H. Pengolaan Data dan Analisa Data
I. Etika Penelitian
Penelitian yang dilakukan tidak menimbulkan resiko kecacatan dan membahayakan bagi partisipan karena tidak ada perlakuan khusus terhadap partisipan. Dalam melakukan penelitian, peneliti menggunakan prinsip-prinsip dasar etik penelitian yaitu: respect for human dignity seperti autonomy,
beneficience, anonymity atau confidentiality dan Justice.(100) 1. Autonomy
Autonomy atau otonomi adalah prinsip etik dengan memberikan hak
dan kebebasan bagi partisipan untuk memilih berpartisipasi atau tidaknya dalam penelitian ini secara sukarela tanpa adanya paksaan dari pihak manapun. Autonomy dilakukan dengan proses informed concent.(101) Hal
ini dilakukan untuk meyakinkan kesediaan responden berpartisipasi dalam penelitian. Melalui informed concent responden mempunyai informasi yang adekuat mengenai tujuan penelitian, prosedur penelitian, lama keterlibatan dan hak-hak responden. Responden bebas memilih untuk memberikan persetujuan secara sukerala untuk berpartisipasi atau tidak dalam penelitian ini.
2. Anonimity / Confidentiality
Merupakan prinsip etik yang mengharuskan peneliti untuk menjaga kerahasiaan partisipan. Hal ini termasuk jaminan bahwa informasi apapun yang diberikan oleh partisipan hanya dipublikasikan untuk kemaslahatan masyarakat. Peneliti mencatumkan nama partisipan dengan menggunakan kode responden. Tempat dan nama orang yang dideskripsikan partisipan juga ditulis dengan menggunakan lambang huruf awal sehingga dapat menjamin kerahasiaan identitas partisipan.
3. Justice
Peneliti menghargai partisipan dan memperlakukannya sesuai dengan norma yang berlaku. Peneliti tidak melakukan diskriminasi baik selama pemilihan sampel atau selama prosedur pengumpulan data dan tidak membedakan partisipan berdasarkan latar belakang sosial, ekonomi dan budaya.
4. Beneficience
Responden yang mengikuti proses dalam penelitian ini mendapatkan manfaat karena secara otomatis responden akan mengetahui kualitas hidupnya sehingga peningkatan masing-masing dimensi kualitas hidup dapat segera dilakukan.
Penelitian ini juga menggunakan ethical clearance yang dikeluarkan oleh komisi etik. Ethical clearance adalah pernyataan, bahwa rencana kegiatan penelitian yang tergambar dalam protocol, telah dilakukan kajian dan telah memenuhi kaidah etik sehingga penelitian layak dilaksanakan.
DAFTAR PUSTAKA
1. Nursing ACC. About critical care nursing [Internet]. American Association of Critical-Care Nurses. 2015 [cited 2015 Mar 21]. Available from: http://www.aacn.org/wd/publishing/content/pressroom/aboutcriticalcarenur sing.pcms?menu=
2. Robertson LC, Al-Haddad M. Recognizing the critically ill patient.
2003;14(1):11–4. Available from:
http://dx.doi.org/10.1016/j.mpaic.2012.11.010
3. Lim WS, van der Eerden MM, Laing R, Boersma WG, Karalus N, Town GI, Lewis SA MJ. Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study. Thorax. 2003;58(5):377–82.
4. Boniatti MM, Friedman G, Castilho RK, Vieira SRR, Fialkow L. Characteristics of chronically critically ill patients: comparing two definitions. Clinics (Sao Paulo). 2011;66(4):701–4.
5. Sunatrio. Penentuan mati/ pengakhiran resusitasi dan euthanasia pasif di ICU. PKGDI. [Internet]. 2010. Available from: http://www.freewebs.com/penentuanmati/daftarpustaka.htm
6. Guyton AC. Text book of medical physiology. 11th ed. Misissippi: Elsevier; 2006. 86-89 p.
7. Tierney, L.M., Stephen J. Current Medical Diagnosis Treatment, Lange Medical Book 2003. California: McGraw-Hill Medical Publishing Division; 2003. 459-483 p.
