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Hasil Pencarian

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Kelana Kusuma Dharma
"[ABSTRAK
Tujuan penelitian ini yaitu mengembangkan intervensi model adaptasi paska stroke serta mengidentifikasi efektifitasnya terhadap perilaku adaptasi dan kualitas hidup pasien paska stroke. Penelitian ini secara keseluruhan dilakukan dalam dua tahap. Tahap satu yaitu pengembangan model intervensi yang diawali dengan penelitian kualitatif menggunakan pendekatan fenomenologi deskriptif tentang pengalaman pasien beradaptasi paska stroke. Model intervensi kemudian dikembangkan dengan cara mengintegrasikan tema hasil penelitian kualitatif, studi literatur, dan konsultasi pakar. Tahap kedua yaitu uji coba intervensi model untuk menentukan efektifitasnya terhadap respon adaptasi dan kualitas hidup pasien paska stroke. Penelitian tahap dua merupakan penelitian kuasi eksperimen menggunakan desain post test control group. Metode sampling yang digunakan dalam penelitian tahap dua yaitu consecutive sampling dengan jumlah sampel 65 orang (32 orang kelompok intervensi dan 33 orang kelompok kontrol). Pembagian sampel ke dalam kelompok intervensi dan kontrol dilakukan dengan matching rumah sakit. Hasil penelitian tahap satu teridentifikasi 9 tema yang dinyatakan partisipan dan dihasilkan intervensi model adaptasi paska stroke (IMAPS) beserta perangkatnya meliputi buku panduan intervensi model, modul untuk perawat pelaksana, dan booklet untuk pasien dan keluarga. Hasil penelitian tahap dua membuktikan adanya perbedaan respon adaptasi fisiologis, adaptasi psikososial, dan kualitas hidup yang bermakna antara pengukuran 3 bulan dengan 4 bulan sesudah intervensi diantara kelompok intervensi dan kontrol. Kesimpulan hasil penelitian yaitu intervensi model adaptasi paska stroke efektif meningkatkan respon adaptasi fisiologis, adaptasi psikososial dan kualitas hidup paska stroke.;

