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Abstrak :
Perempuan yang mengalami KDRT hidup dalam situasi penuh konflik dan stress sehingga menimbulkan berbagai respon dan koping. Tujuan penelitian mengembangkan konsep tentang respon dan koping perempuan Bali yang mengalami KDRT dan faktor sosial budaya Bali yang mempengaruhinya di kecamatan Bebandem kabupaten Karangasem Bali. Desain penelitian ini adalah penelitian kualitatif dengan pendekatan Grounded Theory. Sepuluh partisipan dalam penelitian ini direkrut dengan tehnik teoritical sampling. Hasil penelitian menunjukan respon perempuan Bali yang mengalami KDRT adalah respon emosional dan respon kognitif. Partisipan menggunakan mekanisme koping adaptif dan maladaptif. Respon dan koping ini dipengaruhi oleh faktor internal, dukungan sosial serta peran dan posisi wanita Bali dalam rumah tangga/keluarga. Hasil penelitian memberikan gambaran kepada tenaga kesehatan agar dapat memberikan asuhan keperawatan klien KDRT dengan memperhatikan sosial budayanya.

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Women that experience an abuse will life in a conflict and stress situation so that there will be some responses and coping strategies. The aim of thesis research is to develop concept of response and coping that used by Balinese women the experience of domestic violence and the influence of Bali's social-culture in Karangasem Bali. The grounded theory method is used with 10 participants that selected by theoretical sampling. The results showed that the Balinnese women will response emotionally and cognitively, They use adaptive coping as well as maladaptif. This situation was strongly influenced by the value and social culture in Bali, same intemate dan social support. This research give an overview to the health provider to aware of social culture in providing care.

Abstrak :
Tuberkulosis (TB) membutuhkan pengobatan selama 6-9 bulan secara rutin melalui program Directly Observed Treatment Short Course (DOTS) dengan pengawasan secara langsung dari Pengawas Menelan Obat (PMO). Peneliti ingin melihat adanya hubungan antara peran PMO berdasarkan persepsi pasien dengan tingkat kepatuhan minum obat. Desain penelitian yang digunakan adalah deskriptif kuantitatif dengan pendekatan cross sectional. Sebanyak 129 responden di RSP Dr. M. Goenawan Partowidigdo dipilih berdasarkan teknik purposive sampling. Hasil analisis menggunakan uji chi-square didapatkan bahwa terdapat hubungan yang signifikan secara statistic antara persepsi pasien pada peran PMO dengan tingkat kepatuhan minum obat pada pasien TB (p < 0,05). Rumah sakit perlu melakukan follow-up secara berkala untuk menjaga kualitas dan kinerja PMO serta meningkatkan pengetahuan dan kesadaran pasien, terutama pentingnya pengobatan hingga tuntas. ......Tuberculosis (TB) needs 6-9 months of routine treatment through Directly Observed Treatment Short Course (DOTS) with direct supervision from drug swallowing supervisor (PMO). The researcher wanted to discover the relationship between PMO’s roles according to patient’s perception with the level of drug adherence. This research used cross-sectional descriptive quantitative design. Purposive sampling technique was chosen to select 129 respondents at Dr. M. Goenawan Partowidigdo Hospital. The result analysis using chi-square yielded a statistically significant relationship between patient’s perception of PMO’s role and the level of drug adherence (p < 0,05). Hospitals need to conduct routine follow-ups to maintain the quality and performance of PMO as well as increase patient’s knowledge and awareness, especially regarding the importance of drug adherence.