8. Doyle, D., Hanks, G.W.C., & MacDonald N. Oxford textbook of palliative medicine. 2nd ed. inggris: Oxford university press.Ltd; 2001.
9. Charles K. Klien sakit terminal. 2nd ed. Jakarta: EGC; 2010.
10. Mayasari AD. Peranan keluarga pasien kritis. Universitas Sumatra Utara; 2014.
11. Francis S. Pengaruh dukungan keluarga terhadap kesembuhan ibu yang mengidap kanker payudara. J Ilm Psikol. 2004;9(1).
12. Ambari. Hubungan antara dukungan keluarga dengan keberfungsian sosial pada pasien skizifrenia pasca perawatan di Rumah Sakit [Internet].
Universitas Diponegoro; 2010. Available from: http://eprints.undip.ac.id/10956/1/RINGKASAN_skripsi.pdf
13. Dolan, Canavan P. Family support as reflective practice. UK:Jessica Kingsley Publishers; 2006.
14. Sudiharto. Asuhan keperawatan keluarga dengan pendekatan keperawatan transkultural. Jakarta: EGC; 2007.
15. Ekawati S. Hubungan antara fungsi keluarga dan kualitas hidup lansia. J Kedokt Indones. 2011;2(1):73–9.
16. Winarsih. Gambaran kualitas hidup keluarga pasien kanker yang menjalani kemoterapi di RSUP dr. Karyadi Semarang. 2015.
17. Dwi Susanti R. Menurunkan tingkat kecemasan: bentuk dukungan keluarga untuk pasien ICU. UNAIR; 2015.
18. Rha SY, Park Y, Song SK, Lee CE, Lee J. Caregiving burden and the quality of life of family caregivers of cancer patients: the relationship and correlates. Eur J Oncol Nurs [Internet]. Elsevier Ltd; 2015; Available from: http://linkinghub.elsevier.com/retrieve/pii/S1462388915000125
19. Mosher, C.E., Bakas, T., Champion VL. Physical health, mental health, and life changes among family caregivers of patients with lung cancer. Oncol Nurs Forum. 2013;40(1):63–61.
20. Fletcher BS, Paul SM, Dodd MJ et al. Prevalence, severity, and impact of symptoms on female family caregivers of patients at the initiation of radiation therapy for prostate cancer. J Clin Oncol. 2008;26(4):599–605. 21. Osse, B.H., Vernooij-Dassen, M.J., Schade, E., Grol RP. Problems
experienced by the informal caregivers of cancer patients and their needs for support. Cancer Nurs. 2006;29(5):378–88.
22. Bevans M SE. Caregiving burden, stress, and health effects among family caregivers of adult cancer patien. (Case Reports Clin Conf ) JAMA. 2012;307(4):398–403.
23. Norup A, Welling K-L, Qvist J, Siert L, Mortensen EL. Depression , anxiety and quality-of-life among relatives of patients with severe brain injury : the acute phase. Brain Inj. 2012;26(September):1192–200.
24. Fumis RR DD. Family members of critically ill cancer patients: assessing the symptoms of anxiety and depression. Intensive Care Med. 2009;5:899– 902.
25. Pochard F, Azoulay E, Chevret S et al. Symptoms of anxiety and depression in family members of intensive care unit patients: Ethical hypothesis regarding decision-making capacity. Crit Care Med. 2001;10:1893–7.
26. Siegel MD, Hayes E, Vanderwerker LC, Loseth DB PH. Psychiatric illness in the next of kin of patients who die in the intensive care unit. Crit Care Med. 2008;6:1722–8.
27. Azoulay E, Pochard F, Kentish-Barnes N et al. Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am J Respir Crit Care Med. 2005;171(9):987–94.
28. Pochard F, Darmon M, Fassier T et al. Symptoms of anxiety and depression in family members of intensive care unit patients before discharge or death. A prospective multicenter study. J Crit Care. 2005;20:90–6.
29. Lemiale V, Kentish-Barnes N, Chaize M, Aboab J, Adrie C, Annane D, et al. Health-related quality of life in family members of intensive care unit patients. J Palliat Med. 2010;13(9):1131–7.
