Harapan anak usia sekolah penyandang talasemia yang bergantung pada transfusi

DOI: https://doi.org/10.33024/hjk.v19i6.646

Authors

  • Silvya Dwi Yanti Fakultas Keperawatan, Universitas Padjadjaran
  • Ai Mardhiyah Fakultas Keperawatan, Universitas Padjadjaran
  • Sri Hendrawati Fakultas Keperawatan, Universitas Padjadjaran

Anak Harapan Talasemia Transfusi Usia Sekolah

Abstract

Background: Children with transfusion-dependent thalassemia require lifelong blood transfusion and iron chelation treatment, resulting in stressful conditions that interfere with the child's psychosocial well-being and may lead to hopelessness. Hopelessness leads to loss of hope and non-compliance with treatment.

Purpose: To identify the expected picture of school-age children with thalassemia who are dependent on transfusions.

Method: This study is a quantitative descriptive study with univariate analysis. This study used a total sampling technique totaling 44 school-age children with transfusion-dependent thalassemia with parents who are POPTI members. This study used the Child Hope Scale instrument which has been translated and has been tested valid and reliable.

Results: That the level of expectations of respondents was in the moderate category as many as 29 people (65.9%). Likewise, the pathway dimension as many as 25 people (56.8%) and the agency dimension as many as 28 people (63.6%) are in the moderate category.

Conclusion: The expectancy level of children with transfusion-dependent thalassemia is mostly in the moderate category.

Suggestion: Future researchers can further examine the influence of hope on children with thalassemia and relate it to other variables such as quality of life or factors related to hope in school-age children with thalassemia who depend on transfusions.

 

Keywords: Children; Hope; School Age; Thalassemia; Transfusion.

 

Pendahuluan: Anak penyandang talasemia yang bergantung pada transfusi membutuhkan pengobatan transfusi darah dan kelasi besi seumur hidupnya sehingga mengalami kondisi stres yang mengganggu psikososial anak dan dapat terjadi keputusasaan. Keputusasaan menyebabkan penyandang kehilangan harapan dan tidak mematuhi pengobatan.

Tujuan: Untuk mengidentifikasi gambaran harapan anak usia sekolah penyandang talasemia yang bergantung pada transfusi.

Metode: Penelitian deskriptif kuantitatif dengan analisis univariat. Penelitian ini menggunakan teknik total sampling berjumlah 44 anak usia sekolah penyandang talasemia yang bergantung pada transfusi dengan orang tua anggota POPTI. Penelitian ini menggunakan instrumen Child Hope Scale yang sudah diterjemahkan dan sudah teruji valid serta reliabel.

Hasil: Tingkat harapan responden berada dalam kategori sedang sebanyak 29 penyandang (65.9%). Begitu pula dimensi pathway sebanyak 25 penyandang (56.8%) dan dimensi agency sebanyak 28 penyandang (63.6%) berada pada kategori sedang.

Simpulan: Tingkat harapan anak penyandang talasemia yang bergantung pada transfusi sebagian besar berada dalam kategori sedang.

Saran: Bagi peneliti selanjutnya dapat meneliti lebih lanjut mengenai analisis pengaruh harapan pada anak penyandang talasemia dan menghubungkan dengan variabel lainnya seperti kualitas hidup ataupun mengenai faktor-faktor yang berhubungan dengan harapan anak usia sekolah penyandang talasemia yang bergantung pada transfusi.  

Downloads

Download data is not yet available.

References

Afifah, J., Latifah, O., Yulianti, I., & Yarni, L., (2023). Perkembangan Akhir Masa Anak-Anak. Atmosfer: Jurnal Pendidikan, Bahasa, Sastra, Seni, Budaya, Dan Sosial Humaniora, 2(1), 70–78.

Andrade, S. V., Sesso, R., & Diniz, D. H. D. M. P. (2015). Hopelessness, suicide ideation, and depression in chronic kidney disease patients on hemodialysis or transplant recipients. Brazilian Journal of Nephrology, 37, 55-63.

Antunes, M., Laranjeira, C., Querido, A., & Charepe, Z. (2023). “What Do We Know about Hope in Nursing Care?”: A Synthesis of Concept Analysis Studies. Healthcare, 11(20), 2739.

Arumsari, D. K., Cahyadi, A., Andarsini, M. R., Efendi, F., Wardhani, A. N. K., Larasati, M. C. S., & Ugrasena, I. D. G. (2024). Psychosocial aspects in children with transfusion-dependent thalassemia. Vulnerable Children and Youth Studies, 19(1), 124–139.

Bean, G. J. (2020). An item response theory analysis of the children’s hope scale. Journal of the Society for Social Work and Research, 11(2), 339–364.

