AbstrakEfek samping radioterapi adalah pemendekan dan pengeringan vagina yang menyebabkan nyeri saat melakukan hubungan seksual (dispareunia). Hal ini mengakibatkan gangguan fungsi seksual yaitu keinginan, gairah, orgasme, dan kepuasan. Penelitian ini bertujuan untuk melihat efektivitas latihan kegel dalam mengatasi keluhan nyeri saat berhubungan seksual pada perempuan pasca terapi kanker serviks. Penelitian ini menggunakan desain penelitian kuasi eksperimen dengan jumlah responsden 26 orang kelompok intervensi dan 26 orang kelompok kontrol pada perempuan setelah radioterapi. Tingkat nyeri dalam penelitian ini diukur dengan Female Sexual Function Index (FSFI). Pengaruh latihan kegel terhadap nyeri diuji dengan t-tes. Hasil penelitian menunjukkan adanya perbedaan yang bermakna pada kedua kelompok dengan nilai p=0.002. Latihan kegel terbukti menurunkan nyeri saat berhubungan seksual (dispareunia) sebanyak 3,897 kali (OR=3,897). Berdasarkan hasil penelitian ini, perawat diharapkan dapat memberikan intervensi latihan kegel untuk menurunkan nyeri pasca terapi kanker serviks.Kata kunci: Dispareunia, latihan kegel, pasca terapi kanker serviks Kegel Exercise and Pain During Sexual Intercouse Related to Women PostCancer Treatment AbstractRadiotherapy for cervical cancer has side effects which cause the vagina become smaller and drier so that it could reduce the flexibility and lubrication of the vagina. These side effects could change the sexual functions, which is pain during sexual intercourse. This study proves the effectiveness of Kegel exercises to overcome pain during sexual intercourse (dyspareunia) for the women after a cervical cancer therapy. Method The Quasi-experimental was conducted to 26 intervention group and 26 control group. The sampling technique used consecutive sampling method. FSFI (Female Sexual Function Index) were obtained in order to measure dyspareunia. A t-test was used to examine differences between two groups. Result findings The Kegel exercises gave a significant changing of dyspareunia level with p value=0,002. There was significance difference of dyspareunia level between intervention and control groups. Kegel exercises provided opportunies to decrease dyspareunia as much as 3,897 times (OR=3,897). Conclusion The Kegel exercises are proved to reduce effectively to solve dyspareunia for women after a cervical cancer therapy. Nursing role are to promote, prevent and rehabilitate (health education, Kegel exercises sosialization, and health care training) the complaint of women after cervical cancer therapy as an effort to improve health status of women with cervical cancer.
Although globally there is a change in the trend of epidemiology from infectious diseases to chronic diseases, the prevalence and incidence of infectious diseases as well as MMR (Maternal Mortality Rate) and IMR (infant mortality rate) in Indonesia is still high. In year 2000, Faculty of Nursing of the Universitas Padjadjaran in collaboration with Hasan Sadikin Hospital built a model of treatment room, which was affiliated with obstetric gynecology room for improving integrated quality of health care services and education. The model built in this room aimed to : 1) Improve the quality of health care service; 2) to develop the student's experiences with patients; 3) Provide quality nurse education to support students; 4) encourage students to improve the results of clinical prctice. The objective of process evaluation in this study was to give an insight to an appropriate model for maternity nursing service. This results showed on the one hand , there are some records not yet achieved an ideal standard , lack of effectiveness and efficiency of care delivery, namely: 1 ) the ratio of midwives and patients are not ideal ; 2 ) No one consultant obstetrician gynecologist and one doctor for every room . As well as challenges to sustainability care that meets the standards of maternity care. Conclusion: this study recommends to take a comprehensive strategic planning for improving nursing and midwifery services that involve all relevant stakeholders in the government, civil society, service delivery, education, and professional organizations.Keywords: Effectiveness, efficiency, evaluation, maternity nursing care, standard. Proses Evaluasi: Standar, Efektifitas, Efisiensi, dan Keberlangsungan Pelayanan Keperawatan Maternitas AbstrakMeskipun secara global ada perubahan dalam tren epidemiologi dari penyakit menular ke penyakit kronis, prevalensi dan insiden penyakit menular serta MMR (Angka Kematian Ibu) dan AKB (angka kematian bayi) di Indonesia masih tinggi. Tahun 2000, Fakultas Keperawatan Unpad bekerja sama dengan Rumah Sakit Hasan Sadikin, Bandung membangun sebuah model dari ruang perawatan, yang berafiliasi dengan ruang obstetrik ginekologi. Model yang dibangun tersebut bertujuan untuk; 1) meningkatkan kualitas pelayanan kesehatan; 2) pengembangan pengalaman mahasiswa dengan pasien; 3) penyediaan pendidik perawat yang berkualitas untuk mendukung mahasiswa; 4) mendorong mahasiswa untuk meningkatkan hasil praktek klinis. Tujuan dari penelitian ini adalah memberikan informasi dan evaluasi tentang standar, efektifitas, efisiensi, dan keberlangsungan (sustainaibility) pelayanan keperawatan maternitas. Hasil penelitian menunjukkan: di satu sisi, ada beberapa catatan tidak belum tercapainya standar ideal, kurang efektivitas dan efisiensi perawatan persalinan, yaitu: 1) rasio bidan dan pasien tidak ideal; 2) ada satu konsultan ginekolog obstetri dan satu dokter untuk setiap kamar. Serta tantangan terhadap keberlangsungan asuhan perawatan maternitas yang memenuhi standar. Kesimpulan: Penelitian ini merekomendasikan ...
