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Elsa Naviati
Penerapan konservasi energi dalam memenuhi kebutuhan cairan anak post operasi di ruang pediatric intensive care unit RSUPN dr Cipto Mangunkusumo = Application of energy conservation of fluid needs on post operative children in pediatric intensive care unit dr Cipto Mangunkusumo hospital
"Cairan dibutuhkan oleh tubuh untuk konservasi energi Ketidakseimbangan cairan akan menyebabkan gangguan proses fisiologis yaitu pengaturan suhu tubuh media transportasi membantu proses memperbaiki sel di dalam tubuh dan metabolisme Karya ilmiah ini membahas mengenai penerapan Konservasi Energi untuk memenuhi kebutuhan cairan anak post operasi Terdapat lima kasus yang dibahas Intervensi diberikan berdasarkan pinsip prinsip konservasi mencakup semua trophicognosis yang ditemukan pada klien Hasil evaluasi pada akhir perawatan dari trophicognosis pada kelima kasus terpilih menunjukkan ada yang teratasi belum teratasi tetapi sudah menunjukkan perbaikan dan ada juga yang belum teratasi Pemantauan asupan dan haluran cairan memegang peranan penting dalam menyelesaikan masalah klien Kata kunci Kebutuhan Cairan Post Operasi Konservasi Energi.
Fluid imbalance will cause physiological processes The process is the regulation of body temperature transport media assist in the repair cells in the body and metabolism This paper discusses the application of Energy Conservation to meet the child 39 s needs postoperative fluid There are five cases discussed Interventions are given based on conservation principles pinsip trophicognosis include all those found on the client The evaluation results of treatment in five cases trophicognosis selected indicates there are resolved not resolved but is showing improvement and there are also unresolved Fluid intake and output monitoring is an important role of problem solving Key words Fluid needs Post operative Energy Conservation."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
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UI - Tugas Akhir  Universitas Indonesia Library
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Elsa Naviati
Penerapan konservasi energi dalam memenuhi kebutuhan cairan anak post operasi di Ruang PICU RSUPN dr. Cipto Mangunkusumo = Application of Energy Conservation of Fluid Needs on Post Operative Children in Pediatric Intensive Care Unit Dr Cipto Mangunkusumo Hospital
"Cairan dibutuhkan oleh tubuh untuk konservasi energi. Ketidakseimbangan cairan akan menyebabkan gangguan proses fisiologis yaitu pengaturan suhu tubuh, media transportasi, membantu proses memperbaiki sel di dalam tubuh dan metabolisme. Karya ilmiah ini membahas mengenai penerapan Konservasi Energi untuk memenuhi kebutuhan cairan anak post operasi. Terdapat lima kasus yang dibahas. Intervensi diberikan berdasarkan pinsip-prinsip konservasi mencakup semua trophicognosis yang ditemukan pada klien. Hasil evaluasi pada akhir perawatan dari trophicognosis pada kelima kasus terpilih, menunjukkan ada yang teratasi, belum teratasi tetapi sudah menunjukkan perbaikan, dan ada juga yang belum teratasi. Pemantauan asupan dan haluran cairan memegang peranan penting dalam menyelesaikan masalah klien
Fluids are needed by the body for energy conservation. Fluid imbalance will cause physiological processes. The process is the regulation of body temperature, transport media, assist in the repair cells in the body and metabolism. This paper discusses the application of Energy Conservation to meet the child's needs postoperative fluid. There are five cases discussed. Interventions are given based on conservation principles pinsip trophicognosis include all those found on the client. The evaluation results of treatment in five cases trophicognosis selected, indicates there are resolved, not resolved but is showing improvement, and there are also unresolved. Fluid intake and output monitoring is an important role of problem solving"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
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UI - Tugas Akhir  Universitas Indonesia Library
