literature study The results showed that fluid restriction is optimal to reduce the risk of fluid excess inter-dialysis time. It's important for nurses to teach the patient about restriction to prevent overload/fluid excess in chronic kidney disease."

"Latar Belakang. Douleur Neuropathique 4 (DN4) merupakan kuesioner penilaian nyeri neuropatik dengan sensitivitas dan spesifisitas yang baik dalam berbagai bahasa. Penelitian ini bertujuan untuk melakukan uji validitas, reliabilitas, dan akurasi DN4 ke dalam Bahasa IndonesiaMetode. Dilakukan translasi dan adaptasi lintas budaya sesuai kaidah WHO, kemudian dilakukan uji validitas dan reliabilitas pengukuran sensitivitas dan spesifisitas skor DN4-Ina. Studi potong lintang dilakukan pada populasi pasien dengan nyeri kronik di poli saraf RSUPN Dr. Cipto Mangunkusumo mulai Juli-Desember 2023. Pengambilan sampel dilakukan dengan metode konsekutif sampling dan total 201 pasien memenuhi kriteria inklusi dan eksklusi. Data karakteristik demografi disajikan dalam bentuk tabel distribusi frekuensi. Analisis sensitivitas dan spesifisitas menggunakan tabel silang 2x2, dan kurva ROC. Sebanyak 79 pasien memiliki hasil pemeriksaan elektrofisiologi dan dibandingkan masing-masing dengan DN4 dan painDETECT. Semua analisis data menggunakan SPSS versi 25.0Hasil. Mayoritas subjek adalah perempuan (68,15%), dengan rerata usia 52,49+12,83 tahun, intensitas nyeri sedang (rerata NRS 4,67+1,93), dan durasi nyeri 13,23+4,17 bulan. Diagnosis terbanyak adalah radikulopati lumbal (35,32%), diikuti dengan polineuropati DM (15,42%), radikulopati servikal (10,94%), dan sindroma terowongan karpal (9,45%). Pada uji validitas DN4- Ina semua pertanyaan memiliki r-hitung lebih besar dibandingkan r-tabel (0,312). Hasil uji reliabilitas antar pemeriksa menggunakan intraclass correlation coefficient sebesar 0,99 dan Cronbach’s Alpha sebesar 0,746. Hasil sensitivitas 100% dan spesifisitas 83,17%. Saat DN4 dan painDETECT dibandingkan terhadap hasil elektrofisiologi, keduanya memiliki spesifisitas 100%, tetapi sensitivitas DN4 lebih unggul dibandingkan dengan painDETECT (90,32% vs 75,80%)Kesimpulan. Skor DN4-Ina valid, reliabel, dan memiliki akurasi baik untuk menilai nyeri neuropatik.

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Background. Douleur Neuropathique 4 (DN4) is a neuropathic pain assessment questionnaire with good sensitivity and specificity in various languages. This study aims to test the validity, reliability and accuracy of DN4 into Indonesian Language.

Methods. Translation and cross-cultural adaptation were carried out according to WHO rules, then validity and reliability tests were carried out to measure the sensitivity and specificity of the scores DN4-Ina. A cross-sectional study was conducted on a population of patients with chronic pain at the Neurology Clinic of RSUPN Dr. Cipto Mangunkusumo starting July-December 2023. Sample collection was carried out using the consecutive sampling method and a total of 201 patients met the inclusion and exclusion criteria. Demographic characteristic data is presented in the form of a frequency distribution table. Sensitivity and specificity analysis using a 2x2 cross table, and ROC curve. A total of 79 patients had electrophysiological examination results and were compared respectively with DN4 and painDETECT. All data analysis used SPSS version 25.0.

Results. The majority of subjects were female (68.15%), with a mean age of 52.49+12.83 years, moderate pain intensity (average NRS 4.67+1.93), and pain duration 13.23+4.17 months. The most common diagnosis was lumbar radiculopathy (35.32%), followed by DM polyneuropathy (15.42%), cervical radiculopathy (10.94%), and carpal tunnel syndrome (9.45%). In the DN4-Ina validity test, all questions had an r-count greater than the r-table (0.312). The results of the inter- examiner reliability test used an intraclass correlation coefficient of 0.99 and Cronbach's Alpha of 0.746. The sensitivity results were 100% and specificity 83.17%. When DN4 and painDETECT were compared to electrophysiological results, both had 100% specificity, but the sensitivity of DN4 was superior to painDETECT (90.32% vs 75.80%).

