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"Kerusakan lingkungan yang terjadi di area perkotaan dapat memicu munculnya berbagai masalah kesehatan. Salah satu masalah kesehatan yang berisiko lebih tinggi terjadi di perkotaan adalah Systemic Lupus Erythematosus SLE . SLE dapat menimbulkan masalah psikososial, salah satunya ketidakberdayaan. SLE juga dapat memengaruhi hubungan pasien dengan keluarga atau pun orang terdekatnya. Karya Ilmiah Akhir Ners ini berutjuan untuk menggambarkan asuhan keperawatan dengan masalah ketidakberdayaan pada pasien dan keluarga pasien dengan SLE. Penulis melakukan asuhan keperawatan yang berfokus pada ketidakberdayaan dan penurunan koping keluarga selama delapan hari. Hasil evaluasi menunjukkan bahwa tanda dan gejala ketidakberdayaan pada pasien sudah berkurang. Namun, kondisi penyakit Bapak S yang memburuk menyebabkan masalah tersebut muncul kembali. Di sisi lain, keluarga pasien sudah lebih mampu dalam merawat pasien.

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Environmental damage in urban areas may cause many health problems. One of health problems which have higher risk to develop in urban areas is Systemic Lupus Erythematosus SLE . SLE may induce psychosocial problems, such as powerlessness. The aim of this paper was to describe nursing care of powerlessness in family and patient with SLE. Author conducted a nursing care which focused on powerlessness and compromised family coping problems for eight days. The evaluation result showed that sign and symptom of powerlessness in patient has decreased. However, the deterioration of patient rsquo;s health conditions causes the powerlessness signs to reappear. On the other hand, patient rsquo;s family already capable of taking cares of the patient."

"Strategi koping keluarga merupakan perilaku keluarga mengatasi masalah kesehatan dalam keluarga. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik dan strategi koping keluarga dengan perawatan hipertensi oleh lansia. Penelitian menggunakan pendekatan desain deskriptif korelasi. Besar sampel 136 keluarga dengan lansia hipertensi, dipilih secara proportional cluster sampling.Hasil penelitian menunjukkan strategi koping keluarga (hubungan/kebersamaan keluarga; kognitif; komunikasi; dukungan sosial; dan dukungan spiritual) berhubungan secara bermakna dengan perawatan hipertensi oleh lansia. Dukungan sosial merupakan strategi koping yang paling dominan. Penelitian ini merekomendasikan perlu dilaksanakannya promosi kesehatan, pemberdayaan keluarga, pembentukan support group dan pemberdayaan masyarakat dengan pelibatan kader dalam meningkatkan perawatan hipertensi pada lansia.

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Family behaviors in addressing family members? health problems are known as family coping strategies. The study purposes to determine the relationship of family characteristics and coping strategies with hypertension treatment by the elderly. A descriptive correlation design applied to136 families with elderly hypertensive that chosen by proportional cluster sampling.The results indicate relationship/family togetherness; cognitive; communication, social support and spiritual support were significantly associated with the treatment of hypertension by elderly. The most dominant coping strategy is a social support. The study results recommend a provision of health promotion; family empowerment; family support group and empowering health volunteers are needed."