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Ramadhaniyati
Aplikasi model konservasi Myra E. Levine dalam asuhan keperawatan pasien anak dengan distres pernapasan di Ruang ICU Anak RSUPN dr. Cipto Mangunkusumo, Jakarta = Application of Myra E. Levine conservation model in nursing care of children with respiratory distress in Pediatric Intensive Care Unit of RSUPN dr. Cipto Mangunkusumo, Jakarta
"Distres pernapasan merupakan suatu gangguan pulmonal yang mengacu pada kondisi hipoksemia dan kegagalan pernapasan Angka kematian akibat kondisi distres pernapasan tergantung pada etiologinya dan dilaporkan angka kematian dapat mencapai 40 sampai 75 Karya ilmiah ini menggambarkan penerapan model Konservasi Levine pada pasien anak dengan masalah distres pernapasan yang dirawat di ruang intensif Beberapa masalah keperawatan yang ditemukan antara lain gangguan pertukaran gas ketidakefektifan pola napas dan ketidakefektifan bersihan jalan napas Masalah keperawatan tersebut diatasi melalui peran perawat anak terutama Ners Spesialis Keperawatan Anak untuk meningkatkan adaptasi pasien terhadap kondisi distres pernapasan dan mencapai wholeness Peran lainnya yang dilakukan oleh residensi keperawatan anak antara lain adalah peran sebagai pengelola asuhan keperawatan peran pendidik serta peran peneliti dan agen perubah
Respiratory distress is a pulmonary disorder refers to the condition of hypoxemia and respiratory failure The death rate due to respiratory distress conditions depending on the etiology and the mortality rates report can reach 40 to 75 This scientific paper describes the application of Levine Conservation Model in children with respiratory distress problems that treated in intensive care unit Some major nursing problems were found such as impaired gas exchange ineffective breathing pattern and ineffective airway clearance Those problems are addressed by the role of pediatric nurses especially by Ners Specialist of Pediatric Nursing which is to improve adaptation to respiratory distress condition and achieving the wholeness The other roles that have been done by a Pediatric Nursing Residencies include the role as manager of nursing care the role of educators as well as the role of investigators and change agents "
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
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UI - Tugas Akhir  Universitas Indonesia Library
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Orpa Diana Suek
Aplikasi model konservasi Myra e Levine pada anak dengan ketidakefektifan bersihan jalan napas yang menggunakan ventilasi mekanik di pediatric intensive care unit PICU RSUPN dr Cipto Mangunkusumo Jakarta = The Application of Myra e Levine conservation model to address ineffectiveness of airway clearance on children with mechanical ventilation in the pediatric intensive care unit PICU of RSUPN dr Cipto Mangunkusumo Jakarta
"Permasalahan yang sering muncul dalam merawat klien dengan ventilasi mekanik di PICU adalah masalah keperawatan ketidakefektifan bersihan jalan napas. Salah satu teori keperawatan yang dapat diaplikasikan di ruang perawatan intensif adalah Model Konservasi Myra E. Levine yang mempunyai 3 konsep dasar yaitu konservasi, adaptasi dan keutuhan (wholeness). Tahapan proses keperawatan yang dilakukan adalah melakukan pengkajian, merumuskan trophicognosis dan hypothesis yang tepat, mengimplementasikan rencana dan melakukan evaluasi terhadap setiap respon organismik klien yang bertujuan untuk membantu klien beradaptasi selama dalam perawatan dan mencapai wholeness sebagai seorang individu yang unik. Intervensi yang dapat dilaksanakan untuk mempertahankan bersihan jalan napas yang efektif, antara lain fisioterapi dada, penghisapan lendir, humidifikasi, inhalasi, dan mobilisasi. Peran Ners Spesialis Keperawatan Anak selama merawat anak dengan ventilasi mekanik adalah sebagai praktisi, pendidik, advokat dan peneliti. Ners Spesialis Keperawatan Anak diharapkan terus mengembangkan ilmu pengetahuan dan teknologi dibidang keperawatan untuk meningkatkan kualitas asuhan keperawatan pada klien dan keluarga.
