Hasil Pencarian  ::  Simpan CSV :: Kembali

"Caregiver keluarga memegang peranan penting dalam perawatan pasien kanker stadium lanjut yang mengalami masalah akibat kanker dan terapinya. Penelitian bertujuan menggali pengalaman caregiver dalam konteks perawatan. Metode penelitian kualitatif dengan pendekatan fenomenologi deskriptif. Pengumpulan data dengan wawancara mendalam pada 5 partisipan sesuai kriteria inklusi. Temuan memberikan 7 tema utama, yaitu: reaksi caregiver saat mengetahui diagnosa kanker stadium lanjut, pemahaman caregiver tentang kanker, caregiver peran yang melelahkan, caring pada pasien kanker stadium lanjut, mendampingi pasien berobat, beban caregiver pasien kanker, harapan caregiver. Kesimpulan adanya pemahaman caregiver yang kurang dalam merawat pasien kanker mengakibatkan timbulnya distress akibat beban peran. Disarankan pemberian informasi edukasi kanker, kenyamanan caregiver sehingga dapat meningkatkan kualitas hidup pasien kanker stadium lanjut.

---

Family caregivers play an important role in the hospitalization of advanced cancer patient who experience problems due to cancer and its treatment. The study aimed to explore the experience of caregivers in helping patient during hospitalization. Qualitative research method with a descriptive phenomenological approach was used. Collecting data done by in-depth interviews on 5 participants according to inclusion criteria. The findings provided seven main themes, namely: caregiver's reaction confirmed advanced cancer diagnosis, caregiver understanding of cancer, a grueling caregiver role, caring for patients with advanced cancer, treatment with the patient, caregiver burden of a cancer patient, caregiver expectations. As the conclusion, lacking of understanding on caregiver in caring cancer patients has resulted in distress due to the burden of roles. Suggested providing cancer education information, caregiver convenience so as to improve the quality of life for patients with advanced cancer."

"Karya ilmiah akhir ini merupakan suatu analisis praktek residensi keperawatan medikal bedah, yang menganalisa kasus kelolaan utama kanker payudara, 30 kasus resume, Evidence Based Nursing (EBN), dan laporan inovasi. Pendekatan Peaceful End of Life Theory dalam pemberian asuhan keperawatan pada pasien kanker, bertujuan meningkatkan kualitas hidup pasien, bermartabat serta merasakan damai bersama orang yang disayangi menjelang akhir hidupnya. Hasil praktek menunjukkan teori PEOL sangat tepat digunakan pada pasien kanker stadium lanjut. EBN massage therapy mampu mengurangi kecemasan pada pasien kanker, sehingga dapat menjadi intervensi alternatif perawat. Inovasi tentang pengkajian subjektif Edmonton Symptom Assessment Scale (ESAS), yang terdiri dari gejala subjektif pasien, dengan grafik dan algoritmanya menuntun perawat menemukan keluhan gejala pasien sehingga menentukan intervensi yang tepat. Instrumen ESAS efektif untuk menilai gejala subjektif pasien, oleh karena itu masih perlu dikembangkan penggunaannya. Direkomendasikan agar penerapan PEOL lebih lanjut dalam asuhan keperawatan kasus kanker dengan stadium apa saja disertai penelitian terkait. Massage therapy perlu dieksplor lebih lanjut oleh perawat melalui pelatihan dengan area berbeda sehingga dapat digali efek massage terhadap gejala pasien lainnya.

---

This paper was an analysis of medical surgical nursing residence practice, analysing primary managed case on breast cancer, 30 resume cases, evidence based nursing, and inovation report. Peaceful End of Life Theory approach was used in nursing care of cancer patients, aiming to improve the quality of life of patients, dignity and at peace with loved ones near the end of his life. The results show the theoretical practice. The reslts showed PEOL can be implemented in patients with advanced cancer. EBN massage therap could reduce anxiety in cancer patients, thus become an alternative intervention for nursing. The inovation about Edmonton Symptom Assessment Scale (ESAS),which consist of patient's subjective symptoms, the graphic and its algorithm led nurses finding appropriate intervention. ESAS? instruments are effective in managing patient's subjective symptoms. It was recommended that PEOL and ESAS need to explore further in nursing care of cancer in any stages, with researches involved in. Massage therapy need to apply in nursing through practices in different area of the body so that can explore its effect on other symptoms."