UNIVERSITAS AIRLANGGA



Detail Article

Jurnal Ners

ISSN 1858-3598

Vol. 6 / No. 2 / Published : 2011-10

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Original Article :

Model asuhan keperawatan terhadap peningkatan adaptasi kognisi dan biologis pada pasien terinveksi hiv (nursing care approch model (ncam–pakar) on the increasing of cognitif and biological adaptation responses patient with hiv infection)

Author :

  1. Nursalam*1
  1. Dosen Fakultas Keperawatan UA

Abstract :

Introduction:   PAKAR model that focused on coping strategy and social support (nurse, family and patients) lead to positive coping mechanism through the learning process. The purpose of the study was to examine the effect of PAKAR toward adaptive response on PWH infection. PNI and nursing sciences from Roy paradigm were used in this study. Methods: Quasy-experimental pre-post test non randomized control group design is 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 of 20, experiment and control group.  In vitro- test were used to measure biological response change: cortical, CD4, IFNg, and Anti-HIV. Psychological, social, and spiritual response were measured and observed by using questionnaires, in depth interview and Focus Group Discussion. A Multivariate analysis was used to evaluate the data of biological response and non-parametric test: Wilcoxon and Mann Whitney were used to measure cognitive response. Result: Result showed that there were significantly differences on cognitive response between PAKAR and Standard, namely; spiritual response on be patient, social response on emotional stable, and acceptance response on anger and bargaining. In addition, biological response were significantly differences between the groups with F = 0.497 and p= 0.000. The cortical and Anti-HIV variables were the pattern contribution between the groups, with 77.5%. The increase the number of CD4 was found to be the dominance factor that was correlated toward the positive of cognitive response caused by PAKAR.  Discussion: PAKAR model that focused on coping strategy and utilizing social support lead to treat cognitive response PWH infection. The model is based on nursing science theory (Roy and Hall) combined with psychoneuroimmunology paradigm that is able to induce immune response modulation, especially the increase of the number of CD4. The increase of CD4 will induce IFN-g to help macrophage in destroying HIV.

Keyword :

Nursing Care Approach Model (PAKAR), Cognitive Adaptive Responses And Biological Responses,


References :

Depkes R.I,(2006) Pelatihan Klinik dasar ART dan perwatan akut. Panduan Fasilitator Jakarta : Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan

Nursalam,(2008) Konsep dan Penerapan Metodologi Penelitian Ilmu Keperawatan Jakarta : Salemba Medika





Archive Article

Cover Media Content

Volume : 6 / No. : 2 / Pub. : 2011-10
  1. Kejadian Ventilator Associated Pneumonia (vap) Hari I Dan Hari Iii Pada Klien Dengan Ventilasi Mekanik Dengan Menggunakan Indikator Clinical Pulmonary Infection Score (cpis) (the Incident Of Ventilator Associated Pneumonia (vap) Days I And Day Iii To Patient With Mechanical Ventilation Using Clinical Pulmonary Infection Score (cpis) Indicators)
  2. Model Asuhan Keperawatan Terhadap Peningkatan Adaptasi Kognisi Dan Biologis Pada Pasien Terinveksi Hiv (nursing Care Approch Model (ncam–pakar) On The Increasing Of Cognitif And Biological Adaptation Responses Patient With Hiv Infection)
  3. Pencegahan Iritasi Mukosa Hidung Pada Pasien Yang Mendapatkan Oksigen Nasal (prevention Of Nasal Mucosal Irritation In Patients Obtain Nasal Oxygen)
  4. Regulasi Tekanan Darah Pada Penderita Hipertensi Primer Dengan Smoothie Pisang (musa Paradisiaca) (regulation Of Blood Pressure In Patients With Primary Hypertension With Smoothie Banana (musa Paradisiaca))
  5. Praktek Kolaborasi Perawat-dokter Dan Faktor Yang Mempengaruhinya (collaboration Practice Between Nurses And Physician And The Factors Affecting)
  6. Penurunan Tingkat Depresi Pada Lansia Dengan Pendekatan Bimbingan Spiritual (reduction Of Depression In Elderly With Spiritual Guidance Approach)
  7. Analisis Faktor Resiko Kehamilan Ektopik Di Rsud Dr. Soetomo Surabaya (analysis Of Risk Factors Ectopic Pregnancy In Dr. Soetomo Hospital Surabaya)
  8. Stress Dapat Mengganggu Proses Spermatogenesis Pada Mencit (stress Can Undermine The Process Of Spermatogenesis In Mice)
  9. Pendekatan Modelling Keperawatan Anak Terhadap Pengetahuan, Kemampuan Praktek Dan Percaya Diri Ibu Dalam Menstimulasi Tumbuh Kembang Bayi 0-6 Bulan (pediatric Nursing Modelling Approach On Mother’s Knowledge, Practice Ability And Maternal Confidence Of Infant Growth And Development)
  10. Indikator Kualitas Hidup Pasien Gagal Ginjal Kronis Yang Menjalani Hemodialisa Berdasarkan Strategi Koping (the Indicator Of Quality Life Patient With Chronic Renal Failure By Hemodialyisis Based On Coping Strategy )
  11. Aromacare Melati (jasmine) Meningkatkan Pemenuhan Kebutuhan Tidur Pada Lansia (aromacare Of Jasmine Increased Sleep Needs In Elderly)