PERAWATAN NYERI PADA PASIEN PASCA OPERASI HERNIOTOMI: STUDI KASUS

FIKUI, Jakarta – Nyeri pada pasien paska operasi merupakan nyeri akut yang belum banyak dimengerti dan tidak selalu dikelola dengan baik. Nyeri akibat operasi ini tidak hanya memiliki komponen sensori berhubungan dengan rusaknya jaringan, tetapi juga dipengaruhi oleh komponen psikososial dari pasien tersebut. Banyak pasien dan anggota tim kesehatan cenderung menganggap analgesik sebagai metoda yang penting dalam mengurangi rasa nyeri paska operasi.

Padahal banyak aktifitas keperawatan yang dapat dilakukan untuk mengurangi nyeri dengan didasari pada teori pola dan gate control theory. Tulisan ini merupakan hasil studi kasus seorang pasien paska operasi herniotomi di sebuah Rumah Sakit rujukan nasional yang berlangsung selama 3 hari. Continue reading PERAWATAN NYERI PADA PASIEN PASCA OPERASI HERNIOTOMI: STUDI KASUS

Analysis on the Influence of Lecturers’ Performance and Teaching-Learning Process to Students’ Academic Achievement of Surabaya Anesthesiology Nursing Study Program

The academic achievement of odd semester students of Surabaya Anesthesiology Nursing Study Program (S-ANSP) of the academic year 2002/2003 was low shown by 28% good qualification grades and by 72% sufficient qualification grades data.The main purpose of this research was to analyze the influence of lecturers’ performance and Teaching-Learning process to students of S-ANSP academic performance. This was an analytic observational research, conducted cross-sectionally. The population was students of S-ANSP odd semester from the academic year 2003/2004 (130 people) and all lecturers which were given the authority and responsibility to give lectures and to be students’ tutor amounting to 32 people, the sample utilized was a total sample (non random sampling). Continue reading Analysis on the Influence of Lecturers’ Performance and Teaching-Learning Process to Students’ Academic Achievement of Surabaya Anesthesiology Nursing Study Program

The Effect of Nursing Care Approach Model (NCAM = PAKAR) on the Increase of CD4 Cell Count for Patient with HIV Infection

The increase of the number of patient With HIV (PWH) Infection has become a great challenge to Indonesian nurses, confronting their values, practices and prejudices and many ethical dilemmas concerning autonomy, control and confidentiality. HIV diagnosis is perceived as a death sentence and the first reaction often include denial and shock. The purpose of the study was to examine NCAM, that focused on on coping strategy and social support (nurse, family, and peer groups). This may result in positive cognitive response and to increase Biological responses. Psychoneuroimmunology paradigm was used in this study. Quasy-experimental pre-post test non randomized control group design was used in this study. Forty (40) PWH infections in Intermediate Department Care for Infection Disease (UPIPI) Dr. Soetomo hospital in Surabaya were selected and non-randomized assignment divided into 2 groups. Instruments, in vitro- test were used to measure biological response change: CD4 and IFN-γ and questionnaires, in depth interview and Focus Group Discussion were used to measure the cognitive responses; spiritual, social, and selfacceptance. A multivariate analysis was used to evaluate the data of biological response, while non-parametric test: Wilcoxon and Mann Whitney were used to measure cognitive response. The finding indicated that NCAM model is able to treat positive cognitive response that leads to induce immune response modulation that showed by the increase of CD4 cell count.

keywords : Nursing Care Approach Model (PAKAR), cognitive adaptive responses, and biological responses

writer : Nursalam, School of Nursing, Airlangga University School of Medicine, Surabaya

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