Nursing problem that often arises in caring of pediatric patient with mechanical ventilation at PICU is ineffectiveness of airway clearance. One of the nursing theories that can be applied in intensive care unit is Myra E. Levine Conservation Model which has 3 basic concepts. Those concepts are conservation, adaptation and wholeness. Stages of the nursing process are assesment, formulate appropriate trophicognosis and hypothesis, implementing the intervention and evaluating every client organismic response that is aimed to help clients adapting during the treatment and achieving wholeness as a unique individual. Interventions that can be implemented to maintain an effective airway clearance are chest physiotherapy, mucus suction, humidification, inhalation, and mobilization. The Role of Ners Specialist of Pediatric Nursing for caring of a pediatric patient with mechanical ventilation is as practitioner, educator, advocate and researcher. Ners specialist of pediatric nursing are expected to continue develop knowledge and technology in the field of nursing to improve the quality of nursing care to clients and families."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
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UI - Tugas Akhir  Universitas Indonesia Library
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Silitonga, Freddy Guntur Mangapul
Hubungan kadar albumin dengan luaran klinis anak pasca-operasi abdomen mayor secara laparotomi di Pediatric Intensive Care Unit Rumah Sakit Umum Pusat Cipto Mangunkusumo = Serum albumin association with clinical outcome of post laparotomy children in Pediatric Intensive Care Unit Cipto Mangunkusumo Hospital
"Latar belakang : Pembedahan abdomen secara laparotomi menyebabkan penurunan kadar albumin. Kadar albumin di bawah 3,00 g/dL berperan dalam terjadinya mortalitas dan morbiditas pasca-operasi.
Tujuan: Mengetahui hubungan antara kadar albumin pre-operasi dan pasca-operasi terhadap luaran klinis pasca-operasi laparotomi.
Metode : Penelitian ini dengan desain kohort retrospektif menggunakan data rekam medis Departemen Ilmu Kesehatan Anak tahun 2015-2017. Total sampling pada pasien pasca-laparotomi di PICU dengan rentang usia 1 bulan hingga 18 tahun, dikelompokan ke dalam dua kategori, yaitu: albumin ≤ 3,0 g/dL dan > 3,00 g/dL. Subyek diambil data luaran klinis pasca-operasi seperti sepsis pasca-operasi, infeksi luka operasi, dehisens, relaparotomi, dan lama rawat di PICU.
Hasil : Dua ratus satu subyek pasca-laparotomi diikutsertakan dalam penelitian ini. Kadar albumin pre-operasi ≤ 3,0 g/dL meningkatkan risiko terjadinya sepsis pasca-operasi (RR 3,40(95%IK: 1,54-7,51), relaparotomi (RR 3,84(95%IK: 1,28-11,49), dan lama rawat PICU 2 kali lebih lama daripada normoalbuminemia. Kadar albumin pasca-operasi ≤ 3,0 g/dL meningkatkan risiko terjadinya sepsis pasca-operasi (RR 2,55(95%IK: 1,40-4,63) dan lama rawat PICU 1 hari lebih lama daripada normoalbuminemia. Mortalitas pada kelompok hipoalbuminemia sebesar 19,2% dengan RR 3,44(95%IK: 1,07-11,07).
Simpulan : Hipoalbuminemia pre-operatif atau pasca-operatif meningkatkan risiko kejadian sepsis pasca-operatif. Hipoalbuminemia pre-operatif atau pasca-operatif tidak berhubungan dengan infeksi luka operasi. Hipoalbuminemia pre-operatif atau pasca-operatif tidak berhubungan dengan risiko kejadian dehisens. Hipoalbuminemia pre-operatif meningkatkan risiko untuk menjalani relaparotomi. Hipoalbuminemia pre-operatif atau pasca-operatif memperpanjang lama rawat di PICU. Hipoalbuminemia pre-operatif meningkatkan angka mortalitas.
Backgrounds : Laparotomy abdominal surgery decreasing serum albumin. Serum albumin concentration below 3,00 g/dL associated with postoperative morbidity and mortality.
Aim: To determine the relationship between serum albumin (preoperative and postoperative) and postoperative clinical course.
Methods : Retrospesctive observational study in pediatric patients undergoing laparotomy and hospitalized in Pediatric Intensive Care Unit during January 2015- December 2017. Post-laparotomy patients over the age range 1 month to 18 years, classified according to serum albumin concentration: ≤ 3,0 g/dL and > 3,00 g/dL. Postoperative outcome measured by postoperative sepsis, surgical site infection, dehiscence, relaparotomy, PICU length of stay, and mortality.
