AbstrakPrevalensi Penyakit Jantung Koroner (PJK) terus mengalami peningkatan setiap tahunnya dan menjadi masalah kesehatan utama di masyarakat saat ini. PJK berdampak terhadap berbagai aspek kehidupan penderitanya baik fisik, psikososial maupun spiritual yang berpengaruh terhadap kualitas hidup pasien. Isu kualitas hidup dan faktor-faktor yang berhubungan didalamnya belum tergambar jelas di Indonesia. Tujuan dari penelitian ini adalah mengidentifikasi faktor yang memengaruhi kualitas hidup pada pasien PJK yang sedang menjalani rawat jalan. Faktor-faktor yang diteliti dalam penelitian ini meliputi jenis kelamin, tingkat penghasilan, revaskularisasi jantung, rehabilitasi jantung, kecemasan, depresi dan kesejahteraan spiritual. Kecemasan diukur dengan Zung Self-rating Anxiety Scale, depresi diukur dengan Beck Depression Inventory II, kesejahteraan spiritual diukur dengan kuesioner Spirituality Index of Well-Being dan kualitas hidup diukur menggunakan Seattle Angina Questionnaire. Penelitian ini menggunakan rancangan kuantitatif deskriptif dan analitik multivariate dengan regresi logistic. Diteliti pada 100 responden yang diambil secara random dalam kurun waktu 1 bulan di Poli Jantung. Hasil penelitian menunjukkan faktor yang memengaruhi kualitas hidup pada pasien PJK adalah cemas (p) 0,002; Odd Ratio (OR) 4,736 (95% confidence interval (CI), 1,749 -12,827); depresi (p) 0,003; OR 5,450 ( 95% CI, 1,794 -16,562); dan revaskularisasi (p) 0,033; OR 3,232 (95% CI, 1,096 -9,528). Depresi menjadi faktor yang paling berpengaruh terhadap kualitas hidup pasien PJK. Faktor yang memengaruhi kualitas hidup pada pasien PJK meliputi depresi, cemas dan revaskularisasi. Dari ketiga variabel tersebut depresi merupakan variabel yang paling signifikan berpengaruh, sehingga manajemen untuk mencegah depresi perlu mendapatkan perhatian lebih baik lagi dalam discharge planning ataupun rehabilitasi jantung.Kata kunci: Cemas, depresi, faktor yang memengaruhi, kualitas hidup, spiritual. Factors Influenced the Quality of Life among Patients Diagnosed with Coronary Heart Disease AbstractCoronary Heart Disease (CHD) has affected multidimensional aspects of human live nowadays. Yet, quality of life and factors associated with quality of life among people who live with heart disease has not been explored in Indonesia. This study aimed to identify factors influenced the quality of life among people with CHD received outpatient services. Those factors are gender, income, revascularization, cardiac rehabilitation, anxiety, depression and spiritual wellbeing. Zung Self-rating Anxiety Scale was used to measure anxiety where depression level measured using Beck Depression Inventory II. Spirituality index was used to measure spiritual well-being. The quality of life level was measured using the Seattle Angina Questionnaire. This study used quantitative descriptive with multivariate analysis using logistic regression. 100 respondents were randomly selected from the Cardiac Outpatient Unit. Findings indicated factors influenced the quality of life of CHD p...