30. Paparrigopoulos T, Melissaki A, Efthymiou A, Tsekou H, Vadala C, Kribeni G et al. Short-term psychological impact on family members of intensive care unit patients. J Psychosom Res. 2006;6(1):719–22.
31. Deshields TL, Rihanek A, Potter P et al. Psychosocial aspects of caregiving: perceptions of cancer patients and family caregivers. Support Care Cancer. 2012;20(2):349–56.
32. Goldstein NE, Concato J, Fried TR, Kasl et al. Factors associated with caregiver burden among caregivers of terminally ill patients with cancer. J Palliat Care. 2004;20(1):38–43.
33. Schumacher KL, Stewart BJ, Archbold, PG, Caparro M, Mutale F AS. Effects of caregiving demand, mutuality, and preparedness on family caregiver outcomes during cancer treatment. Oncol Nurs Forum. 2008;35(1):49–56.
34. Glajchen M. Caregivers in palliative care: Roles and responsibilities. In: Work OT of PS, editor. In: Altilio T. New York: Oxford University Press; 2011. p. 235–50.
35. Nofitri. Kualitas hidup penduduk dewasa [Internet]. Jakarta. 2009 [cited 2015 Mar 15]. Available from: http://www.lontar.ui.ac.id
36. Theofilou P. Quality of life: Definition and measurement. Eur J Psychol. 2013;9:150–62.
37. Hacialioglu N, Özer N, Yilmaz karabulutlu E, Erdem N, Erci B. The quality of life of family caregivers of cancer patients in the East of Turkey. Eur J Oncol Nurs. 2010;14:211–7.
38. Luppana K, Cohen MZ. Quality of life of family caregivers of patients with cancer: A literature review. Oncol Nurs Forum [Internet]. 2006;33(2):625–
32. Available from:
http://ezproxy.library.usyd.edu.au/login?url=http://search.proquest.com/doc view/223108020?accountid=14757
39. Wijaya A. Kualitas hidup pasien penyakit ginjal kronik yang menjalani Hemodialsis dan mengalami deperesi [Internet]. Perpustakaan Universitas Indonesia. Universitas Indonesia; 2005. Available from: http://www.digilib.ui.ac.id/opac/themes/libri2/detail.jsp?id=108527
40. Supriyadi, Wagiyo SRW. Tingkat kualitas hidup pasien gagal ginjal kronik terapi hemodialisa. J Penyakit Dalam [Internet]. 2011;6(2):107–12. Available from: http://journal.unnes.ac.id/index.php/kemas
41. Nurlaila E, Johana EP, Thomas DH N. Pengaruh psikoterapi transpersonal terhadap kualitas hidup pasien HIV dan AIDS. Indones Psychol Jpurnal. 2008;24(1):1–16.
42. Heri S, Tjokorda GD RA. Gambaran kualitas hidup pasien kanker limfoma non hodgkin yang dirawat di RSUP Sanglah Denpasar. J Penyakit Dalam. 2010;11(2).
43. Pratiwi TF. Kualitas hidup penderita kanker. J Psikol. 2012;1(1).
44. Fransisca M. Sidabutar, Anggie Regia Anandari, Ezra C., Ingrid Karli, Yusnita Katagori HEW. Gambaran kualitas hidup pasien kanker pediatrik usia sekolah. Indones J Cancer. 2012;6(2).
45. Predana, I Putu Wira SN. Hubungan kualitas hidup dengan kebutuhan perawatan paliatif pada pasien kanker di RSUP Sanglah Denpasar. 2011; 46. Handayani SA. Hubungan dukungan keluarga dengan kualitas hidup pasien
penyakit ginjal kronik yang menjalani terapi hemodialisa di RSUP Sanglah Denpasar. 2011;
47. Hakim R, Baskoro A, Rusmariana A, Studi P, Keperawatan I. Hubungan dukungan keluarga dengan kualitas hidup pasien kanker yang menjalani kemoterapi di RSUD Kraton Pekalongan. 2012;
48. Fuji Rahmawati, Elsa Pudji Setiawan TS. Pengaruh dukungan keluarga terhadap kualitas hidup pasien diabetes melitus tipe 2. 2014;
49. Taolin FT. Hubungan peran keluarga dengan kualitas hidup pasien kanker payudara di yayasan kanker Indonesia. Universitas Katolik Widya Mandala; 2014.