ABSTRACT
The purpose of this research was to develop intervention adaptation model for post-stroke (IMAPS) and identify its effectiveness on adaptation response and quality of life after stroke. This study conducted in two stages. The first stage was the development of intervention model that begins with a qualitative research using a descriptive phenomenological approach. Intervention model was then developed by integrating the results of qualitative research, literature review, and expert review. The second stage was examination the intervention model to identified its effectiveness on adaptation response and quality of life after stroke. This study was quasi-experimental research using post test control group design. The sampling method used in this study was consecutive sampling with a sample of 65 stroke patient (32 samples in intervention group and 33 samples in control group). Samples were allocated to intervention and control group by matching the hospital. The qualitative study identified nine theme stated by the participants. Qualitative themes serve as guidelines for developing intervention model. The first stage resulted in intervention model and its devices include intervention manual, module for nurses, and booklet for patients and their families. The second stage of research proves the significant difference in physiological and psychosocial adaptation response, and quality of life between measurements 3 months to 4 months after the intervention between groups. We conclude that IMAPS effectively improve the response of physiological and psychosocial adaptation, and quality of life after stroke;The purpose of this research was to develop intervention adaptation model for post-stroke (IMAPS) and identify its effectiveness on adaptation response and quality of life after stroke. This study conducted in two stages. The first stage was the development of intervention model that begins with a qualitative research using a descriptive phenomenological approach. Intervention model was then developed by integrating the results of qualitative research, literature review, and expert review. The second stage was examination the intervention model to identified its effectiveness on adaptation response and quality of life after stroke. This study was quasi-experimental research using post test control group design. The sampling method used in this study was consecutive sampling with a sample of 65 stroke patient (32 samples in intervention group and 33 samples in control group). Samples were allocated to intervention and control group by matching the hospital. The qualitative study identified nine theme stated by the participants. Qualitative themes serve as guidelines for developing intervention model. The first stage resulted in intervention model and its devices include intervention manual, module for nurses, and booklet for patients and their families. The second stage of research proves the significant difference in physiological and psychosocial adaptation response, and quality of life between measurements 3 months to 4 months after the intervention between groups. We conclude that IMAPS effectively improve the response of physiological and psychosocial adaptation, and quality of life after stroke, The purpose of this research was to develop intervention adaptation model for post-stroke (IMAPS) and identify its effectiveness on adaptation response and quality of life after stroke. This study conducted in two stages. The first stage was the development of intervention model that begins with a qualitative research using a descriptive phenomenological approach. Intervention model was then developed by integrating the results of qualitative research, literature review, and expert review. The second stage was examination the intervention model to identified its effectiveness on adaptation response and quality of life after stroke. This study was quasi-experimental research using post test control group design. The sampling method used in this study was consecutive sampling with a sample of 65 stroke patient (32 samples in intervention group and 33 samples in control group). Samples were allocated to intervention and control group by matching the hospital. The qualitative study identified nine theme stated by the participants. Qualitative themes serve as guidelines for developing intervention model. The first stage resulted in intervention model and its devices include intervention manual, module for nurses, and booklet for patients and their families. The second stage of research proves the significant difference in physiological and psychosocial adaptation response, and quality of life between measurements 3 months to 4 months after the intervention between groups. We conclude that IMAPS effectively improve the response of physiological and psychosocial adaptation, and quality of life after stroke]"
2015
D2114
UI - Disertasi Membership  Universitas Indonesia Library
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Tintin Sukartini
"Faktor utama penyebab kegagalan pengobatan TB paru adalah ketidakpatuhan pasien. Perawat berperan penting dalam meningkatkan kepatuhan pasien melalui proses interaksi. Berdasarkan hal ini maka perlu dikembangkan model intervensi berbasis sistem interakasi untuk meningkatkan kepatuhan. Tujuan penelitian yaitu menghasilkan model yang dapat meningkatkan kepatuhan pasien TB paru berbasis teori sistem interaksi King.
Penelitian melalui dua tahap penelitian yaitu, tahap I: Penelitian kualitatif dan pengembangan model peningkatan kepatuhan berbasis teori sistem interaksi King yang dihasilkan melalui penelitian kualitatif, studi literatur dan konsultasi pakar; Tahap II: Validasi model dengan desain quasy eksperimen dengan kelompok kontrol. Metode sampling yang digunakan adalah consecutive sampling dengan sample sebanyak 50 pasien. Uji statistik menggunakan uji chi square, independent t-test, Mancova dan GLM-RM.
Hasil didapatkan 1) Tahap I: diperoleh 12 tema kepatuhan dan model peningkatan kepatuhan berbasis teori sistem interaksi dengan 1 modul untuk pasien; 2) Tahap II: terdapat perbedaan bermakna dalam pengetahuan, self efficacy, motivasi, pencegahan penularan, kepatuhan nutrisi dan kepatuhan pengobatan.
Kesimpulan, model peningkatan kepatuhan berbasis teori sistem interaksi King terbukti efektif meningkatkan kepatuhan pasien TB paru. Rekomendasi: Model peningkatan kepatuhan berbasis teori sistem interaksi King dapat diintegrasikan dalam clinical pathway pada pasien TB paru di poli paru. Penelitian lebih lanjut mengenai pengembangan model kepatuhan pada pasien TB paru yang memiliki keterbatasan sistem interpersonal dengan keluarga yaitu pada pasien yang tidak memiliki keluarga atau tinggal terpisah jauh dari keluarga.

The main factor cause the failure of Tuberculosis (TB) treatment was the patient's non-adherence. Nurses play an important role in improving patient's adherence through interaction nurse-patient. It is necessary to develop interaction model based on interaction system theory to improve patient's adherence. The purpose of the study was to develop adherence improvement model based on King's inetraction system theory.
This study was divided into 2 phase, Phase 1: qualitative study and development adherence improvement model based on King's interaction system theory resulted from qualitative study, literature review and expert consultation. Phase II: validation of the model by quasy experiment design with control group. Sampling used in the study was consecutive sampling to select 50 patients. Data were analyzed using chi square, independent t-test, Mancova and GLM-RM.
Result shows: Phase I: There were found 12 themes and adherence improvement model based on King's interaction system. Phase II: There were significant different on knowledge, self efficacy, motivation, prevention transmission, nutrition adherence and treatment adherence.
Conclusion, Adherence improvement model based on King's interaction system theory is effective on improving TB patient's adherence. Development adherence improvement model based on King's interaction system theory can be integrated into clinical pathway in TB patients. Further study on adherence improvement model with limited interpersonal system, namely patient without family and separated.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
D2049
UI - Disertasi Membership  Universitas Indonesia Library