Results : Two hundred and one subjects undergone laparotomy participated. Preoperative serum albumin ≤ 3,0 g/dL increase risk of postoperative sepsis (RR 3,40 (95%CI: 1,54-7,51)), relaparotomy (RR 3,84 (95%CI: 1,28-11,49)), and twice longer in Pediatric Intensive Care Unit length of stay. Postoperative albumin ≤ 3,0 g/dL increase risk of postoperative sepsis (RR 2,55(95%CI: 1,40-4,63)) and Pediatric Intensive Care Unit length of stay. Mortality rate in hypoalbuminemic group is 19,2% with RR 3,44(95%CI: 1,07-11,07).
Conclusions : Preoperative and postoperative hypoalbuminemia increase risk of postoperative sepsis. Preoperative and postoperative hypoalbuminemia not associated with risk of surgical site infection and wound dehiscense. Preoperative hypoalbuminemia increase risk of relaparotomy. Preoperative and postoperative albumin concentration inversely related with Pediatric Intensive Care Unit length of stay. Preoperative hypoalbuminemia increase mortality rate."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2019
T58705
UI - Tesis Membership  Universitas Indonesia Library
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Orpa Diana Suek
Aplikasi model konservasi levine pada anak denan ketidakefektifan bersihan jalan napas yang menggunakan ventilasi mekanik di Pediatric Intensive Care Unit (PICU) RSUPN dr. Cipto Mangunkusumo = The Application of Myra E. Levine Conservation Model to Address Ineffectiveness of Airway Clearance on Children With Mechanical Ventilation in the Pediatric Intensive Care Unit (PICU) of RSUPN DR. CiptoMangunkusumo Jakarta.
"Permasalahan yang sering muncul dalam merawat klien dengan ventilasi mekanik di PICU adalah masalah keperawatan ketidakefektifan bersihan jalan napas. Salah satu teori keperawatan yang dapat diaplikasikan di ruang perawatan intensif adalah Model Konservasi Myra E. Levine yang mempunyai 3 konsep dasar yaitu konservasi, adaptasi dan keutuhan (wholeness). Tahapan proses keperawatan yang dilakukan adalah melakukan pengkajian, merumuskan trophicognosis dan hypothesis yang tepat, mengimplementasikan rencana dan melakukan evaluasi terhadap setiap respon organismik klien yang bertujuan untuk membantu klien beradaptasi selama dalam perawatan dan mencapai wholeness sebagai seorang individu yang unik. Intervensi yang dapat dilaksanakan untuk mempertahankan bersihan jalan napas yang efektif, antara lain fisioterapi dada, penghisapan lendir, humidifikasi, inhalasi, dan mobilisasi. Peran Ners Spesialis Keperawatan Anak selama merawat anak dengan ventilasi mekanik adalah sebagai praktisi, pendidik, advokat dan peneliti. Ners Spesialis Keperawatan Anak diharapkan terus mengembangkan ilmu pengetahuan dan teknologi dibidang keperawatan untuk meningkatkan kualitas asuhan keperawatan pada klien dan keluarga.