50. Ruggeri M, Bisoffi G, Fontecedro L WR. Subjective and objective dimensions of quality of life in psychiatric patients: a factor analytical approach: the south verona outcome project 4. Br J Psychiatry. 2001;178:268–75.
51. Hinds PS KC. Quality of life, from nursing and patient. USA: Jones and Bartlett Publishers; 2008.
52. Santoso C. 138 tanya jawab tentang nasib dan keberuntungan. Jakarta: PT Elek Media Komputindo; 2007. 27 p.
53. Mendlowicz M V, Stein MB. Reviews and Overviews Quality of Life in Individuals With Anxiety Disorders. Psychiatry Interpers Biol Process [Internet]. 2000;157(7):669–82. Available from: http://ajp.psychiatryonline.org/cgi/content/abstract/157/5/669
54. Carr AJ HI. Muasuring quality of life. BMJ. 2001;322(7298):1357–60. 55. Power M. Development of a common instrument for mental health.
EUROHIS: Developing common instruments for health surveys. Anitoliy N. Denmark: IOS Press; 2003. p. 35–60.
56. WHO. Departement of psychiatry centre for participant report outcomesitle
[Internet]. 1994. Available from:
http://www.psychiatry.unimelb.edu.au/qol.
57. Revicki DA, Osoba D, Fairclough D, Barofsky I, Berzon R, Leidy NK RM. Recommendations on health-related quality of life research to support labeling and promotional claims in the United States. Qual life Res. 2000;9:887–900.
58. Ismail A MC. Study Of Health-Related Quality of Life (HRQoL) of Schoolteachers from the Largest Primary and Secondary Schools in urban Shah Alam, Malaysia: a cross sectional study. International Conference on Social Science and Humanity. Singapore: IACSIT Press; 2011.
59. Shane J. Lopez CRS. Positive psychological assessment : a handbook of models and measures. 1st ed. Washington, D.C.: American Psychological Association (APA); 2003.
60. Patricia M, Karine B, Julie B at al. The care giver oncology quality of life questionnaire (CarGoQoL): development and validation of an instrument to measure the quality of life the caregivers of patients with cancer. Cancer. 2012;48:904–11.
61. Allan C. The science of happiness and human strength. Positive psychology. New York: Brunner-Routledge; 2008.
62. Institute NC. Family caregiverd in cancer. [Internet]. Bethesda, MD : National Cancer Institute. 2004 [cited 2015 Jun 9]. Available from: Available
at:http://cancer.gov/cancertopics/pdq/supportivecare/caregivers/Patient. 63. King CR HP. Quality of life: from nursing and patient perspective. third
edit. Washington, D.C.; 2012.
64. Manuel B. Conflict, support, and coping as mediators of the relation between degrading parenting and adolescent adjustment. J Youth Adolesc. 2006;
65. Travis LA, Lyness JM, Shields CG et al. Social support, depression, and functional disability in older adult primary-care patients. Am J Geriatr Psychiatry. 2004;12(3):265–71.
66. Sarafino E. Health psycology. biosychosocial interactions. Fifth. USA: John Wiley & Sons; 2006.
67. Gottlieb B. Social support strategies. Guidelines for mental health practice. London: Sage Publications; 2003.
68. Fadda G, Jiron P. Quality of life and gender: a methodology for urban research. Environ Urban. 1999;11(1):261–70.
69. Liao PS, Fu YC, Yi CC. Perceived quality of life in Taiwan and Hong Kong: An intra-culture comparison. J Happiness Stud. 2005;6:43–67. 70. Diener E and Suh E M. Culture and subjective well-being. Cambridge:
MIT press; 2000.
71. Smeltzer SC BB. Buku ajar keperawatan medikal bedah. Jakarta: EGC; 2007.
72. Moons P, Marquet K, Budts W, De Geest S. Validity, reliability and responsiveness of the “Schedule for the Evaluation of Individual Quality of Life-Direct Weighting” (SEIQoL-DW) in congenital heart disease. Health Qual Life Outcomes. 2004;2:27.
