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ABSTRAK
Akupresur merupakan salah satu terapi komplementer pada anak yang mengalami mual muntah lambat akibat kemoterapi. Mual muntah merupakan efek samping yang dapat menimbulkan stres pada anak dan keluarga. Penelitian ini bertujuan untuk mengidentifikasi pengaruh terapi akupresur terhadap mual muntah lambat akibat kemoterapi pada anak usia sekolah yang menderita kanker di RS Kanker Dharmais Jakarta. Desain penelitian adalah kuasi eksperimen dengan pre-post without control design berupa pemberian akupresur pada titik P6 dan St36 sebanyak 2 kali selama 3 menit setiap 6 jam sekali pada hari kedua setelah kemoterapi. Pengambilan sampel dengan cara consecutive sampling, 20 responden anak usia sekolah dipilih sebagai responden. Hasil penelitian menunjukkan penurunan rerata mual muntah setelah akupresur (p value=0,000). Kesimpulan akupresur dapat menurunkan mual muntah lambat akibat kemoterapi pada anak usia sekolah yang menderita kanker. Rekomendasi penelitian akupresur dapat diterapkan sebagai terapi non farmakologi untuk mengurangi mual muntah lambat akibat kemoterapi pada anak.

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ABSTRACT
Acupressure is one of the complementary therapy on children who experience delayed chemotherapy-induced nausea and vomiting (CINV). Nausea vomiting is an effect that cause stress in children and their family. The purpose of this research was to identify the effect of acupressure to delayed chemotherapyinduced nausea and vomiting in school age who suffered from cancer at Kanker Dharmais Hospital Jakarta. The study design was quasi eksperiment with pre-post test without control design form of acupressure point P6 and St36 2 times for 3 minutes every 6 hours. Sample by consecutive sampling, 20 respondents age children selected for the study. Further, result also showed that there is a significant decreases of the mean delayed nausea and vomiting scores after acupressure. The conclusion was that the acupressure can decrease delayed CINV in school age who suffered from cancer. Acupressure research recommendations can be applied as a non-pharmacological therapy to reduce nausea and vomiting caused by chemotherapy than in children.

Abstrak :
Penelitian bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kualitas hidup anak leukemia limfositik akut yang menjalani kemoterapi di RSUP Dr. M. Djamil Padang. Penelitian kuantitatif dengan pendekatan cross sectional dilakukan pada 25 anak secara consecutive sampling. Pengumpulan data menggunakan PedsQLTM 4.0 Generic Core Scale, PedsQLTM 3.0 Cancer Module, dan peran perawat (Cronbach α = 0,90). Hasil menunjukkan terdapat hubungan fase kemoterapi dan peran perawat dengan kualitas hidup generic dan cancer module (p<0,05). Peran perawat merupakan faktor prediktor kualitas hidup generic dan cancer module. Dengan demikian diperlukan upaya peningkatan peran perawat melalui pendidikan pelatihan terkait manajemen kemoterapi dan efek sampingnya. ...... This study was aimed to determine factors that associated with quality of life of acute lymphoblastic leukemia children who undergoing chemotherapy in Dr. M. Djamil Hospital Padang. The quantitative study with cross sectional approach was done to 25 children by consecutive sampling. Data collection was using PedsQLTM 4.0 Generic Core Scale, PedsQLTM 3.0 Cancer Module, and nurse's role (Cronbach α = 0,90). The results revealed that there was a relationship between chemotherapy phase and nurse's role with generic and cancer module quality of life (p<0,05). Nurse's role was a predominant factor of generic and cancer module quality of life. Thus, it is necessary to increase role of nurse by giving education about treatment and management of chemotherapy side effects.

Abstrak :
Tesis ini membahas tentang pengaruh menulis ekspresif terhadap stres ibu yang memiliki ABK. Penelitian ini adalah penelitian kuantitatif quasi experiment. Sampel penelitian berjumlah 31 orang. Analisis hasil penelitian menggunakan analisis paired t-test, independent t-test, korelasi Pearson, ANOVA. Hasil penelitian menyatakan terdapat perbedaan signifikan skor stres pada kelompok intervensi antara sebelum dan setelah intervensi dengan p value 0,001 (alpha 0,05), meski menunjukkan tidak adanya perbedaan rerata yang signifikan saat dibandingkan dengan kelompok kontrol dengan p value 0,652. Menulis ekspresif masih dapat digunakan sebagai alternatif manajemen stres karena memberikan efek positif pada responden. Penelitian lanjut dapat dilakukan dengan membandingkan menulis ekspresif dengan manajemen stres lainnya. ...... Focus of this study was about the effect of expressive writing to stress in mothers who has special needs children. This was quasi experiment quantitative study with 31 respondents. The data analysis used paired t-test, independent t-test, Pearson correlation, ANOVA. Result of the study was there is significant differences of stress score before and after intervention in intervention group with p value 0,001 (alpha 0,05), even there were no significant differences of stress score when its compare with control group with p value 0,652. Expressive writing still can become alternative of stress management because this intervention has positive effects on respondents. The next study can be conducted to compare expressive writing with another stress management method.