Nursing problem that often arises in caring of pediatric patient with mechanical ventilation at PICU is ineffectiveness of airway clearance. One of the nursing theories that can be applied in intensive care unit is Myra E. Levine Conservation Model which has 3 basic concepts. Those concepts are conservation, adaptation and wholeness. Stages of the nursing process are assesment, formulate appropriate trophicognosis and hypothesis, implementing the intervention and evaluating every client organismic response that is aimed to help clients adapting during the treatment and achieving wholeness as a unique individual. Interventions that can be implemented to maintain an effective airway clearance are chest physiotherapy, mucus suction, humidification, inhalation, and mobilization. The Role of Ners Specialist of Pediatric Nursing for caring of a pediatric patient with mechanical ventilation is as practitioner, educator, advocate and researcher. Ners specialist of pediatric nursing are expected to continue develop knowledge and technology in the field of nursing to improve the quality of nursing care to clients and families."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
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UI - Tugas Akhir  Universitas Indonesia Library
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Dewi Ratih Priyantiningsih
Karakteristik sepsis di pediatric intensive care unit RS dr. Cipto Mangunkusumo = Characteristics of sepsis in the pediatric intensive care unit of dr. Cipto Mangunkusumo hospital
"Sepsis merupakan kondisi yang sulit untuk didiagnosis. Definisi sepsis berdasarkan International Consensus Conference on Pediatric Sepsis 2005 terlalu sensitif dan tidak spesifik. Akibatnya sering terjadi underdiagnosed/overdiagnosis terhadap sepsis. Sampai saat ini tidak ada data tentang karakteristik pasien sepsis, kepatuhan diagnosis berdasarkan konsensus yang disepakati, dan luaran sepsis pasien di PICU. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik sepsis di PICU RS dr. Cipto Mangunkusumo. Metode penelitian ini adalah deskriptif retrospektif dari data rekam medis pasien sepsis di PICU periode Januari 2012 sampai April 2016. Didapatkan 85 pasien yang didiagnosis dokter dengan sepsis, 7 pasien diantaranya tidak memenuhi kriteria konsensus. Hanya 1 pasien yang didiagnosis sepsis berat oleh dokter, sedangkan berdasarkan konsensus didapatkan 66 pasien sepsis berat. Infeksi respiratorik adalah penyakit primer penyebab sepsis di PICU (51,3%). Angka kejadian sepsis berat di PICU sebesar 85% dan syok septik 70%. Klebsiella pneumonia kuman gram negatif terbanyak penyebab sepsis (22%). Angka kematian sepsis sebesar 29%, pada sepsis berat 32% dan meningkat pada syok septik 37%. Penelitian ini menunjukkan kepatuhan diagnosis sepsis oleh dokter berdasarkan konsensus masih kurang. Diagnosis sepsis pasien di PICU berdasarkan kadar prokalsitonin yang meningkat.
Sepsis is a condition that is difficult to diagnose. Definition of sepsis based on the International Consensus Conference on Pediatric Sepsis 2005 is too sensitive and not specific. As a result underdiagnosed/overdiagnosis often occurs in sepsis. Until now there are no data on the characteristics of sepsis patients, compliance to diagnosis based on consensus, and the outcome of sepsis patients in PICU. The aim of this study is to determine the characteristic features of sepsis in PICU of dr. Cipto Mangunkusumo hospital. The methods is descriptive retrospective study from medical records of sepsis patients in PICU from January 2012 until April 2016. There were 85 patients diagnosed with sepsis by physicians, 7 of them did not meet the criteria of consensus. Only one severe sepsis patients diagnosed by a doctor, but based on the consensus, there are 66 patients with severe sepsis. Respiratory infections are the primary cause of sepsis (51.3%). The incidence of severe sepsis in PICU is 85% and of septic shock is 70%. Klebsiella pneumonia, Gram negative bacteria, is the most common cause of sepsis (22%). Sepsis mortality rate is 29%, severe sepsis is 32% and increased in septic shock by 37%. This study describes compliance of diagnosis of sepsis by doctor based on consensus is still lacking. The diagnosis of sepsis patients in PICU based on increased levels of procalcitonin."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
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UI - Tugas Akhir  Universitas Indonesia Library
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Kustati Budi Lestari
Aplikasi model konservasi levine dalam asuhan keperawatan anak pasca operasi dengan Mahala nutrisi di ruang pediatric intencive care unit = Levine conservation model application in post surgical nursing children with nutritional problems in the pediatric intensive care unit room
"[ABSTRAK