Bayi prematur yang terpasang alat bantu napas harus dalam kondisi tenang sehingga ada sinkronisasi antara napas bayi dengan alat bantu napas yang dimanifestasikan dengan perubahan heart rate, respiration rate dan saturasi oksigen. Salah satu cara membuat bayi tenang selama penggunaan alat bantu napas adalah pemberian terapi musik lullaby. Tujuan penelitian ini untuk melihat pengaruh terapi musik lullaby terhadap heart rate, respiration rate dan saturasi oksigen pada bayi prematur yang terpasang alat bantu napas. Penelitian ini menggunakan desain quasi experiment design with pre-post test without control group terhadap 22 bayi prematur yang dipilih secara non probability sampling melalui pendekatan purposive dengan kriteria bayi dipasang alat bantu napas, usia gestasi 24-36 minggu, tidak mengalami ensepalofati hipoksik iskemik. Pengumpulan data dilakukan pengukuran heart rate, respiration rate dan saturasi oksigen sebelum terapi musik lullaby diberikan dan setelah musik lullaby diberikan selama 3 hari. Analisa data yang digunakan adalah uji t dependen. Hasil menunjukan adanya perbedaan rata-rata heart rate, respiration rate dan saturasi oksigen pada hari pertama sebelum terapi musik lullaby diberikan dibandingkan dengan hari ketiga setelah terapi musik lullaby diberikan dengan nilai p value <0,05 untuk heart rate, p value <0,05 untuk respiration rate dan p value <0,05 untuk saturasi oksigen. Pemberian musik lullaby terbukti mampu membuat bayi prematur tenang dan dapat dilakukan di tempat perawatan bayi prematur lainnya yang terpasang alat bantu napas sebagai salah satu upaya mempertahankan ketenangan pada bayi prematur.Kata kunci: Bayi prematur, heart rate, respiration rate, saturasi oksigen, terapi musik lullaby Effect of  Lullaby Music Therapy on Heart Rate, Respiration Rate, Oxygen Saturation on Prematur InfantAbstractPremature infants assisted with breathing apparatus should be in calm condition so that there is synchronization between the baby’s breath and the breathing apparatus manifested by changes in heart rate, respiration rate and oxygen saturation. One way to make babies calm during the use of breathing aids is the provision of lullaby music therapy. The purpose of this study was to find out the effect of lullaby music therapy on heart rate, respiration rate and oxygen saturation in premature infants with breathing apparatus. This study used quasi experiment design with pre-post test without control group to 22 preterm babies selected by nonprobability sampling technique via purposive approach with criteria of infant with breathing apparatus, gestational age 24-36 weeks, and no ischemic hypoxic ensepalofati. Samples taken were heart rate measurement, respiration rate, and oxygen saturation before and afterlullaby music therapy was given for 3 days. Data analysis used was t test dependent. The statistical results showed the difference in heart rate, respiration rate and oxygen saturation on the first day before lullaby music therapy was administered compared to the third day after lullaby music therapy was administered with a pvalue value <0.05 for heart rate, pvalue <0.05 for respiration rate, and pvalue <0.05 for oxygen saturation. The provision of lullaby music was proven to make premature babies at peace and could be provided in other baby care unit with breathing support as an effort to sustain peace for premature babies.Keywords: Heart rate, lullaby music therapy, premature infants, respiration rate, oxygen saturation.

Purpose Because Indonesia has a high risk of natural disasters, nurse preparedness is necessary to reduce and prevent deaths in the aftermath of such disasters. The aim of this study was to determine the factors associated with nurse preparedness in disaster management among a sample of community health nurses in coastal areas. Patients and Methods A cross-sectional study was undertaken from May to August 2020. The sample consisted of 142 nurses who worked at six Public Health Centers in Pangandaran, West Java, Indonesia. Participants were recruited using the total sampling technique. The data were collected using the Emergency Preparedness Information Questionnaire and analyzed using Chi-Square and binary logistic regression. Results Of the 142 respondents, 54.24% had a high level of preparedness. Multivariate analysis showed that nurses with higher levels of preparedness had worked between 6 and 10 years (adjusted odds ratio (AOR): 12.755, 95% confidence interval (CI): 2.653–61.314). Respondents who lacked disaster training were less likely to have a high level of disaster preparedness (AOR: 4.631, 95% CI: 1.604–13.367). Respondents who had never served as disaster volunteers were also less likely to have disaster preparedness (AOR: 0.18, 95% CI: 0.053–0.616). Conclusion With nearly half of the respondents (45.77%) having a low level of disaster preparedness, this topic needs more attention from the government and healthcare workers. Several actions are needed to improve community nurses’ disaster preparedness: providing them with routine disaster-related training, encouraging them to serve as volunteers in various disaster conditions, and offering them useful disaster-related information.

