MEANING AND HOPE KEHADIRAN BAGI KELUARGA SEBAGAI FAMILY CAREGIVER PASIEN ICU DENGAN PROGNOSIS BURUK DI RSUP DR SARDJITO YOGYAKARTA

DEA TRESNA SAIPUTRI, 1. Dr. Sri Setiyarini, S.Kp., M.Kes. 2. Dr. dr. Probosuseno, Sp.PD, K-Ger, FINASIM

2017 | Skripsi | S1 ILMU KEPERAWATAN

melibatkan keluarga dalam perawatan pasien. Pasien ICU beresiko tinggi terhadap kematian. Pasien dan keluarga mengalami stres selama pasien dirawat di ICU. Harapan merupakan koping efektif bagi keluarga untuk mengatasi stres saat hadir di ICU. Kehadiran keluarga penting bagi pasien dan keluarga. Tujuan: Mengeksplorasi meaning and hope akan kehadiran family caregiver dan mengetahui aktivitas caregiving pasien ICU dengan prognosa buruk di RSUP dr.Sardjito Yogyakarta, Indonesia. Metode: Merupakan penelitian deskriptif eksploratif kualitatif dengan pendekatan fenomenologi. Partisipan penelitian adalah pasien ICU (n=8) dan keluarga (n=8) yang diperoleh dengan teknik purposive sampling. Pengambilan data dengan wawancara terstruktur. Triangulasi data menggunakan teknik triangulasi sumber perawat ICU dan triangulasi metode dengan observasi dan field note. Analisis data menggunakan content analysis. Hasil: Didapatkan 3 tema dan 9 kategori, yaitu: (1) Fleksibilitas keterlibatan keluarga dalam perawatan pasien dari kategori: Perawatan oleh keluarga sebelum dirawat di ICU, total care oleh perawat ICU, kebijakan menunggui pada jam besuk di ICU, trustworthy relationship, segala cara ditempuh oleh keluarga demi kesembuhan pasien (2) Important mutualistic meanings dengan kategori: variasi perwujudan kasih sayang oleh keluarga dan kenyamanan bagi pasien ICU, (3) Patient centered hope�s process dengan kategori proses menunggui dan proses berharap. Kesimpulan: Meaning akan kehadiran keluarga adalah important mutualistic meanings bagi pasien dan keluarga. Hope akan kehadiran keluarga yaitu hope�s process yang berfokus pada pasien ICU. Aktivitas caregiving keluarga pada pasien ICU fleksibel tergantung kebijakan ruang dan kondisi pasien.

Introduction: Indonesia is a strong family ties country which involves family in patient care. ICU patient's has high mortality rank. Patient and family are being stress when the patient is in ICU. Family presence is important for both of patient and family. Hope is an effective coping for family to deal with stress while stay at ICU. Purpose: To explore the meaning and hope of family presence as family caregiver and to know caregiving activities of poor prognosis ICU patient in general hospital sardjito Yogyakarta, indonesia. Method: Descriptive explorative qualitative with phenomenology approach is used as the prior research methodology. The research participant were ICU patient (n=8) and family (n=8) who have been taken by purpossive sampling technique. The data is taken by resource triangulation technique and method triangulation using observation by field notes. The data analysis is using content analysis. Result: The results of this research were 3 themes and 9 categories:(1) flexibility family involving in patient care ( Patient care by family before in ICU, patient total care by ICU nurse, visiting policy in ICU, trustworthy relationship, any thing has been doing by family for patient healing (2) Important mutualistic meanings, (variation of affection shown by family and ICU patient comfort) (3) Patient centered hope's proces (visiting process dan hoping process). Conclusion: The Meaning of family presence at ICU is important mutualistic meanings for patient and family. Hope of family presence is hope's process which is focused on ICU patient hope's. Family caregiving activity is flexible, depends on ward's policy and patient condition.

Kata Kunci : meaning, hope, kehadiran keluarga, family caregiver ICU/meaning, hope, family presence, family caregiver ICU