Centers for Disease Control and Prevention. (2024). About Thalassemia. Diakses dari: https://www.cdc.gov/thalassemia/about/index.html#:~:text=Key%20points,cells%20traveling%20in%20the%20bloodstream.

Deniz, M. E., Satici, S. A., Okur, S., & Satici, B. (2023). Relations among self‐control, hope, and psychological adjustment: A two‐wave longitudinal mediation study. Scandinavian Journal of Psychology, 64(6), 728–733.

Dewi, A. R. (2022). PR (Peer Group) Anak Sekolah Sebagai Upaya Meningkatkan Kreativitas Pada Anak Usia Sekolah Di Gedong Tataan Pesawaran. Jurnal Pengabdian Masyarakat Jajama (JPMJ), 1(2), 86.

Eloia, S. M. C., Ximenes, M. A. M., Eloia, S. C., Galindo Neto, N. M., Barros, L. M., & Caetano, J. Á. (2021). Religious coping and hope in chronic kidney disease: a randomized controlled trial. Revista Da Escola de Enfermagem Da USP, 55.

Farmakis, D., Porter, J., Taher, A., Domenica Cappellini, M., Angastiniotis, M., & Eleftheriou, A. (2022). 2021 Thalassaemia International Federation Guidelines for the Management of Transfusion-dependent Thalassemia. HemaSphere, 6(8), e732.

Hamunangan, F. T., Astarani, K., & Poernomo, D. I. S. H. (2020). Dukungan Keluarga Pada Anak Thalasemia: Literatur Riview . Jurnal Penelitian Keperawatan, 6(2).

Hastuti, R. P., Mariani, R., Ujiani, S., Sumardilah, D. S., & Elizar, E. (2023). Peningkatan Kualitas Hidup Anak Thalasemia Pada Masa Pandemi Covid-19. Berdikari: Jurnal Inovasi Dan Penerapan Ipteks, 11(1).

Hockenberry, M. J., Wilson, D., & Rodgers, C. C. (2017). Wong’s Essentials Of Pediatric Nursing (10th ed.). Elsevier.

Isdihar, A., & Musthofa, W. (2023). Kontrol Diri dan Harapan Keberhasilan Studi Pada Siswa SMA. Jurnal Penelitian Dan Pengukuran Psikologi: JPPP, 12(1), 52–60.

Javanmardifard, S., Heidari, S., Sanjari, M., Yazdanmehr, M., & Shirazi, F. (2020). The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes. Journal of Diabetes & Metabolic Disorders, 19(2), 941–950.

Kementerian Kesehatan Republik Indonesia. (2019). Putuskan Mata Rantai Talasemia, untuk Indonesia Lebih Sehat. Diakses dari: https://p2ptm.kemkes.go.id/kegiatan-p2ptm/pusat-/putuskan-mata-rantai-talasemia-untuk-indonesia-lebih-sehat

Kementerian Kesehatan Republik Indonesia. (2022). Talasemia Penyakit Keturunan, Hindari dengan Deteksi Dini. Diakses dari: https://kemkes.go.id/id/talasemia-penyakit-keturunan-hindari-dengan-deteksi-dini

Keshoofy, A., Pearl, D. L., Lisnyj, K., Thaivalappil, A., & Papadopoulos, A. (2023). Risk and protective factors associated with hopelessness among Canadian postsecondary students. International Journal of Mental Health and Addiction.

Kısaoğlu, Ö., & Tel, H. (2024). The impact of hope levels on treatment adherence in psychiatric patients. Acta Psychologica, 244, 104194.

Long, K. N. G., Kim, E. S., Chen, Y., Wilson, M. F., Worthington Jr, E. L., & VanderWeele, T. J. (2020). The role of Hope in subsequent health and well-being for older adults: An outcome-wide longitudinal approach. Global Epidemiology, 2, 100018.

Mahon, N. E., & Yarcheski, A. (2017). Parent and Friend Social Support and Adolescent Hope. Clinical Nursing Research, 26(2), 224–240.

Mardhiyah, A., Panduragan, S. L., Mediani, H. S., Yosep, I., Shalahuddin, I., & Hafitriany, S. A. (2024). Effect of Family-Centered Empowerment Model on Hope of Adolescents with Thalassemia Major. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 9(2).

Moiz, B., Habib, A., Sawani, S., Raheem, A., Hasan, B., & Gangwani, M. (2018). Anthropometric measurements in children having transfusion-dependent beta thalassemia. Hematology, 23(4), 248–252.

Mufti, G. E. R., Towell, T., & Cartwright, T. (2015). Pakistani children’s experiences of growing up with beta-thalassemia major. Qualitative health research, 25(3), 386-396.