Introduction, the success of treatment in chronic renal failure patients with hemodialysis required the existence of self-management and self-efficacy. Previous studies showed that self-efficacy had the influence to bring up self-management behavior. The purpose of this study was to determine patients’ self-management and self-efficacy in chronic renal failure patients who had hemodialysis at Advent’s Hospital Bandung. Methods, this study was a quantitative descriptive research.  The study samples were chosen using consecutive sampling technique. The number of samples was 75 patients. Data were collected using the SMBQ and PEPPI+Life Options DeNovo instruments. Data were analyzed using the quantitative descriptive approach with mean value and frequency distribution. The results of self-efficacy in patients with chronic renal failure with hemodialysis was   high (54.7%) and the self-management behavior was in a good category (53.3%). The conclusion of this study is that the patient has a good self-management as well as self-efficacy.  However, this study found the poor category of the partnership in caring aspect. Recommendation There is a need for a strategy to improve the self-management in the partnership in caring aspect by providing emotional support, educating patients related to treatment and care, and evaluating patients’ health development periodically.

ABSTRAKKomunikasi merupakan sebuah proses yang sangat penting dalam hubungan antar manusia. Di dalam memberikan pelayanan keperawatan, perawat harus memiliki pengetahuan dan kemampuan berkomunikasi yang baik sebagai awal terciptanya sebuah hubungan perawat dengan pasien dan keluarga. perawat yang memiliki kemampuan dan keterampilan yang baik dalam berkomunikasi akan mudah menjalin hubungan dengan pasien maupun keluarga. Penelitian ini bertujuan untuk melihat hambatan komunikasi efektif perawat dengan keluarga pasien dalam perspektif perawat di Intensive Care Unit Rumah Sakit Umum Al Islam Bandung. Penelitian deskriptif exploratif ini melibatkan 10 orang perawat yang diambil menggunakan accidental sampling. Data diambil dengan melakukan wawancara dan observasi, kemudian dianalisis menggunakan content analysis. Hasil penelitian menujukkan bahwa terdapat lima tema yang menjadi hambatan komunikasi efektif perawat dengan keluarga pasien dalam perspektif perawat di Intensive Care Unit Rumah Sakit Umum Al Islam Bandung yaitu konflik peran, faktor demografi keluarga, kesalahpahaman, lingkungan dan situasi di ICU, dan kondisi psikologis keluarga. Dengan demikian, pelatihan terkait komunikasi perawat dengan keluarga pasien menjadi penting untuk dilaksanakan dalam upaya meningkatkan kemampuan perawat seperti kemampuan berbahasa asing dan kesabaran dalam menghadapi situasi dan kondisi di ICU khususnya berhubungan dengan keluarga pasien. Hal ini dikarenakan perawat adalah ujung tombak dalam pemberian pelayanan di Rumah Sakit. Kata Kunci : Hambatan, ICU, Keluarga pasien, Komunikasi efektif & Perawat ABSTRACT Communication is a very important process in human relationship. In providing nursing care, nurses should have a good knowledge and communication skill as the beginning of a good relationship between nurses, patients, and their families. Nurses with good communication skill had an easier opportunity to make a good relationship with the patient and their families. This study aimed to identify effective communication barriers among nurses in developing communication with patients' family according to nurses' perspective in Intensive Care

Chronic renal failure (CRF) is one of chronic diseases that can decrease the quality of life and trigger anxiety that is formed by negative thinking, including thought of death. The excessive thought of death will cause stress. This situation will have an impact on care planning, preparation for facing death and difficulties in achieving a dignified quality of death. This study aimed to identify the level of death anxiety among CRF patients undergoing haemodialysis. This study used a quantitative descriptive method involving 73 patients recruited by using a consecutive sampling technique. Data were collected by using a Death Anxiety Scale (DAS) Templer instrument that was adapted for haemodialysis patient. Data were analyzed using descriptive statistics (mean, frequency, and percentage).The results of this study showed that nearly half of the patients had moderate death anxiety (n=35), 27.4% respondents (n=20) experienced low death anxiety, and 24.7% respondents (n=18) experienced high death anxiety. Based on the results, it is necessary to manage the death anxiety of CRF patients undergoing haemodialysis. Some potential approaches may include spiritual therapy, group counselling during haemodialysis, cognitive therapy (positive perception strengthening), and health education related to haemodialysis procedures and chronic renal failure.

