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"ABSTRAKPreeklampsi postpartum sebagai salah satu komplikasi dalam masa postpartum dapat menyebabkan efek baik dari segi fisik maupun psikologis. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian pendidikan kesehatan ldquo;Sehati rdquo; terhadap kemampuan adaptasi fisiologis dan psikologis postpartum preeklampsi. Desain penelitian berupa kuasi eksperimen pretest posttest dengan kelompok kontrol pada 60 ibu postpartum preeklampsi di Kabupaten Banyumas dan Purbalingga. Pengambilan sampel menggunakan teknik consequtive sampling. Instrumen yang digunakan adalah kuesioner Postpartum Spesific Anxiety Scale PSAS dan kuesioner Multidimensional Scale of Perceived Sosial Support MSPSS . Hasil penelitian menunjukan bahwa terdapat perbedaan kemampuan adaptasi fisiologis dan psikologis yang bermakna antara sebelum dan sesudah intervensi p=0,039;p=0,007 . Kemampuan adaptasi fisiologis dan psikologis juga terdapat perbedaan yang bermakna antara kelompok intervensi dan kelompok kontrol setelah pemberian intervensi p=0,018;p=0,004 . Hasil regresi logistik menyatakan pendidikan kesehatan ldquo;Sehati rdquo; adalah faktor dominan yang mempengaruhi kemampuan fisiologis postpartum dengan nilai OR 5,114 95 CI:1,498-17,465 dan kemampuan psikologis postpartum dengan nilai OR 6,000 95 CI:1,890-19,043 . Diharapkan ibu postpartum preeklampsi mendapatkan pendidikan kesehatan ldquo;Sehati rdquo; untuk dapat mencapai kemampuan adaptasi fisiologis dan psikologis yang baik.

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ABSTRACTPostpartum mother with preeclampsia as one of the complications in the postpartum period that can cause both physical and psychological effects.This study aims to determine the effect of health education Sehati on physiological and psychological adaptation of postpartum preeklampsi. The study was a quasy experimental pre and posttest with control group design in 60 postpartum mothers in Banyumas and Purbalingga districts. Sample were choosen with consequtive sampling technique. The instrument are the Postpartum Specific Anxiety Scale PSAS questionnaire and the Multidimensional Scale of Perceived Social Support MSPSS questionnaire. The results showed that there were significant differences in physiological and psychological adaptation between before and after intervention p 0,039 p 0,007 . Physiological and psychological adaptation also found significant differences between the intervention group and the control group after intervention p 0.018 p 0.004 . The result of logistic regression states that health education Sehati has an effect on postpartum physiological adaptation with OR 5.114 95 CI 1,498 17,465 and on postpartum psychological adaptation with OR 6,000 95 CI 1,890 19,043 . It is expected that postpartum pre eclampsia received the health education with the Sehati to achieve good physiological and psychological adaptation. "

"ABSTRAKTujuan penelitian ini adalah untuk mengembangkan model perilaku adaptasi pasien penyakit ginjal kronis pre dialisis serta mengidentifikasi efektifitas model terhadap respon adaptasi fisiologi, perilaku adaptasi psikologi, pengetahuan dan sikap. Penelitian ini merupakan riset development yang dilakukan dalam dua tahap. Tahap satu mengidentifikasi masalah melalui penelitian kualitatif dengan pendekatan fenomenologi deskriptif tentang pengalaman hidup pasien dengan penyakit ginjal kronis pre dialisis, dilanjutkan membuat solusi dengan mengembangkan model perilaku adaptasi pasien penyakit ginjal kronis pre dialisis. Penelitian tahap dua quasi eksperimen dengan desain pre-test-post-test with control group untuk melihat efektifitas model pada 70 pasien penyakit ginjal kronis pre dialisis 38 orang kelompok intervensi dan 32 orang kelompok kontrol . Hasil penelitian tahap satu berupa buku model dan panduan implementasi, materi pembelajaran perilaku adaptasi untuk perawat pelaksana, serta booklet perilaku adaptasi untuk pasien penyakit ginjal kronis pre dialisis. Hasil penelitian tahap dua membuktikan kelompok intervensi memiliki respon adaptasi fisiologi, perilaku adaptasi psikologi, serta pengetahuan dan sikap yang lebih baik dibanding kelompok kontrol. Kesimpulan hasil penelitian ini adalah model perilaku adaptasi pasien penyakit ginjal kronis pre dialisis efektif terhadap respon adaptasi fisiologi, perilaku adaptasi psikologi, pengetahuan dan sikap. Saran melakukan sosialisasi model, advokasi ke unit terkait, aplikasi dalam asuhan keperawatan pada pasien penyakit ginjal kronis pre dialisis. Kata kunci: model perilaku adaptasi, respon adaptasi fisiologi, perilaku adaptasi psikologi, penyakit ginjal kronis pre dialisis

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ABSTRACTThe purpose of this study is to develop a model of adaptation behaviors for patients with chronic kidney disease pre dialysis and identify the effectiveness of the model towards physiological adaptation response, psychological adaptation behavior, knowledge and attitude of the patients. The study is a development research done in two stages. Stage one is identification of the issues through qualitative study according to descriptive phenomenology approach related to patients rsquo life experiences with chronic kidney disease pre dialysis, continued by the development of a model of adaptation behaviors for patients with chronic kidney disease pre dialysis as a solution to the issue. Stage two is a quasi experiment according to pre test post test with control group design to observe the effectiveness of the model in 70 patients with chronic kidney disease pre dialysis 38 subjects in the intervention group and 32 subjects in control group . The result of stage one study is a model book and implementation guideline, adaptation behaviors learning material for caregiver nurse and basic adaptation behaviors booklet for patients with chronic kidney disease pre dialysis. The result of stage two study proved that the intervention group has a physiological adaptation response, psychological adaptation behavior, knowledge and attitude better than the control group. In conclusion, the constructed model of adaptation behaviors for patients with chronic kidney disease pre dialysis is effective towards physiological adaptation response, psychological adaptation behavior, knowledge and attitude of the patients. Suggestions for model dissemination, advocacy to related units, application in nursing care in patients with chronic kidney disease pre dialysis. Keywords Model of adaptation behaviors, physiological adaptation response, psychological adaptation behavior, chronic kidney disease pre dialysis"