Abstrak :
Kanker payudara menempati posisi pertama kasus kanker terbanyak, dan juga merupakan penyumbang kematian akibat kanker pertama di Indonesia. Nyeri merupakan salah satu gejala yang paling sering, memberatkan dan menakutkan yang dihadapi oleh pasien kanker. Mekanisme koping merupakan upaya seseorang dalam menghadapi perubahan yang dialaminya atau beban tubuh yang ditanggungnya yang menyebabkan tubuhnya bereaksi secara tidak spesifik dengan menimbulkan stres. Metode penelitian ini bersifat kuantitatif dan jenis penelitian deskriptif. Jenis pengambilan sampel Non Probability Sampling dengan teknik Consecutive Sampling. Hasil penelitian menunjukkan metode penanggulangan nyeri pasif yang paling sering digunakan adalah worrying, resting, dan retreating. Koping nyeri aktif yang paling sering digunakan adalah distraction, pain transformation, dan reducing demands. Responden lebih sering menggunakan mekanisme koping religius yang positif dibandingkan yang negatif. Kesimpulannya responden penderita kanker payudara menggunakan berbagai strategi koping sesuai dengan kondisi yang dialaminya. ......Breast cancer occupies the first position in most cancer cases, and is also the first contributor to cancer deaths in Indonesia. Pain is one of the most frequent, burdensome and frightening symptoms that affects cancer patients. Coping mechanisms are a person's efforts to deal with the changes they experience or the body burden they bear which causes the body to react non- specifically by causing stress. This research method is quantitative and descriptive research type. The sampling type is Non Probability Sampling with the Consecutive Sampling technique. The results showed that the most frequently used passive pain management methods were worrying, resting, and retreating. The most frequently used active pain coping were distraction, pain transformation, and reducing demands. Respondents used positive religious coping mechanisms more often than negative ones. In conclusion, respondents with breast cancer used various coping strategies according to the conditions they experienced.

Abstrak :
Luka Bakar merupakan suatu kondisi dimana terjadi kerusakan integritas kulit yang dapat menimbulkan nyeri pada pasien. Perawatan luka yang dilakukan dapat menyebabkan nyeri ringan sampai berat. Dampak dari nyeri adalah pelepasan adrenalin yang berdampak pada peningkatan tekanan darah. Metode : menggunakan Quasi-experimental dengan Cross Over Design. Analisa data yang digunakan untuk data numerik skala nyeri pada kelompok kontrol dan intervensi menggunakan uji T berpasangan, sedangkan untuk tekanan darah pada responden yang tidak mendapatkan terapi musik dan yang mendapatkan terapi musik saat perawatan luka menggunakan uji Chi Square. Hasil : secara statistik terdapat perbedaan tingkat skala nyeri yang diberikan terapi musik saat perawatan luka dengan nyeri saat perawatan luka tanpa musik dengan (p=0,001), sedangkan untuk tekanan darah tidak ada pengaruh yang signifikan (p=0,057) . Simpulan : terapi musik dapat digunakan sebagai terapi penunjang saat dilakukan perawatan luka bakar.

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Burns is a condition where the skin has damage and cause pain in patients. Wound care can cause unpleasant or painful feelings of pain intensity from mild to severe. The impact of pain is the release of adrenaline which can result in increased blood pressure. Methods: This study used a quasi-experimental with cross over design. Pain scale using the Numeric Pain Scale measuring tool, whereas blood pressure using spignomanometer. To compare the pain scale before being given music therapy and after given music therapy using paired t test analysis, for blood pressure using Chi square analysis. Results: Musical therapy gave a significant effect related to patient’s pain scale during wound care (p=0.001), while it has insignificant effect on blood pressure (p = 0,057). Conclusions: Musical therapy could be use as an adjuvant therapy when wound care is applied on burn patient.

Abstrak :
Kasus penyakit jantung koroner akan terus meningkat pada negara berkembang salah satunya Indonesia. Pasien penyakit jantung koroner rentan mengalami kekambuhan, sehingga diperlukan pengendalian terhadap faktor-faktor risiko penyakit jantung koroner. Penelitian ini bertujuan untuk mengetahui faktor risiko penyakit jantung koroner yang paling berhubungan dengan kekambuhan pasien penyakit jantung koroner. Metode: Jenis penelitian ini adalah cross sectional dengan jumlah responden 97 orang. Uji statistik yang digunakan adalah regresi logistik ganda. Hasil: Hasil analisis didapatkan bahwa faktor yang paling berhubungan dengan kekambuhan pasien penyakit jantung koroner untuk faktor risiko yang tidak dapat dimodifikasi adalah faktor riwayat keluarga (OR = 2,609, 95%CI 1,1-6,189, p value 0,028). Hasil analisis faktor yang paling berhubungan dengan kekambuhan pasien penyakit jantung koroner untuk faktor risiko yang dapat dimodifikasi adalah faktor riwayat hipertensi (OR = 10,312, 95%CI 1,298-81,904, p value 0,008). Rekomendasi: Perawat tetap memperhatikan faktor-faktor risiko penyakit jantung koroner yang mempengaruhi kekambuhan. ......The incidence of coronary heart disease will be increased in many developing countries as in Indonesia. People with CHD are at risk to experience exacerbation, therefore we need to control the risk factors that have the most related with the incidence of exacerbation. The purpose of this study was to know the Most Related Risk Factor of Coronary Heart Disease Exacerbation in people with CHD. Method: A cross sectional study design was used and 97 persons with coronary heart disease were recruited. Data was statistically tested using regresi logistic. Result: This study reported that the most related factor with the incidence of exacerbation in people with coronary heart disease was the genetic in nonmodifiable factors (OR = 2,609, 95%CI 1,1-6,189, p value 0,028), and for the modifiable factors was the history of hypertension (OR = 10,312, 95%CI 1,298-81,904, p value 0,008). Recomendation: Nurses still consideri risk factors of coronary heart disease which affects the recurrence.

