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"Kinerja perawat dalam memberikan pelayanan keluarga berkontribusi bagi mutu pelayanan keperawatan, kepuasan keluarga merupakan indikator yang dapat digunakan dalam menilai kualitas pelayanan kunjungan rumah sebagai hasil kinerja tenaga keperawatan. Di Indonesia Kemandirian juga merupakan indikator keberhasilan pelayanan dari asuhan keperawatan, terutama pelayanan keperawatan di rumah. Penelitian bertujuan untuk mengetahui hubungan kinerja perawat dengan kepuasan dan kemandirian keluarga. Penelitian ini menggunakan metode cross sectional. Responden pada penelitian ini sebanyak 112 keluarga. Teknik sampling yang digunakan adalah cluster sampling. Analisa Data menggunakan Chi Square dan regresi logistik berganda. Hasil penelitian menunjukkan ada hubungan antara kinerja perawat dengan kepuasan p=0.000 , dan setelah dikontrol oleh variabel perancu umur OR = 0,143,CI;0,060-0,340. Selanjutnya ada hubungan antara kinerja perawat dengan kemandirian keluarga p=0.047 dan setelah dikontrol oleh variabel perancu pelatihan OR = 3,104,CI;1,181-8,156. Dapat disimpulkan hubungan kinerja dengan kepuasan dan kemandirian keluarga diperkuat dengan umur dan pelatihan yang pernah diikuti oleh perawat. Hasil ini memberikan rekomendasi optimalisasi penilaian kemandirian keluarga serta evaluasi untuk terus meningkatkan performa kerja perawat dalam melaksanakan kunjungan rumah/pelayanan berfokus pada keluarga.

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Nurse's performance in providing family services contribute to the quality of nursing care. Family satisfaction is also indicator that can be used in assessing the quality of services of home visits as a result of the performance of nursing professional. In Indonesia family independency also becomes an highlight indicator to be evaluated.

This study aimed to determine the correlation of nurses performance to family as client satisfaction and nurse's performances to family independency. This study used cross sectional study. Respondents in this study were 112 family. The sampling technique use cluster sampling technique. Statistical analysis used Chi Square and Multiple logistic regression.

The results showed that there were a significant correlation between the nurses performances to family satisfaction p 0.000, and after controlled by confounding age variables OR 0.143, CI 0.060 0.340 and a significant correlation between the nurses performances to family independency p 0.047, and then after controlled by confounding variables was training OR 3.104,CI 1.181 8.156.

It conclude, there are correlation between nurse performance to family satisfaction and family independency is strengthened by age and training who once followed by nurse's. These results recommend for optimalization independency, and nurses to improve the performance by using family focused care approach in services home visits."

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Rendahnya pengetahuan keluarga dan tidak adanya pengawasan dari petugas kesehatan pasca rawat inap, dapat menyebabkan anak mengalami berbagai masalah kesehatan dan berisiko untuk rawat ulang. Tujuan penelitian ini adalah  terbentuknya model asuhan keperawatan mandiri keluarga dengan anak balita pneumonia (ASTANIA) dan pengaruhnya terhadap  kemandirian keluarga dalam merawat anak balita dengan pneumonia. Penelitian ini menggunakan metode kualitatif dan kuantitatif melalui tiga tahapan; Tahap I yaitu mengidentifikasi kebutuhan keluarga dengan balita pneumonia melalui wawancara mendalam terhadap 10 orangtua anak dengan pneumonia yang dirawat di rumah sakit, data dianalisis secara tematik; Tahap II yaitu pengembangan model asuhan keperawatan mandiri keluarga dengan balita pneumonia berdasarkan hasil penelitian tahap I; Tahap III yaitu uji coba model ASTANIA, dengan metode quasi eksperimen pre-post test with control group terhadap 38 responden kelompok intervensi dan 38 responden kelompok kontrol. Hasil analisis data membuktikan bahwa setelah dilakukan intervensi selama tiga  bulan terjadi peningkatan perilaku (pengetahuan, persepsi dan keterampilan) dan kemandirian keluarga dalam merawat balita dengan pneumonia. Kesimpulan: Model ASTANIA berpengaruh pada perilaku dan tingkat kemandirian keluarga dengan balita pneumonia. Rekomendasi: perlunya  pelatihan bagi perawat di rumah sakit tentang perencanaan pulang yang terstruktur dan komprehensif khususnya pada balita dengan pneumonia dan perlunya komitmen perawat kesehatan masyarakat dalam memantau kesehatan balita pasca rawat melalui kunjungan rumah secara terjadwal untuk meningkatkan kemandirian keluarga dan mencegah terjadinya kekambuhan.

 

Kata Kunci: ASTANIA; Kemandirian keluarga; Anak dengan pneumonia; Perkesmas.

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Low family knowledge and lack of supervision from post-hospitalized health workers, can cause children to experience various health problems and in risk for re-admission. The purpose of this study is the establishment of a model of family independent care for children under five with pneumonia (ASTANIA) and its effect on family independence in caring for children under five with pneumonia. This research uses qualitative and quantitative methods through three stages; Phase I is identifying family needs of children with pneumonia through in-depth interviews with 10 parents of children with pneumonia who were hospitalized, the data were analyzed thematically; Phase II, namely the development of a model of family independent nursing care for children under five with pneumonia based on the results of the Phase I research; Phase III is the ASTANIA model trial, with a quasi-experimental method pre-post test with control group of 38 respondents in the intervention group and 38 respondents in the control group. The results of data analysis prove that after three months of intervention there has been an increase in behavior (knowledge, perception and skills) and family independence in caring for infants with pneumonia. Conclusion: The ASTANIA model influences the behavior and level of independence of families with children with pneumonia. Recommendations: the need for training for nurses in hospitals on structured and comprehensive discharge planning especially for children under five years with pneumonia and the need for community health nurse commitments in monitoring post-hospitalized chilcren health through scheduled home visits to increase family independence and prevent recurrence.

 

Keywords: ASTANIA; Family independence; Children with pneumonia; Public Relations.

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"Penyimpangan perilaku seksual remaja menimbulkan kehamilan remaja meningkat. Penelitian bertujuan mendapatkan gambaran hubungan tingkat kemandirian keluarga dalam pencegahan penyimpangan perilaku seksual remaja dengan kejadian kehamilan remaja. Desain penelitian descriptive correlational secara cross sectional. Responden 185 keluarga dengan anak remaja perempuan. menggunakan probability sampling. Hasil menunjukkan terdapat hubungan tingkat kemandirian keluarga memberikan kebebasan seimbang dan bertanggung jawab serta memelihara komunikasi terbuka dalam pencegahan penyimpangan perilaku seksual remaja dengan kejadian kehamilan remaja. Penelitian merekomendasikan perlu kebebasan seimbang dan bertanggungjawab serta komunikasi terbuka dalam keluarga untuk mencegah penyimpangan perilaku seksual remaja yang berdampak kehamilan remaja.

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The problem of sexual misbehavior has led to the increase in unwanted teenage pregnancy. This study aimed to the description of the relationships between the level of family independence and the prevention of adolescent sexual misbehavior with the incident of teenage pregnancy. The study cross sectional descriptive correlational design. A number of 185 families who have female teenager were involved in the study. The respondents were selected through probability sampling technique.

The results of this study indicate that there is a relationships between the level of independence of the family in the prevention of adolescent sexual misbehavior with the incidence of teenage pregnancy. This study recommends the need for a balanced and responsible freedom and open communication within the family to prevent deviation adolescent sexual behavior that could impact on teenage pregnancy."