As health service providers, nurses are at a high risk of COVID-19 infection, as are their family members who live with them. This study aimed to explore nurses’ actions to protect their families from COVID-19 in Indonesia. This qualitative descriptive study included seventeen nurses who were chosen using the snowball sampling technique. The semi structured interviews explored nurses’ actions and behavior, and comparative analysis was performed to analyze the data. The study identified four themes: nurses modified their behavior and environments to protect their families, provided supplements and nutritious food, enhanced their families’ knowledge and awareness of COVID-19, and protected their families from social stigma. Nurses play active roles in the health of their family members. The government should support nurses in their roles so that they can remain healthy while caring for COVID-19 patients, and not transmit COVID-19 to their own families.

AbstrakPenyebab kematian terbanyak pada GGK yaitu kelebihan cairan (over hydration) dan hiperkalemia. Oleh karena itu, kepatuhan pasien GGK dalam pembatasan cairan dan diet rendah garam menjadi upaya untuk mengurangi resiko kematian pada pasien GGK. Tujuan dari penelitian ini adalah untuk mengetahui gambaran kepatuhan pembatasan cairan dan diet rendah garam (natrium) pada pasien GGK yang menjalani hemodialisa rutin di RSUP dr. Hasan Sadikin, Bandung. Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan cross-sectional. Populasi dari penelitian ini adalah pasien hemodialisa rutin dengan menggunakan teknik consecutive sampling dengan jumlah sampel 93 orang. Instrumen penelitian menggunakan kuesioner untuk mengukur kepatuhan pembatasan cairan dan diet rendah garam (natrium). Data yang telah terkumpul kemudian dilakukan analisis univariat dengan menggunakan nilai Median. Hasil penelitian menunjukkan bahwa responden yang patuh terhadap pembatasan cairan sebanyak 35 orang (37,6%), sedangkan yang tidak patuh 58 orang (62,4 %). Berdasarkan tingkat kepatuhan diet rendah garam (natrium), responden yang patuh sebanyak 31 orang (33,3%), sedangkan yang tidak patuh sebanyak 62 orang (66,7 %). Penelitian ini menunjukkan sebagian besar pasien GGK tidak patuh terhadap pembatasan cairan dan diet rendah garam (natrium). Upaya yang dapat dilakukan adalah dengan meningkatkan frekuensi edukasi motivasi serta konseling diet cairan di setiap jadwal hemodialisa. AbstractThe mostly caused death on chronic renal failure are overhydration and hypercalemia. Therefore, the compliance of patients with chronic renal failure recognized as attempt to decrease mortality rate of it. The aim of this study was to describe compliance of fluid restriction and a low salt (sodium) diet in patients with chronic renal failure undergoing regular hemodialysis at Hospital dr. Hasan Sadikin. This research used descriptive method with cross-sectional approach. The samples of this research were regular hemodialysis patients who were selected by using consecutive sampling technique of 93 people. The research instrument used questionnaire to measure compliance of fluid restriction and low salt (sodium) diet. Analysis used univariate analysis with median values.The analysis result showed that respondents who are compliance to the restriction of fluid were 35 people or 37.6%, while non-compliance is 58 people or 62.4%. Respondent who were comply of a diet low in salt (sodium) were 31 people or 33.3%, while non-compliance is 62 people or 66.7%. This study showed that most of patients with chronic renal failure did not adhere to restrictions of fluid and low-salt diet (sodium). The increasing of frequency education motivation and dietary fluid counseling in each hemodialysis schedule are nessesary.