Abstrak :
Self-care merupakan bagian penting dalam upaya peningkatan kualitas hidup pasien gagal jantung. Self-care adalah pengambilan keputusan secara natural oleh individu dalam berperilaku untuk mempertahankan kestabilan fisiologis tubuhnya dan sebagai respon terhadap tanda dan gejala yang terjadi pada diri individu. Keadekuatan individu dalam melakukan self-care dapat dipengaruhi oleh berbagai faktor internal maupun eksternal dari individu. Identifikasi faktor tersebut menjadi bagian penting untuk memberikan asuhan keperawatan mengenai self-care yang efektif. Penelitian ini bertujuan untuk mengidentifikasi pengaruh dari karakteristik responden, status fungsional, komorbiditas, lama diagnosis, tingkat pengetahuan, tingkat depresi, serta dukungan sosial terhadap self-care. Desain penelitian menggunakan cross sectional survey pada 120 responden yang diambil dengan tehnik purposive sampling di Poliklinik Jantung. Penelitian menggunakan kuesioner SCHFI (self-care heart failure index) dalam mengukur self-care responden. Hasil penelitian menunjukan pekerjaan (p=0,055; CI 95%), pendidikan (p=0,232; CI 95%), dan penghasilan (p=0,027; CI 95%) mempengaruhi self-care individu secara signifikan. Responden yang bekerja, berpendidikan tinggi, dan berpenghasilan lebih dari Rp. 2.000.000 memiliki self-care yang lebih adekuat.

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Adherence to self-care is important for heart failure patients to improve their quality of life. Self-care defined as individual naturalistic decision making process that's patients use in the choice of behaviors that maintain physiological stability and as a respons to underlying sign and symptoms. Understanding the factors that enable or inhibit self-care is essential in developing effective health care interventions. The Aim of study was to analyze and identified factors (characteristic, functional class, comorbidity, time was diagnosed, knowledge, depression, and social support) influencing self-care. Cross sectional design used in this study to measure 120 outpatients using Self-Care Heart Failure Index (SCHFI) Indonesian version questioner. The result of the study indicated employe/e patients (p=0,055; CI 95%), have education higher than junior high school (p=0,232; CI 95%), and have income higher than Rp. 2.000.000 (p=0,027; CI 95%) showed more adequate in self-care behaviour. Self-care strategies for HF should targeted for patient with lower education, unemployed, and have an income lower than Rp. 2.000.000 to improve their quality of life.

Abstrak :
[ABSTRAK
Infark Miokard Akut dan lingkungan perawatan mempengaruhi kondisi fisik, psikologis dan sosial pasien. Penerapan perilaku caring dapat meningkatkan perubahan positif serta membangun kepercayaan dan kepuasan pasien beserta keluarganya. Penelitian ini bertujuan mendapatkan gambaran pengalaman perawat dalam menerapkan perilaku caring pada pasien IMA di Unit Perawatan Intensif. Desain kualitatif fenomenologi dipilih untuk mendapatkan informasi yang mendalam dengan wawancara pada dua belas perawat yang ditentukan melalui teknik purposive. Content analisis Collaizi menghasilkan delapan tema yang terpola dalam fenomena spirit of caring, penerapan caring dan hambatan caring. Diharapkan adanya program untuk meningkatkan penerapan perilaku caring untuk menangani pasien dalam kondisi akut dan kritis;