"ABSTRAKKeluarga dengan anak retardasi mental di Kabupaten Sumedang sekitar 10.898 orangdari 1.089.889 penduduk di Kabupaten Sumedang, dan yang tercatat di SLB-Csekabupaten sumedang hanya 218 orang. Tujuan penelitian ini adalah Memperolehgambaran tentang pengaruh pelaksanaan terapi Self-Help Groups terhadap kopingkeluarga dengan anak Retardasi mental di SLB-C Kabupaten Sumedang tahun 2009sehingga dapat mengurangi faktor resiko terjadinya gangguan. Metode penelitianadalah adalah ”Quasi experimental pre-post test with control group” denganintervensi self help group. Cara pengambilan sampel adalah purposive samplingdengan sampel sebanyak 22 keluarga . Alat pengumpulan data menggunakankuesioner karakteristik keluarga dan kuesioner koping keluarga. Self help groupdilakukan pada dua kelompok; kelompok I diberikan self help group dengan enamkali pertemuan (empat kali bimbingan dan dua kali mandiri), kelompok IItidak diberikan self help group. Analisa data menggunakan univariat denganmenganalisa secara deskriptif dengan menghitung distribusi frekuensi dan sentraltendensi. Analisa Bivariat menggunakan Independent sample t-test, Chi-Square danDependent sample t-test. Multivariat menggunakan pearson product moment danRank spearman. Hasil penelitian menunjukkan peningkatan kemampuan kopingsetelah self-help group pada keluarga dengan anak retardasi mental secara bermaknadan terjadi perubahan dari koping maladaptif menjadi adaptif (p value = 0,000). Padakelompok yang hanya diberikan terapi generalis terjadi juga peningkatan kemampuankoping keluarga dengan anak retardasi mental tetapi peningkatan tersebut masihberada di koping maladaptif. Direkomendasikan untuk membentuk kelompok selfhelpgroup lainnya di lingkungan SLB-C.

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ABSTRACTFamily and children with mental retardation at Sumedang district are almost 10.898people of 1.089.889 population at Sumedang district, and they are only 218 peoplewhich recorded at SLB-C of Sumedang district. This study purpose to find describingthe effect of implementing Self Help Groups therapy toward coping family andchildren with mental retardation at SLB-C of Sumedang District in 2009 so it candecrease risk factors of disturbance occur. This study used design of quasiexperimental pre-post test with control group by self help group intervention. Thisstudy used a purposive sampling on getting samples by 22 families as samples. Theequipment on collecting data using questionares of family characteristic and familycoping. Self help group has been done for two groups where the first group was givenself help group for six times of meeting (four times for guiding and two times forstanding alone), while the second group was given self help group. Analized dataused univariate by analizing as descriptive by calculating frequency distribution andcentral tendency. Bivariate analysis used Independent sample t-test, Chi-Square andDependent sample t-test. Multivariate analysis used pearson product moment andrank spearman. Study result indicated improvement the abilities of coping family andchildren with mental retardation as means (p value = 0,000). It was recommended tobuild and implementing self help group for family who had children with mentalretardation.Family and children with mental retardation at Sumedang district are almost 10.898 people of 1.089.889 population at Sumedang district, and they are only 218 people which recorded at SLB-C of Sumedang district. This study purpose to find describing the effect of implementing Self Help Groups therapy toward coping family and children with mental retardation at SLB-C of Sumedang District in 2009 so it can decrease risk factors of disturbance occur. This study used design of quasi experimental pre-post test with control group by self help group intervention. This study used a purposive sampling on getting samples by 22 families as samples. The equipment on collecting data using questionares of family characteristic and family coping. Self help group has been done for two groups where the first group was given self help group for six times of meeting (four times for guiding and two times for standing alone), while the second group was given self help group. Analized data used univariate by analizing as descriptive by calculating frequency distribution and central tendency. Bivariate analysis used Independent sample t-test, Chi-Square and Dependent sample t-test. Multivariate analysis used pearson product moment and rank spearman. Study result indicated improvement the abilities of coping family and children with mental retardation as means (p value = 0,000). It was recommended to build and implementing self help group for family who had children with mental retardation."

"Depresi pada lansia yang tidak ditangani secara optimal dapat menurunkan kualitas hidup lansia dan menambah beban bagi keluarga yang merawat lansia. Strategi koping keluarga merupakan perilaku keluarga dalam mengatasi masalah kesehatan anggota keluarga. Tujuan penelitian ini adalah untuk mengetahui gambaran strategi koping keluarga dalam merawat lansia depresi. Sampel penelitian adalah 55 pelaku rawat utama lansia depresi yang berada di Kelurahan Mekarjaya Kecamatan Sukmajaya Kota Depok. Jenis penelitian ini adalah cross sectional dengan metode purposive sampling. Hasil penelitian menunjukkan 50,9% pelaku rawat lansia depresi menggunakan strategi koping keluarga dengan efektif. Penelitian ini diharapkan dapat berguna untuk pengembangan ilmu keperawatan ke depannya terkait intervensi self help group bagi pelaku rawat lansia depresi. Selain itu, penelitian selanjutnya diharapkan mampu melihat hubungan antara strategi koping dengan karakteristik keluarga.