73. Bain, Gillian H, Lemmon H, Teunisse S, Starr, John M, Fox, Helen C, Deary, Ian J, Whalley LJ. Relationship with childhood IQ, minor psychological symptoms and optimism. 2003. 38(11):632–6.
74. Wahl, Astrid K, Rusteon T, Hanestad, Berit R, Lerdal A MT. Quality of life the general norwegian population, measured by the quality of life scale. Qual Life Res. 2004;13(5):1001–9.
75. Papalia D E, Harvey S RDF. Adult development and aging. 3rd ed. Papalia DE, editor. Pennsylvania State University: McGraw-Hill; 2006.
76. Dalkey NC. A delphi study of factors affecting the quality of Life. 2002;383–95.
77. Lee S. Marital status, gender, and subjective quality of life in Korea. Dev Soc. 1998;27(2).
78. Chan DSK, Chau JPC CA. Quality of life of Hong Kong Shinese diagnosed with acute coronary syndromes. J Clin Nurs. 2005;14:1262–3.
79. Panthee B K. Anxiety and quality of life patients with myocardial infraction. Nurse Media J Nurs. 2011;1(1):105–15.
80. Noghani, M., Asgharpur, A., Safa, S., & Kermani M. Department of social sciences, Faculty of letters and humanities, Ferdowsi University of Mashhad, Iran. 2007;1–5.
81. Ferry E& M. Keperawatan kesehatan komunitas: teori dan praktik dalam keperawatan. Jakarta: Salemba Medika; 2009.
82. Supartini Y. Buku ajar konsep dasar keperawatan anak. Jakarta: EGC; 2004.
83. Friedman M, Vicky, Bowden, Elaine G. Ajar keperawatan keluarga: riset, teori & praktik. 5th ed. Jakarta: EGC; 2002.
84. Messecar D. Family caregiving nursing standard of practice protocol: family caregiving. 2008.
85. Depkes. Profil Kesehatan Indonesia. Jakarta: Departemen Republik Indonesia; 2009.
86. Harmaini F. Uji keandalan dan kesahihan formulir European Quality of Life – 5 dimensions (EQ-5D) untuk mengukur kualitas hidup terkait kesehatan pada usia lanjut di RSUPNCM. Universitas Indonesia; 2006.
87. Van Horn E TA. The effect of critical care hospitalization on family members: Stress and responses. Dimens Crit Care Nurs. 2000;19(4):40–9. 88. Lyer PW. Dokumentasi keperawatan: suatu pendekatan proses
keperawatan. 3rd ed. Jakarta: EGC; 2004.
89. Nursalam. Konsep dan penerapan metodologi penelitian ilmu keperawatan: pedoman skripsi, tesis dan instrumen penelitian keperawatan. Jakarta: Salemba Medika; 2008.
90. Sarwono J. Pintar menulis karya ilmiah - kunci sukses dalam menulis ilmiah. Yogyakarta: Andi Ofset; 2010.
91. Wasis. Pedoman riset praktis untuk profesi perawat. Jakarta: EGC; 2008. 92. Setiadi. Konsep dan penulisan riset keperawatan. Yogyakarta: Graha Ilmu;
2007.
93. Sukardi. Metodologi penelitian pendidikan. Jakarta: Bumi Aksara; 2009. 94. Sugiyono. Statistika untuk penelitian. Bandung: Alfabetha; 2001.
95. Danim S. Riset keperawatan : sejarah dan metodologi. Jakarta: EGC; 2003. 96. Nursalam. Konsep dan penerapan metodologi penelitian ilmu keperawatan.
Jakarta: Salemba Medika; 2009.
97. Gumilar I. Metode riset untuk bisnis & manajemen. Bandung: Utama Press; 2007.
98. Umar H. Metode riset bisnis. Jakarta: Gramedia Pustaka Utama; 2003. 99. Notoatmodjo. Metodologi penelitian kesehatan. Jakarta: EGC; 2010. 100. Polit and Hungler. Nursing research : principle and methods. Philadelphia.
Lippincot; 2004.
101. Streubert, H.J & CD. Qualitative research in nursing : advancing the humanistic imperative. Philadelpia: Lippincott Williams & Wilkins; 2003.