Penulisan Karya Ilmiah ini bertujuan untuk memberikan gambaran dalampemberian asuhan keperawatan pada anak pasca bedah dengan pemenuhankebutuhan nutrisi yang terintegrasi dengan teori keperawatan Model KonservasiLevine di Ruang Pediatric Intensive Care Unit Kelelahan pada pasiendisesebabkan kurangnya asupan nutrisi sebelum operasi dan kehilangan energiselama proses operasi apabila kondisi tersebut tidak segera diatasi dapat menjadimalnutrisi Pasien pasca bedah harus segera di beri nutrisi melalui parenteral enetral atau oral Tindakan Keperawatan berdasarkan ke 4 konservasi yaitumenjaga kepatenan aliran TPN dan memastikan kebutuhan nutrisi anak terpenuhi untuk mencapai keseimbangan energi Perawat juga melakukan pendekatankonservasi integritas sosial untuk mendapatkan dukungan dari orang tua Selamamemberikan asuhan keperawatan anak mencapai keseimbangan energi yangdiberikan secara parenteral parsial dan oral serta melibatkan keluarga dalamproses perawatan tersebut ABSTRACT This Scientific Paper aims to provide an overview of the provision of nursingcare in children post surgical by integrated nutritional fulfillment by using LevineConservation Model nursing theory in Pediatric Intensive Care Unit Room Fatigue of patients caused of nutritional deficiencies intake pre surgical and lossenergy during surgery process when the condition is not immediately resolvedcan generate malnutrition effect Patients of post surgical should be givennutrition through parenteral enetral or oral Nursing treatment based on 4conservations is to maintain the patency of TPN stream and to ensure the child 39 snutritional needs is fulfilled to get energy balance Nurses also undertakeconservation of social integrity approach to obtain the parents support Duringprovide separated parenterally and orally nursing care child achieve energybalance and involve families in the treatment process ;This Scientific Paper aims to provide an overview of the provision of nursingcare in children post surgical by integrated nutritional fulfillment by using LevineConservation Model nursing theory in Pediatric Intensive Care Unit Room Fatigue of patients caused of nutritional deficiencies intake pre surgical and lossenergy during surgery process when the condition is not immediately resolvedcan generate malnutrition effect Patients of post surgical should be givennutrition through parenteral enetral or oral Nursing treatment based on 4conservations is to maintain the patency of TPN stream and to ensure the child 39 snutritional needs is fulfilled to get energy balance Nurses also undertakeconservation of social integrity approach to obtain the parents support Duringprovide separated parenterally and orally nursing care child achieve energybalance and involve families in the treatment process , This Scientific Paper aims to provide an overview of the provision of nursingcare in children post surgical by integrated nutritional fulfillment by using LevineConservation Model nursing theory in Pediatric Intensive Care Unit Room Fatigue of patients caused of nutritional deficiencies intake pre surgical and lossenergy during surgery process when the condition is not immediately resolvedcan generate malnutrition effect Patients of post surgical should be givennutrition through parenteral enetral or oral Nursing treatment based on 4conservations is to maintain the patency of TPN stream and to ensure the child 39 snutritional needs is fulfilled to get energy balance Nurses also undertakeconservation of social integrity approach to obtain the parents support Duringprovide separated parenterally and orally nursing care child achieve energybalance and involve families in the treatment process ]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Sri Wulandari Novianti
Aplikasi model konservasi Levine pada anak dengan perubahan volume cairan tubuh di Ruang Perawatan Intensif RSAB Harapan Kita dan RSUPN Cipto Mangunkusumo Jakarta = The application of Levine’s model conservation on children with alteration of body fluid volume at Intensive Care Unit of RSAB Harapan Kita dan RSUPN Cipto Mangunkusumo Jakarta
"Karya Ilmiah Akhir ini membahas aplikasi teori Konservasi Levine dalam asuhan keperawatan pada anak dengan perubahan volume cairan tubuh di ruang perawatan intensif. Pembahasan berfokus pada penggunaan teori Konservasi Levine dalam memenuhi kebutuhan pemenuhan cairan diaplikasikan pada 1 kasus utama dan 4 kasus tambahan dengan latar belakang penyakit yang berbeda. Asuhan keperawaan dilakukan melalui proses keperawatan Levine meliputi pengkajian, merumuskan trophicognosis, menentukan hipotesis, intervensi dan evaluasi. Tujuan asuhan keperawatan pada anak dengan gangguan pemenuhan kebutuhan oksigenasi adalah meningkatkan adaptasi dan mempertahankan kesehatan melalui konservasi energi, integritas struktural, integritas personal dan integritas sosial. Kesimpulannya bahwa teori konservasi Levine dapat digunakan sebagai pendekatan perawat dalam memberi asuhan keperawatan pada anak dengan masalah perubahan volume cairan tubuh. "