Conclusion. The DN4-Ina score is valid, reliable and has good accuracy for assessing neuropathic pain"

"The recent studies have concluded that older adults with declining health conditions tend to have a negative self perception of aging. On the other hand, social relationship of people nearby can improve self perceptions of aging. Therefore, the purpose of this study is to investigate the correlation between perceived social support and self-perception of aging in older adults with chronic illness. This study hypothesized that perceived social support correlates positively and significantly with self perception of aging. The Multidimensional Scale of Perceived Social Support (MSPSS) is used to measure perceived social support and Attitudes Toward Own Aging (ATOA) is used to measure self perception of aging. 127 older adults are involved in this study, consisting of 46 males (36,2%) and 81 females (63,8%). Based on statistical analysis using Pearson Correlation, it is found that perceived social support correlate positively and significantly with self perception of aging (r=0,250; n=127; p<0,01, one tailed).

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Beberapa penelitian terkini melihat bahwa lansia dengan kondisi kesehatan yang menurun cenderung memiliki persepsi negatif terhadap penuaan. Di sisi lain, adanya hubungan sosial dari orang terdekat dapat meningkatkan persepsi terhadap penuaan yang lebih positif. Oleh karena itu, penelitian ini bertujuan untuk mengetahui hubungan antara perceived social support dan self perception of aging pada lansia dengan penyakit kronis. Penelitian ini memiliki hipotesis bahwa perceived social support memiliki hubungan yang positif dan signifikan dengan self perception of aging. Pengukuran dilakukan dengan menggunakan alat ukur Multidimensional Scale of Perceived Social Support (MSPSS) untuk mengukur perceived social support dan Attitudes Toward Own Aging (ATOA) digunakan untuk mengukur self perception of aging. Penelitian ini melibatkan 127 lansia yang terdiri dari, 46 orang laki-laki (36,2%) dan 81 orang perempuan (63,8%). Berdasarkan pengolahan data menggunakan teknik statistik Pearson Correlation, ditemukan bahwa perceived social support berkorelasi positif dan signifikan dengan self perception of aging (r = 0,250; n = 127; p < 0,01, one tailed)."

"Penyakit kronik adalah masalah kesehatan yang terjadi selama lebih dari tiga bulan, yang mempengaruhi aktivitas anak, dan membutuhkan hospitalisasi yang lebih sering, dan perawatan kesehatan dirumah, Contoh dari penyakit kronik adalah penyakit jantung, kanker, penyakit respirasi kronik, gagal ginjal, dan diabetes. Kondisi keterbatasan aktivitas yang terjadi pada anak dengan penyakit kronik adalah seperti sesak saat beraktivitas atau kelemahan otot. Jika anak mengalami gangguan aktivitas maka istirahatnya juga akan terganggu. Tujuan dari penelitian ini adalah untuk menggambarkan aplikasi Self Care Deficit Nursing Theory (SCDNT) dalam melakukan asuhan keperawatan pada anak dengan penyakit kronik yang mengalami masalah pada aktivitas dan istirahat. Penelitian ini menggunakan metode studi kasus pada lima pasien anak yang mengalami masalah pada aktivitas dan istirahatnya. Hasil dari penelitian ini menunjukkan bahwa masalah keperawatan aktivitas dan istirahat seperti hambatan mobilitas fisik, intoleransi aktivitas, dan gangguan pola tidur, sudah teratasi. Namun ada beberapa yang belum teratasi tetapi sudah menunjukkan adanya perbaikan dari tingkat aktivitas dan kemandirian klien.

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Chronic illness is a health problem that occurs for more than three months, affecting the child’s activities, and require ore frequent hospitalization, and home health care. The examples of chronic illness are heart disease, cancer, chronic respiratory disease, renal failure, and diabetes. The conditions of limitation activity are activity limitations tightness on exertion or muscle weakness. If the activity of the child has impaired, the rest also be disrupted. The purpose of this studi is to describe the application of Self-Care Deficit Nursing Theory (SCDNT) to care the children with chronic illness who have problems in activity and rest. This study used case study method to five pediatric patients that have problems in activity and rest. The result of this study show that the nursing problem of activity and rest, such as physical mobility impaired, activity intolerance, and sleep pattern disruption, has been resolved. However there are some unresolved but has shown that an improvement of the activity and independence level of clients."