Mulyani, M., & Fahrudin, A. (2011). Reaksi psikososial terhadap penyakit di kalangan anak penderita talasemia mayor di Kota Bandung. Sosio Informa, 16(3).

Mustofa, F. L., Triswanti, N., Rukmono, P., & Satriadi, M. F. (2020). Hubungan Kepatuhan Transfusi Darah terhadap Pertumbuhan Anak Thalassemia di Rumah Singgah Thalassemia Bandar Lampung. Jurnal Medika Malahayati, 4(2), 130–136.

Nazam, F., & Husain, A. (2021). Psychometric revalidation of Children’s Hope Scale among Indian adolescents. Asia-Pacific Social Science Review, 21(1), 15.

Nurvitasari, J., Mardhiyah, A., & Nurhidayah, I. (2019). Masalah Psikososial pada Penyandang Talasemia Usia Sekolah di Poliklinik Talasemia RSUD Sumedang. Jurnal Keperawatan Komprehensif, 5(1).

Paramos, A., Ferreira, C., Loureiro, F., & Charepe, Z. (2023). Adolescent hope in the context of nursing care: A scoping review. Journal of Pediatric Nursing, 69, 86–92.

Priambodo, A., Mediani, H. S., & Emaliyawati, E. (2023). Factors Related to the Implementation of Family Center Care in Critical Nursing Rooms at Karawang Hospital. Jurnal Keperawatan Komprehensif, 9(2).

Qamaria, R. S., & Astuti, F. (2023). Meningkatkan Motivasi Belajar pada remaja Melalui Konseling Behavioral dengan Teknik Self Management. Proyeksi, 18(1), 1.

Rasmita, D., Lestari, N. E., Noprida, D., Khodijah, Argarini, D., Hidayatullah, A., Faridah, F., & Wardhana, D. P. W. (2024). Tindakan Keperawatan pada Anak dengan Sakit Kronis. PT. Sonpedia Publishing Indonesia.

Robinson, M. A., Kim, I., Mowbray, O., & Washington, T. (2020). The Effects of Hopelessness on Chronic Disease Among African Americans and Caribbean Blacks: Findings from the National Survey of American Life (NSAL). Community Mental Health Journal, 56(4), 753–759.

Rujito, L. (2019). Talasemia: genetik dasar dan pengelolaan terkini. Universitas Jenderal Soedirman, 10.

Sabanciogullari, S., & Yilmaz, F. T. (2021). The Effect of Religious Coping on Hope Level of Cancer Patients Receiving Chemotherapy. Journal of Religion and Health, 60(4), 2756–2769.

Savahl, S. (2020). Children’s hope in South Africa: A population-based study. Frontiers in psychology, 11, 1023.

Silfiasari, & Patra Varlina, A. (2024). Adaptation of the Indonesian Version of the Children's Hope Scale. KnE Social Sciences, 2024, kss-v9i5.

Tan, H. T., & Faheri, E. (2023). Efek Hidroksiurea Terhadap Thalassemia-Β Bergantung Transfusi: Laporan Kasus Berbasis Bukti. Innovative: Journal Of Social Science Research, 3(3), 6782–6797.

Tanaem, G. H., Dary, M., & Istiarti, E. (2019). Family Centered Care pada Perawatan Anak di RSUD Soe Timor Tengah Selatan. Jurnal Riset Kesehatan, 8(1), 21–27.

Tao, Y., Yu, H., Liu, S., Wang, C., Yan, M., Sun, L., Chen, Z., & Zhang, L. (2022). Hope and depression: the mediating role of social support and spiritual coping in advanced cancer patients. BMC Psychiatry, 22(1), 345.

Urrahmah, A., Safrisyah, S., & Karjuniwati, K. (2024). Hope dan Quarter Life Crisis pada Dewasa Awal di Aceh. PSISULA: Prosiding Berkala Psikologi, 6.

Utami, T. A., & Anggraeni, L. D. (2023). Korelasi Penghasilan Orang Tua terhadap Kualitas Hidup Anak yang Mengalami Talasemia Mayor. Faletehan Health Journal, 10(2), 148–158.

Weil, C. M. (2000). Exploring hope in patients with end stage renal disease on chronic hemodialysis. Nephrology Nursing Journal : Journal of the American Nephrology Nurses’ Association, 27(2), 219–224.

Xiang, G., Teng, Z., Li, Q., Chen, H., & Guo, C. (2020). The influence of perceived social support on hope: A longitudinal study of older-aged adolescents in China. Children and Youth Services Review, 119, 105616.

Downloads

Published

2025-09-02