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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UI - Tugas Akhir  Universitas Indonesia Library
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Nurhayati
Aplikasi model Konservasi Levine pada bayi prematur yang mengalami hambatan kenaikan berat badan di Ruang Neonatal Intensive Care Unit (NICU) dan Special Care Nursery (SCN) RSUPN Dr. Cipto Mangunkusumo Jakarta = Application of Levine's Conservation model toward preterm infant which had obstacle of increasing weight in Neonatal Intensive Care Unit (NICU) and Special Care Nursery (SCN) RSUPN Dr. Cipto Mangunkusumo Jakarta
"[ABSTRAK
Bayi prematur dapat mengalami hambatan kenaikan berat badan yang disebabkan oleh usia gestasi, penyakit penyerta, dan pengalaman nyeri atau stres. Hambatan kenaikan berat badan dapat diatasi dengan asuhan keperawatan yang tepat dalam pemenuhan kebutuhan nutrisi pada bayi prematur. Asuhan keperawatan dengan Model Konservasi Levine telah digunakan pada aplikasi praktik residensi di Ruang Neonatus Rumah Sakit Cipto Mangunkusumo dalam menganalisis kenaikan berat badan bayi prematur pada lima kasus terpilih mulai dari Bulan Maret-Mei tahun 2015. Analisis kasus didapatkan dari tahap pengkajian, tropikognosis, hipotesis, intervensi, dan evaluasi. Tropikognosis yang telah teridentifikasi yaitu risiko gangguan pemenuhan kebutuhan nutrisi. Intervensi telah dilakukan berdasarkan prinsip konservasi dan hasil evaluasinya yaitu bayi prematur mengalami kenaikan berat badan dengan konservasi energi. Kenaikan berat badan pada bayi prematur menunjukkan keberhasilan dari penerapan asuhan keperawatan berbasis Model Konservasi Levine.
ABSTRACT
The preterm infant can has an obstacle of increasing weight which is caused by gestational age, health problems which followed and pain/ stress experience. The obstacle of increasing weight can be handled with giving nursing care in proper nutrition needs. Nursing care with Levine?s Conservation Model has been applied in residence practice application in neonates wards Cipto Mangunkusumo hospital to analyze increasing weight of preterm infant in five selected cases start from March until May 2015. Case analyze is founded from assessment, trophicognosis, hypothesis, intervention, and evaluation. Trophicognosis which identified was disturbance risk in fullfil nutrition needs. Intervention were done based on conservation principle and the result of evaluation that preterm infant has increasing weight with energy conservation. Increasing weight in preterm infant showed a successful application of nursing care based on Levine?s Conservation Model. ;The preterm infant can has an obstacle of increasing weight which is caused by gestational age, health problems which followed and pain/ stress experience. The obstacle of increasing weight can be handled with giving nursing care in proper nutrition needs. Nursing care with Levine?s Conservation Model has been applied in residence practice application in neonates wards Cipto Mangunkusumo hospital to analyze increasing weight of preterm infant in five selected cases start from March until May 2015. Case analyze is founded from assessment, trophicognosis, hypothesis, intervention, and evaluation. Trophicognosis which identified was disturbance risk in fullfil nutrition needs. Intervention were done based on conservation principle and the result of evaluation that preterm infant has increasing weight with energy conservation. Increasing weight in preterm infant showed a successful application of nursing care based on Levine?s Conservation Model. , The preterm infant can has an obstacle of increasing weight which is caused by gestational age, health problems which followed and pain/ stress experience. The obstacle of increasing weight can be handled with giving nursing care in proper nutrition needs. Nursing care with Levine’s Conservation Model has been applied in residence practice application in neonates wards Cipto Mangunkusumo hospital to analyze increasing weight of preterm infant in five selected cases start from March until May 2015. Case analyze is founded from assessment, trophicognosis, hypothesis, intervention, and evaluation. Trophicognosis which identified was disturbance risk in fullfil nutrition needs. Intervention were done based on conservation principle and the result of evaluation that preterm infant has increasing weight with energy conservation. Increasing weight in preterm infant showed a successful application of nursing care based on Levine’s Conservation Model. ]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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