Premature rupture of membranes (PROM) is a condition associated with spontaneous rupture of the amniotic membranes before any signs of the active labour. It increases the risk of complications on maternal and foetal health. In preventing various complications that would arise due to PROM, nurses should apply an appropriate nursing theories or models in developing the nursing care plan. Nursing theories and conceptual models are the nursing knowledge that organize nursing activities, and guide nurses in research, practice, education, and management. However, in Indonesia, nursing models have rarely been used by nurse practitioners and researchers including in the perinatal periods. The aim of this article was to determine the application of Roy’s adaptation theory in the premature rupture of membranes cases. This study was a case study design. There were 5 pregnant women participate in this study. The results showed that the assessment based on the two adaptation model approaches applied in this study, six nursing diagnosis were identified, and all nursing care plan had implemented. The concept of adaptation was appropriate in helping patient with premature rupture of membranes. However, the social aspect related to the client's cultural practices were not describe clearly. Combining two or more theories in a nursing care plan would benefit to mothers and their babies’ health and welfare. Keywords: Nursing theories, Premature rupture of membranes, pregnancy, complications
The World Health Organization (WHO) reported that the incidence of anemia in adolescent, especially in developing countries, remained high, including in young women in the West Java provinces. An alternative way to deal with anemia in adolescents is by fulfilling their daily nutrition, especially during menstruation. This study aimed to determine the knowledge and attitudes of nursing students related to the sources of iron supplement in Faculty of Nursing Universitas Padjdjaran. This study applied the descriptive quantitative approach. Samples were chosen using the purposive sampling method, and 197 students from three different years involved in this study. The respondents filled in the Gutman instrument to assess their knowledge and attitude. Results showed that 23.85% of respondent had a low understanding of iron supplement sources, 41,62% in the moderate level of understanding, and 34.51% of respondents had a high level of knowledge. In regard to respondents’ attitude, the majority of respondent had a good attitude (52,79%) and (47,20%) of them had the low attitude. This study informed that there was a group of student who risks of Iron deficiency anemia. It was because of unregular consumption of Iron tablet and their habit related to caffeine consumption that may be affected by iron’s absorption in their body. There is a need for a monitoring and implementation program to evaluate adolescents' intake including folic acid, iron supplement, and vitamin to improve hemoglobin levels.Keywords: Anemia, Attitude, Iron Deficiency, Knowledge
Meskipun secara global ada perubahan dalam tren epidemiologi dari penyakit menular ke penyakit kronis, prevalensi dan insiden penyakit menular serta MMR (Maternal Mortality Rate) atau AKI (Angka Kematian Ibu) dan AKB (Angka Kematian Bayi) di Indonesia masih tinggi. Tingginya angka kematian yang terjadi selama persalinan, diakibatkan faktor langsung seperti komplikasi kebidanan, perdarahan, dan eklampsia; atau faktor tidak langsung, seperti kekurangan gizi, penyakit menular dan tidak menular. Pada tahun 2000, Fakultas Keperawatan Unpad bekerja sama dengan RSHS membangun sebuah model dari ruang perawatan, yang berafiliasi dengan ruang ginekologi kebidanan. Model dibangun dengan tujuan untuk 1) meningkatkan kualitas pelayanan kesehatan; 2) untuk mengembangkan pengalaman mahasiswa dengan pasien; 3) menyediakan pendidik perawat berkualitas untuk menunjang siswa; 4) mendorong mahasiswa untuk meningkatkan hasil praktek klinis. Tujuan penelitian ini adalah untuk memberikan informasi dan gambaran tentang efektifitas dan tingkat kepuasan pasien pada pelayanan keperawatan maternitas. Hasil penelitian menunjukkan: di satu sisi, ada beberapa kekhawatiran berkaitan dengan efektivitas perawatan persalinan, yaitu: 1) rasio bidan dan pasien tidak ideal; 2) ada satu konsultan ginekolog obstetri dan satu dokter untuk setiap kamar. Delapan puluh persen lebih terapi delegasi untuk bidan dilakukan melalui komunikasi langsung, bukan melalui catatan medis. Di sisi lain, tingkat kepuasan pasien yang menerima perawatan bersalin adalah 58%, dan 42% tidak puas. Kesimpulan Penelitian ini merekomendasikan untuk mengambil perencanaan strategis yang komprehensif untuk meningkatkan pelayanan keperawatan dan kebidanan yang melibatkan semua pihak terkait di pemerintah, masyarakat sipil, pelayanan, pendidikan, dan organisasi profesiKata kunci: asuhan keperawatan maternitas, efektifitas, kepuasan pasien
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