Browsing by Author "Maria, Riri"

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    Evaluating Cachexia Assessment Scale (Cas) To Identify Cancer Cachexia In Dharmais National Cancer Hospital
    (2015-06-20) Huda, Nurul; Waluyo, Agung; Maria, Riri
    Cachexia is a common problem for cancer patient in end stage. It is devastating consequence of cancer and it is associated with several negative outcomes including poorer response to cancer treatment, increased treatment side effects lower quality of life and increased depression among patients and family. The early identification of patients at risk for cachexia particularly during early stages can be an important approach. Although literature stresses the need to asses cachexia, evidence prove that no tool adequately has been accepted as gold standard. The aim of this study was to develop and evaluating a simple tool for nurse which could identify patients with cancer cachexia throughout all stages of diseases. Design of this study was qualitative study. Cachexia Assessment Scale (CAS) from previous researcher was modified and translated into Indonesia language. Purposive sampling methods established in this study involved 9 nurses. Semi structured interviews were recorded digitally, transcribed, and analyzed using thematic and interpretative analysis. The current study showed detail information about evaluating cachexia assessment scale tool within five main themes, namely : 1) the language was understandable, 2) the checklist system was preferred, 3) the diagnostic result was easy to be accessed 4) the scoring method was unfamiliar 5) the follow up plan after the scoring need to be considered. Study results show that Cachexia Assessment scale ( CAS) is communicative tool, simple tool and easy tool for nurse. CAS can also discriminate the symptoms that cause cachexia from the side effects of treatment. But the scoring systems need to be informed among nurses.
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    The Experience And Perception Of Tuberculosis Patients During Their Treatment In Jakarta
    (2015-06-19) Maria, Riri; Aryani, Denissa Faradita; Arista, Liya
    Tuberculosis is an infectious disease and remains a significant health problem in Indonesia. Combating TB is paramount as the drop out and relapse of patients are still high. This study aimed to explore the experience of tuberculosis patients who had relapsed. The qualitative method with phenomenological approach was used in this study. Ten participants, with relapse of TB visiting the out patient of pulmonology departement in a respiratory hospital in Jakarta were selected using the purposive sampling and interviewed using semi- structured questions. The data were analysed using conventional content analysis. This study found four themes: the perception of tuberculosis, the impact of tuberculosis on patients, the challenge of TB patients during their treatment and the support from family.These results of this study can be used as the information for the healthcare workers to improve TB program such as, increasing health education program, so that the prevalence of the relapse in TB patients can be reduced.
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    Reducing hiv stigma module for indonesian medicine-nursingmidwifery Students
    (2015-06-18) Waluyo, Agung; Mansyur, Muhtarudin; Herawati, Tuti; Maria, Riri
    People living with HIV (PLWH) can not access health care services as they experience rejection from health center personnel and refusal of treatment. Stigma may influence the low antiretroviral therapy coverage in Indonesia (46%).The purpose of this study is to develop HIV curriculum that not only focus on physical aspect how to care the PLWH but also mental, social and spiritual aspect to care them. Two steps studies have been done from the total of three.First stage was mixed methods using descriptive quantitative and qualitative study, using a questionnaire covering demographic information, HIV knowledge, religious beliefs, attitudes toward PLWH, and list of questions for focus group discussion. A convenience sample of 535 Medicine-Nursing-Midwifery student participated from 9 Medical-Nursing-Midwifery schools, and around 27 Medical-Nursing-Midwifery professors and manager of academic affairs join to FGD to discuss HIV and AIDS curriculum on their institutions. These Medical-Nursing- Midwifery schools are in 3 different provinces, Jakarta, East Java, and Papua. Second stage was combining the gap found from first stage study and literature review and expert seminar on what is the best way to deliver HIV curriculum that can reduce HIV stigma among health professionals. The HIV curriculum was established which is consist of the impact of HIV and AIDS to personal and professional life of health personnel, he right of patient and health personnel, understanding patient experience living with HIV and AIDS, stigma and discrimination toward PLWH from health personnel, understanding the risk of and how to prevent HIV infection among health personnel within health service system. HIV/AIDS curriculum that allowing health professional student reducing stigma and discrimination toward PLWH need to be tested to a group of three different health profession schools. Curriculum testing will be done in year three, 2015.