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Salah satu upaya untuk meminimalkan penggunaan oksigen pada bayi adalah dengan pemberian terapi musik. Penelitian ini bertujuan untuk mengidentifikasi pengaruh terapi musik terhadap saturasi oksigen, frekuensi denyut jantung dan frekuensi pernafasan bayi yang menggunakan ventilasi mekanik. Jenis penelitian adalah quasi experiment dengan pretest-posttest without control design. Pemilihan sampel secara consecutive sampling dengan jumlah 13 orang bayi. Terdapat perbedaan bermakna rata-rata saturasi oksigen, frekuensi denyut jantung dan frekuensi pernafasan bayi yang menggunakan ventilasi mekanik sebelum dan setelah pemberian terapi musik (p value <0,05). Pemberian terapi musik dapat diberikan pada bayi yang menggunakan ventilasi mekanik untuk memperbaiki saturasi oksigen, frekuensi denyut jantung dan frekuensi pernafasan. ...... Music therapy can minimize oxygen consumption among infant with mechanical ventilation. This study aimed to identify the effect of music therapy to oxygen saturation, heart rate and respiratory rate of infants using mechanical ventilation. The research used a quasi experiment with a pretest-posttest design without control. Method of sample selection was consecutive sampling with 13 infants. There was a significant difference the average of oxygen saturation, heart rate and respiratory rate of infants using mechanical ventilation before and after music therapy (p value <0,05). Music therapy can be used for infants who use mechanical ventilation to improve oxygen saturation, heart rate and respiratory rate.

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Perawatan lanjutan pada anak penderita Leukemia Limfoblastik Akut (LLA) sangat penting. Penelitian ini bertujuan untuk mengidentifikasi gambaran pengalaman orang tua melakukan perawatan lanjutan di rumah pada anak LLA. Wawancara mendalam digunakan sebagai metode dalam pengumpulan data. Enam orang partisipan yang terlibat di dalam penelitian ini dipilih secara purposif. Tema yang muncul meliputi pemahaman ibu tentang cara perawatan pada anak, ibu bekerja keras dalam merawat anak, membutuhkan dukungan, timbul respon psikologis terhadap kondisi anak, memiliki beban dalam perawatan anak, manajemen penyelesaian masalah dan harapan ibu untuk masa depan anak. Hasil penelitian ini diharapkan dapat menjadi sumber informasi bagi pengembangan perencanaan asuhan keperawatan. ...... Continuity of care in children with Acute Lymphoblastic Leukemia (ALL) is very important. This study aims to identify parental experience in providing care for children with ALL at home. Indepth interview was used as a method of data collection. There were 6 participants purposively involved in this study. Themes emerged including understanding about caring, mother work hard in caring for children, need support, psychologicaly response about children condition, burden of care children, problem solving management and mother’s expectation about children future. Results of this study can be used as a basic information for nursing care plans development.

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ABSTRAK
Anak cerebral palsy (CP) memiliki berbagai gangguan pada sistem tubuh terutama keterbatasan pergerakan ekstremitas atas. Penelitian ini bertujuan mengidentifikasi pengaruh stimulasi bermain balok kayu terhadap perkembangan ekstremitas atas anak dengan CP usia 2-12 tahun. Desain penelitian menggunakan quasi experimental tipe nonequivalent group dengan pretest dan posttest pada kelompok intervensi dan kontrol. Sampel penelitian ini berjumlah 30 anak. Hasil penelitian menjelaskan adanya pengaruh stimulasi bermain balok kayu oleh pengasuh terhadap perkembangan ekstremitas atas (pvalue 0,012). Faktor predisposisi yang berhubungan dengan perkembangan ekstremitas atas adalah frekuensi stimulasi bermain dan level Manual Ability of Classification System (MACS). Perawat perlu mengembangkan program stimulasi bermain pada anak dengan CP.