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Depression in the elderly is not handled optimally can reduce the quality of life of the elderly and increase the burden for families who care for the elderly. Family coping strategy is the behavior of the family in addressing the health problems of family members.

The purpose of this study is to describe the family coping strategies in treating elderly depression. Samples are 55 primary caregivers of elderly depression are located in the Village Mekarjaya Sukmajaya District of Depok. This type of research is cross sectional with purposive sampling method.

The results showed 50.9% of elderly depressed caregivers use family coping strategies effectively. This research is expected to be useful for the future development of nursing interventions related self help group for caregivers of elderly depression. In addition, further research is expected to look at the relationship between coping strategies with family characteristics."

"Beban keluarga adalah respon yang muncul pada keluarga yang memiliki anak tuna grahita. Beban keluarga dipengaruhi oleh koping keluarga dan fungsi keluarga. Tujuan penelitian adalah mengetahui Hubungan Koping Keluarga Dan Fungsi Keluarga Dengan Beban Keluarga Pada Keluarga Yang Memiliki Anak Tuna Grahita Di Yayasan Pendidikan Luar Biasa Kabupaten Demak.Desain penelitian ini adalah deskriptif korelasional,dengan pendekatan cross sectional. Sampel berjumlah 77 orang.Hasil bivariat menunjukkan adanya hubungan antara koping keluarga, fungsi keluarga, dan beban keluarga, dan pada analisis regresi berganda menghasilkan koping kelarga merupakan faktor yang paling mempengaruhi beban keluarga. Koping keluarga dapat meningkatkan fungsi keluarga, dan diharapkan saat fungsi keluarga baik maka beban keluarga akan berkurang. Perlu adanya tindakan untuk keluarga dalam mengurangi beban perawatan anak tunagrahita dengan peningkatan koping keluarga dan fungsi keluarga salah satunya melalui psikoedukasi keluarga.

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Family burden was a respon in a family with cognitive retardation child. There were many factors affecting the level of family burden including family coping and family function. This study aimed to reveral the relation of family coping and family function towards family burden on family with cognitive retardation children especially at disabilities education foundation, Demak District. The design of the research was corelational descriptive with cross sectional approach. Sample 77 persons.

The result of the research concluded that there was the relation between family function, family coping, and family burden, and Multiple regression analysis showed that there was the significant relation between family coping and family burden. Family burden could be reduced through enhancement of coping ability and family function. It was necessary to empower the family in order to reduce caring burden of cognitive retardation children through enhancement of coping ability and family function with family psychoeducation."

"Karya Ilmiah Akhir ini bertujuan menganalisis pelaksanaan aplikasi manajemen asuhan keperawatan pada keluarga dengan koping inefektif melalui pendekatan model adaptasi Roy di Ruang Arimbi Rumah Sakit Dr. H. Marzoeki Mahdi Bogor. Terapi psikoedukasi keluarga dan terapi keluarga triangles diberikan kepada 8 keluarga. Hasil yang ditemukan adalah bahwa terapi psikoedukasi keluarga dan terapi kelompok triangles efektif untuk meningkatkan koping keluarga. Terapi psikoedukasi keluarga dan terapi keluarga triangles direkomendasikan sebagai terapi spesialis keperawatan pada keluarga dengan koping inefektif. ......This study aims to analyze the implementation of nursing care management applications on to the family with inefective coping using Roy adaptation model approach at Arimbi ward Dr. H. Marzoeki Mahdi Hospital in Bogor. Family psychoeducation therapy and triangles therapy provided to 8 families. The results of Family psychoeducation therapy and triangles therapy were found effective to increasing family coping. Family psycho education therapy and triangles therapy are recommended as therapy of nursing specialist at the family with ineffective coping."