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ABSTRACT
Acute Myocardial Infarction and the environment care affects physical conditions, psychologis and social of the patient. The implementation of caring behavior can increase positive changes and to build trust, satisfaction of patients with their families too. The aims of this study was to explore the nurse?s experience in applying caring behavior for patients with IMA at Intensive Care Unit. A phenomenological qualitative design was chosen to obtain in-depth information with interviews were conducted on twelve nurses were determined through purposive technique. The content analysis Collaizi produced eight themes is patterned in the phenomenon of spirit of caring, implementation of caring and barriers caring implementation. Therefore expected the program to improve the implementation caring behavior to treat with patients in acute and critical conditions;Acute Myocardial Infarction and the environment care affects physical conditions, psychologis and social of the patient. The implementation of caring behavior can increase positive changes and to build trust, satisfaction of patients with their families too. The aims of this study was to explore the nurse?s experience in applying caring behavior for patients with IMA at Intensive Care Unit. A phenomenological qualitative design was chosen to obtain in-depth information with interviews were conducted on twelve nurses were determined through purposive technique. The content analysis Collaizi produced eight themes is patterned in the phenomenon of spirit of caring, implementation of caring and barriers caring implementation. Therefore expected the program to improve the implementation caring behavior to treat with patients in acute and critical conditions;Acute Myocardial Infarction and the environment care affects physical conditions, psychologis and social of the patient. The implementation of caring behavior can increase positive changes and to build trust, satisfaction of patients with their families too. The aims of this study was to explore the nurse?s experience in applying caring behavior for patients with IMA at Intensive Care Unit. A phenomenological qualitative design was chosen to obtain in-depth information with interviews were conducted on twelve nurses were determined through purposive technique. The content analysis Collaizi produced eight themes is patterned in the phenomenon of spirit of caring, implementation of caring and barriers caring implementation. Therefore expected the program to improve the implementation caring behavior to treat with patients in acute and critical conditions, Acute Myocardial Infarction and the environment care affects physical conditions, psychologis and social of the patient. The implementation of caring behavior can increase positive changes and to build trust, satisfaction of patients with their families too. The aims of this study was to explore the nurse’s experience in applying caring behavior for patients with IMA at Intensive Care Unit. A phenomenological qualitative design was chosen to obtain in-depth information with interviews were conducted on twelve nurses were determined through purposive technique. The content analysis Collaizi produced eight themes is patterned in the phenomenon of spirit of caring, implementation of caring and barriers caring implementation. Therefore expected the program to improve the implementation caring behavior to treat with patients in acute and critical conditions]

Abstrak :
ABSTRAK
Nyeri merupakan masalah umum pasca operasi CABG. Salah satu Metode nonfarmakologi yang digunakan untuk mengurangi nyeri pasca operasi CABG ialah terapi murattal Al-Qur?an. Penelitian ini bertujuan mengidentifikasi pengaruh terapi murattal Al-Qur?an terhadap respon fisiologis nyeri (skor nyeri, frekuensi nadi dan napas pasien pasca operasi CABG. Penelitian True Experiment dengan pendekatan pretest posttest control group design, dan sampel dipilih secara probability sampling, dengan metode Block Random Sampling dan Open Trial (uji samar terbuka) dengan jumlah sampel 30 orang pasien (konrol dan intervensi) pasca operasi CABG (n1=n2=15). Hasil penelitian ini menunjukkan bahwa terdapat pengaruh yang signifikan dari terapi murattal Al-Qur?an terhadap respon nyeri fisiologi setelah terapi antara kelompok kontrol dan kelompok intervensi (skor nyeri (p <0,001), frekuensi nadi (p <0,001) dan frekuensi napas (p <0,001). Terapi murattal Al-Qur?an memberikan pengaruh terhadap respon fisiologis nyeri, sehingga dapat direkomendasikan sebagai standar operasional prosedur dalam manajemen nyeri pasien di ruang perawatan jantung.

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ABSTRACT
Pain is one of a common problem after CABG surgery. One of nonpharmacological therapy which can be applied to relieve pain after CABG surgery is murattal Qur?an therapy. This study aims was to identify the effect of murattal Qur'an to the physiological response of pain (pain score, heart rate, and respiratory rate) of patients after CABG surgery. This study used True Experimental design with pretest and posttest control group. Probability sampling with allocation Block Random Sampling and Open trial were used involving 30 patients after CABG surgery include intervention and control group (n1=n2=15). The result indicate a significant influence of murattal Qur?an therapy on physiological pain response after treatment between the control group and the intervention group (pain score (p <0.001), heart rate (p <0.001) and respiratory rate (p <0.001). The murattal Qur'an therapy gives an effect on physiological response of pain in patients post CABG surgery. It?s recommended for the hospital management team to make a policy in using murattal Qur?an therapy as a standard operational procedure on pain relieve for patient in cardiac care room.