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ABSTRACT
Cerebral palsy children have wide range of disorder and developmental disabilities especially in movement of upper extremities. This research explained the effect of play stimulation with the box and block test toward the development of upper extremities in children with cerebral palsy. This research used quasi experimental design with intervention and control group. The chosen samples were 30 respondents. The research showed that there is an effect of play stimulation using the box and block test toward the development of upper extremities in children with cerebral palsy (pvalue 0,012). In advance, nurse are expected to improve a play stimulation program to children with cerebral palsy.

Abstrak :
Penelitian ini bertujuan untuk mengetahui efektivitas stimulasi penggunaan foto terhadap kemampuan menggosok gigi anak autis usia sekolah. Metodologi penelitian kuantitatif kuasi eksperimen dengan menggunakan desain subyek tunggal (single subject design). Sebanyak tiga orang responden yang merupakan anak autis usia sekolah beserta orangtua mereka berpartisipasi dalam penelitian ini. Intervensi diberikan menggunakan rangkaian foto mengenai tahapan dalam menggosok gigi setelah terlihat trend kemampuan pada fase baseline. Pengukuran kemampuan menggosok gigi dilakukan pada fase baseline, intervensi, maintenance, dan generalisasi. Hasilnya, kemampuan menggosok gigi pada ketiga anak meningkat setelah dilakukan intervensi dan menetap pada fase generalisasi. ...... The aim of this research is to know the effectiveness of stimulation using photograph to the ability of school-age children with autism in performing oral hygiene. The methodology used in this research is quantitative approach using quasi experiment, single subject design. There are three school-age children with autism together with their parents participated in this research. Intervention is given to the children right after the exact trend has measured in the baseline phase. Measurements are done in baseline, intervention, maintenance, and generalization phase. Result showed that the ability of those children is increasing after given the intervention.