"Background: quality of life has been identified as the goal of therapy especially in patient with chronic disease such as type 2 diabetes mellitus. Quality of life measurement requires an instrument that was specifically developed in accordance with socio-cultural background of the measured population. The aim of this study was to adapt Asian Diabetes Quality of Life Questionnaire so it can be used in Indonesia as valid and reliable tool. Methods: Asian Diabetes Quality of Life Questionnaire was translated and adapted by group of experts, then validity and reliability tests were conducted on type 2 diabetes mellitus patients at Dr. Hasan Sadikin General Hospital, Bandung. Construct validity was analyzed using correlation test between score of each item and total score. Reliability was measured using test-retest method and internal consistency represented in Cronbach’s alpha score. Results: validity test showed significant correlation (p-value ≤0.05) between score of each item and total score across all domains with moderate to very strong correlation (r: 0.496-0.956). Reliability test using test-retest method showed no significant difference between Test I and II results (p-value >0.05) with very strong correlation (r: 0.830-0.975) and internal consistency yielded Cronbach’s alpha scores of ≥ 0.07 for all domains. Conclusion: Indonesian version of Asian DQOL is a valid and reliable tool to measure quality of life of type 2 diabetes mellitus patients."

"Latar belakang. Skala Inflammatory Neuropathy Cause and Treatment (INCAT) motorik dan sensorik merupakan skala penilaian keterbatasan aktivitas sehari-hari dan keluhan sensorik pada pasien CIDP. Penelitian ini bertujuan untuk melakukan uji validitas dan reliabilitas skala INCAT motorik dan sensorik ke dalam bahasa Indonesia.Metode. Dilakukan adaptasi dan translasi kultural sesuai kaidah WHO, kemudian dilakukan uji validitas dan reliabilitas skala INCAT versi bahasa Indonesia. Populasi penelitian ini adalah semua pasien dewasa dengan diagnosis CIDP yang dirawat maupun berobat rawat jalan di RSCM yang memenuhi kriteria inklusi.Hasil. Tiga puluh satu subjek memenuhi kriteria inklusi. Sebagian besar laki-laki (56,60%). Usia berkisar antara 21 tahun sampai 77 tahun, dengan prevalensi tertinggi usia < 60 tahun. Pada uji validitas INCAT motorik pertama memiliki nilai antara 0,850-0,875, pada pemeriksa kedua didapatkan nilai 0,844 sampai 0,913. Pada uji validitas INCAT sensorik pertama didapatkan nilai antara 0,769-0,866. Pemeriksaan kedua didapatkan nilai 0,759 sampai 0,866. Hasil uji reliabilitas internal INCAT motorik pertama mendapatkan nilai 0,639 dan kedua mendapatkan nilai 0,717. Reliabilitas eksternal INCAT motorik didapatkan nilai 0,652 . Uji reliabilitas internal INCAT sensorik pertama mendapatkan hasil 0,837-0,875, kedua mendapatkan hasil 0,833-0,890 . Reliabilitas eksternal mendapatkan hasil 0,631. Waktu yang diperlukan untuk melakukan pengisian kurang dari 10 menit.Kesimpulan. Skala INCAT motorik dan sensorik versi bahasa Indonesia valid dan reliabel dalam mengevaluasi keterbatasan aktivitas dan keluhan sensorik pada pasien CIDP.

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Introduction. The motor and sensory Inflammatory Neuropathy Cause and Treatment (INCAT) scale is a scale for assessing the limitations of daily activities and sensory complaints in CIDP patients. This study aims to test the validation and reliability of the motor and sensory INCAT scale into Indonesian languange.

Methods. Cultural adaptation and translation were carried out according to WHO rules, then the Indonesian version of the INCAT scale was tested for validity and reliability. The population of this study were all adult patients with a diagnosis of CIDP who were treated as well as outpatients at the RSCM who met the inclusion criteria.

Results. Thirty-one subjects met the inclusion criteria. Most of the men (56.60%). Age ranged from 21 years to 77 years, with the highest prevalence aged <60 years. In the first motor INCAT validity test, it has a value between 0.850-0.875, the second examiner gets a value of 0.844 to 0.913. In the first sensory INCAT validity test, values were obtained between 0.769-0.866. The second examination obtained a value of 0.759 to 0.866. The results of the first motor INCAT internal reliability test got a value of 0.639 and the second got a value of 0.717. External reliability of motor INCAT obtained a value of 0.652 . The first sensory INCAT internal reliability test got 0.837-0.875 results, the second got 0.833-0.890 results. External reliability results in 0.631. It takes less than 10 minutes to do the examination.

Conclussion. The Indonesian version of the motor and sensory INCAT scale is valid and reliable in evaluating activity limitations and sensory complaints in CIDP patients."