Abstrak :
[ABSTRAK
Nyeri pada anak kanker berdampak jangka panjang dan jangka pendek. Sebagian besar orang tua tidak mengetahui cara mengkaji nyeri pada anak dan belum menggunakan skala nyeri yang sesuai dengan usia anak untuk mengukur nyeri. Pendidikan kesehatan tentang manajemen nyeri yang diberikan kepada pasien belum terstruktur sehingga informasi yang diberikan tidak optimal. Penelitian ini bertujuan untuk mengidentifikasi dampak intervensi edukasi terhadap pengetahuan, sikap dan keterampilan orang tua dalam mengelola nyeri pada anak dengan kanker. Desain penelitian ini menggunakan kuasi eksperimen dengan one grup pre test post test. Sampel berjumlah 29 orang di RSAB Harapan kita dan RSPAD Gatot Soebroto yang diambil secara consecutive sampling. Analisis data menggunakan McNemar dan Uji Chi Square. Hasil penelitian menunjukkan adanya perbedaan yang signifikan dalam aspek pengetahuan, sikap dan keterampilan orang tua dalam mengelola nyeri pada anak sebelum dan sesudah pendidikan kesehatan (pengetahuan, p=0,001; Sikap, p=0,001 dan keterampilan, p<0,001). Karakteristik orang tua yang berhubungan dengan pengetahuan dan sikap adalah pengalaman manajemen nyeri. Rekomendasi dari penelitian ini adalah pendidikan kesehatan tentang mengelola nyeri pada anak sebaiknya dilakukan secara intensif. hr> ABSTRACT
Pain in children suffers from cancer gives effect in short term and long term. Most parents do not know how to assess pain in children. They have not used a pain scale based on children age to measure pain. Health education pain management has not been structured for patients so the given information is not optimal. This study aims to identify the impact of education intervention to the parent?s knowledge, attitudes, and skills in managing pain of children suffers from cancer.This study used a quasi-experimental with one group pretest-posttest. The sample was 29 people in RSAB Harapan Kita and Gatot Subroto Army Hospital, taken by consecutive sampling. The data was analyzed by McNemar and Chi Square. The results showed a significant difference in the aspect of knowledge, attitudes and skills of parent in the pain management of children before and after health education (knowledge, p = 0.001; Attitudes, p = 0.001 and skill, p < 0.001). Characteristics of parents associated with the knowledge and attitudes who have children suffers from cancer is pain management experience. Recommendation for this study is the health education about pain management should be carried out intensively.;Pain in children suffers from cancer gives effect in short term and long term. Most parents do not know how to assess pain in children. They have not used a pain scale based on children age to measure pain. Health education pain management has not been structured for patients so the given information is not optimal. This study aims to identify the impact of education intervention to the parent?s knowledge, attitudes, and skills in managing pain of children suffers from cancer.This study used a quasi-experimental with one group pretest-posttest. The sample was 29 people in RSAB Harapan Kita and Gatot Subroto Army Hospital, taken by consecutive sampling. The data was analyzed by McNemar and Chi Square. The results showed a significant difference in the aspect of knowledge, attitudes and skills of parent in the pain management of children before and after health education (knowledge, p = 0.001; Attitudes, p = 0.001 and skill, p < 0.001). Characteristics of parents associated with the knowledge and attitudes who have children suffers from cancer is pain management experience. Recommendation for this study is the health education about pain management should be carried out intensively.;Pain in children suffers from cancer gives effect in short term and long term. Most parents do not know how to assess pain in children. They have not used a pain scale based on children age to measure pain. Health education pain management has not been structured for patients so the given information is not optimal. This study aims to identify the impact of education intervention to the parent?s knowledge, attitudes, and skills in managing pain of children suffers from cancer.This study used a quasi-experimental with one group pretest-posttest. The sample was 29 people in RSAB Harapan Kita and Gatot Subroto Army Hospital, taken by consecutive sampling. The data was analyzed by McNemar and Chi Square. The results showed a significant difference in the aspect of knowledge, attitudes and skills of parent in the pain management of children before and after health education (knowledge, p = 0.001; Attitudes, p = 0.001 and skill, p < 0.001). Characteristics of parents associated with the knowledge and attitudes who have children suffers from cancer is pain management experience. Recommendation for this study is the health education about pain management should be carried out intensively.;Pain in children suffers from cancer gives effect in short term and long term. Most parents do not know how to assess pain in children. They have not used a pain scale based on children age to measure pain. Health education pain management has not been structured for patients so the given information is not optimal. This study aims to identify the impact of education intervention to the parent?s knowledge, attitudes, and skills in managing pain of children suffers from cancer.This study used a quasi-experimental with one group pretest-posttest. The sample was 29 people in RSAB Harapan Kita and Gatot Subroto Army Hospital, taken by consecutive sampling. The data was analyzed by McNemar and Chi Square. The results showed a significant difference in the aspect of knowledge, attitudes and skills of parent in the pain management of children before and after health education (knowledge, p = 0.001; Attitudes, p = 0.001 and skill, p < 0.001). Characteristics of parents associated with the knowledge and attitudes who have children suffers from cancer is pain management experience. Recommendation for this study is the health education about pain management should be carried out intensively., Pain in children suffers from cancer gives effect in short term and long term. Most parents do not know how to assess pain in children. They have not used a pain scale based on children age to measure pain. Health education pain management has not been structured for patients so the given information is not optimal. This study aims to identify the impact of education intervention to the parent’s knowledge, attitudes, and skills in managing pain of children suffers from cancer.This study used a quasi-experimental with one group pretest-posttest. The sample was 29 people in RSAB Harapan Kita and Gatot Subroto Army Hospital, taken by consecutive sampling. The data was analyzed by McNemar and Chi Square. The results showed a significant difference in the aspect of knowledge, attitudes and skills of parent in the pain management of children before and after health education (knowledge, p = 0.001; Attitudes, p = 0.001 and skill, p < 0.001). Characteristics of parents associated with the knowledge and attitudes who have children suffers from cancer is pain management experience. Recommendation for this study is the health education about pain management should be carried out intensively.]

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[ABSTRAK
Asuhan keperawatan bayi baru lahir yang berpusat pada keluarga (family-centered care/ FCC) telah diketahui manfaatnya terhadap ibu dan bayi, walaupun demikian belum semua rumah sakit menerapkan prinsip tersebut. Penelitian ini bertujuan mendapatkan gambaran pengalaman orang tua menerima asuhan keperawatan yang berpusat pada keluarga ketika bayinya dirawat di NICU. Desain penelitian kualitatif dengan pendekatan fenomenologi dilakukan dengan wawancara mendalam terhadap sembilan partisipan yang diambil melalui purposive sampling. Analisis data dengan metode Colaizzi menghasilkan empat tema, yaitu orangtua: berperan serta aktif dalam perawatan bayinya, mendapat informasi program pengobatan dan perkembangan kesehatan bayinya, mendapat dukungan, dan merasakan dimensi emosional. Hasil penelitian ini dapat menjadi masukan pihak manajemen rumah sakit untuk lebih mengoptimalkan penerapan asuhan berpusat pada keluarga, khususnya dalam pemenuhan kebutuhan bonding attachment ibu lebih dekat dengan bayi melalui penambahan toleransi jam kunjungan

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ABSTRACT
Family-centered care (FCC) nursing on the newborn baby has given benefits for mother and baby, however there has been no overall hospitals applying these principles. This study aims to get an overview of the parent?s experience in receiving FCC nursing when their baby was hospitalized in the NICU. A qualitative research design using a phenomenological approach of in-depth interviews was conducted in nine participants, taken by purposive sampling. The data was analyzed by Colaizzi method resulting four themes about parents: actively participating in their baby care, getting informed about the treatment programs and their baby's health development, getting support, and getting involved in emotional dimension. This research can be a sound base for FCC optimalization in hospital, with focus on fulfilling mother-baby bonding through longer visitation hour.;Family-centered care (FCC) nursing on the newborn baby has given benefits for mother and baby, however there has been no overall hospitals applying these principles. This study aims to get an overview of the parent?s experience in receiving FCC nursing when their baby was hospitalized in the NICU. A qualitative research design using a phenomenological approach of in-depth interviews was conducted in nine participants, taken by purposive sampling. The data was analyzed by Colaizzi method resulting four themes about parents: actively participating in their baby care, getting informed about the treatment programs and their baby's health development, getting support, and getting involved in emotional dimension. This research can be a sound base for FCC optimalization in hospital, with focus on fulfilling mother-baby bonding through longer visitation hour., Family-centered care (FCC) nursing on the newborn baby has given benefits for mother and baby, however there has been no overall hospitals applying these principles. This study aims to get an overview of the parent’s experience in receiving FCC nursing when their baby was hospitalized in the NICU. A qualitative research design using a phenomenological approach of in-depth interviews was conducted in nine participants, taken by purposive sampling. The data was analyzed by Colaizzi method resulting four themes about parents: actively participating in their baby care, getting informed about the treatment programs and their baby's health development, getting support, and getting involved in emotional dimension. This research can be a sound base for FCC optimalization in hospital, with focus on fulfilling mother-baby bonding through longer visitation hour.]

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[ABSTRAK
Anak talasemia sering mengalami masalah perubahan perilaku. Penelitian ini bertujuan mengidentifikasi faktor-faktor yang berhubungan dengan perubahan perilaku anak talasemia. Metode penelitian ini adalah metode potong lintang menggunakan kuesioner pada 105 orang tua dan anak talasemia usia 6-18 tahun. Hasilnya tidak terdapat hubungan antara faktor karakteristik anak, hospitalisasi berulang, multitransfusi, dan faktor orang tua terhadap kecemasan dan penurunan perhatian. Usia anak, jenis kelamin, suku, dan hospitalisasi berulang berhubungan dengan masalah sosial. Hasil analisis regresi menyatakan bahwa remaja beresiko 0,4 kali mengalami masalah sosial sedangkan ekonomi rendah 2,37 kali meningkatkan resiko masalah penurunan perhatian. Perawat bertanggung jawab untuk mengidentifikasi perubahan perilaku pada anak talasemia.

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ABSTRACT
Children with thalassemia often have behavioral changes. The study aims is to identify factors related to behavioral changes in thalassemia?s children. This cross sectional study consist of 105 children respondent (6-18 years old) and their parents to filled questionnaire. The results shown that there are no associaton between children caracteristic, repeated hospitalization, multitransfusi, and parents factors with anxiety and attention deficits. Age, sex, ethnic, and repeated hospitalization have significant association with social problem. Regression analysis states that adolescents affecting social problem 0,4 times and low economic affecting attention deficits 2,37 times. Nurses responsible to asses behavioral change in thalassemia?s children, Children with thalassemia often have behavioral changes. The study aims is to identify factors related to behavioral changes in thalassemia’s children. This cross sectional study consist of 105 children respondent (6-18 years old) and their parents to filled questionnaire. The results shown that there are no associaton between children caracteristic, repeated hospitalization, multitransfusi, and parents factors with anxiety and attention deficits. Age, sex, ethnic, and repeated hospitalization have significant association with social problem. Regression analysis states that adolescents affecting social problem 0,4 times and low economic affecting attention deficits 2,37 times. Nurses responsible to asses behavioral change in thalassemia’s children]