Hasil Pencarian  ::  Simpan CSV :: Kembali

"Pasca pembedahan, anak berisiko mengalami gangguan keamanan yaitu risiko aspirasi akibat pemberian minum sebelum tingkat kesadarannya pulih. Gangguan keamanan tersebut akan mengakibatkan ketidaknyamanan pada anak berupa rasa nyeri dan sesak di daerah dada. Teori Comfort dari Kolcaba memberikan arahan dalam pemenuhan rasa nyaman pada pasien. Karya ilmiah ini bertujuan memberikan gambaran asuhan keperawatan pada anak pasca pembedahan dengan mengaplikasikan teori comfort Kolcaba yang berfokus pada pemenuhan kebutuhan keamanan. Asuhan keperawatan dilakukan berdasarkan tahapan comfort yaitu pengkajian (kenyamanan fisik, psikospiritual, lingkungan dan sosiokultural), merumuskan diagnosa keperawatan, menetapkan intervensi (berdasarkan standar comfort, coaching, dan comfort food for the soul), implementasi dan evaluasi. Pada lima pasien kelolaan yang berisiko mengalami aspirasi pasca pembedahan, empat pasien tidak mengalami aspirasi dan satu pasien mengalami aspirasi. Aspirasi terjadi dikarenakan kenyamanan sosiokultural tidak terpenuhi yaitu dukungan dan keterlibatan dari orangtua dalam perawatan anaknya. Sehingga terlihat bahwa ke empat aspek kenyamanan harus saling mendukung untuk pencapaian kenyamanan secara holistik.

---

Post surgery children are in risk for safety problem such as aspiration becouse of fluid intake before they are fully conscious. The aspiration will cause comfort problem which manifestated as chest pain and chest tightness. Comfort theory from Kolcaba provides direction on meeting patient need of comfort. This paper aims to give an overview of post surgical children focused on meeting the need of safety. Nursing care was provided throught the stages of comfort assessment (physical comfort, psychospiritual, environtment and sociocultural), nursing diagnosis formulation, interventions plan (based on standard comfort, coaching, and comfort food for the soul), implementation and evaluation. Among five post surgical children which were in risk of aspiration, four children didn’t experience aspiration and one patient experienced aspiration. The aspiration was happened becouse of sociocultural comfort was not satisfied, where the support and involvement from parents in the care of their children was not adequate. So that the four aspects of comfort should be mutually supportive to the achievement of holistic comfort."

"Pasien yang dilakukan pembedahan hampir seluruhnya mengalami nyeri. Nyeri yang dialami oleh pasien pasca pembedahan dapat mempengaruhi kestabilan hemodinamik dan dapat menurunkan imunitas tubuh sehingga mengganggu proses penyembuhan. Tujuan dari karya akhir ilmiah ini adalah untuk memberikan gambaran penerapan teori keperawatan Comfort Kolcaba dan pendekatan Family Centered Care dalam mengatasi nyeri pada anak pasca pembedahan laparatomi. Penerapan teori comfort dalam melakukan asuhan keperawatan pada pasien pasca pembedahan dapat meningkatkan kepuasan keluarga dan efektif menurunkan nyeri pada pasien nyeri yang dipengaruhi faktor kecemasan. Aplikasi teori comfort yang ada belum menggunakan ceklist comfort karena perawatan difokuskan pada masalah nyeri sehingga evaluasi yang dipilih menggunakan skala nyeri FLACC dan VAS. Teori comfort dapat diaplikasikan terutama pada pasien yang mengalami nyeri ringan dan pasien dengan peningkatan skala nyeri yang dipengaruhi kecemasan.

---

Patients who undergo surgery almost entirely feel pain. Pain experienced by patients after surgery could affect the stability of hemodynamic and decrease the body's immunity which can interrupt the healing process. The purpose of this study is to provide an overview of the application of nursing theory Comfort Kolcaba and Family Centered Care approach in dealing with post-surgical pain in children laparotomy. The application of the comfort theory in performing nursing care to patients after surgery can improve family satisfaction and effectively reduce pain in patients which influenced by anxiety. Recently, the application of comfort theory has not been implementing of an evaluation using a checklist comfort because the treatment is focused on the problem so that the evaluation of selected pain using the VAS pain scale and FLACC. Comfort theory can be applied, especially in patients with mild pain and increase pain scale which influenced by anxiety."

"[ABSTRAKNyeri pembedahan menimbulkan cemas, takut dan perubahan perilaku maladaptif anak. Perlu asuhan keperawatan berkualitas dalam mengatasi nyeri anak. Karya ilmiah akhir bertujuan menggambarkan aplikasi comfort theory Kolcaba dalam memberikan asuhan keperawatan pasien pasca bedah yang mengalami nyeri. Intervensi ditentukan berdasarkan comfort theory yaitu mengukur skala nyeri, memberikan posisi nyaman, memberikan madu, mengajarkan keluarga manajemen nyeri serta memberikan reinforcement positif keterlibatan keluarga dalam perawatan. Evaluasi hasil menunjukkan aplikasi comfort theory dalam keperawatan perlu ditunjang faktor-faktor lain seperti kondisi pasien, lingkungan dan tim pelayanan kesehatan dalam mencegah dan mengatasi nyeri. Rekomendasi karya ilmiah ini adalah teori keperawatan sebaiknya diaplikasikan dalam asuhan keperawatan.

---

ABSTRACTSurgical pain causes anxiety, fear and change in children's behaviours. A good quality of nursing care is needed to overcome children's pain. This scientific paper aimed to illustrate the application of comfort theory Kolcaba in providing nursing care to patients suffered post-surgical pain. Intervention was determined based on comfort theory which included: measure pain scale, provide a comfortable position, offer honey, teach families management of pain, and give positive reinforcement on family involvement during the care. Result's evaluation indicated thet comfort application in nursing theory need to be supported by other factors such as the condition of the patient, the environment and health care team to prevent and overcome pain. This scientific paper recommends the application of nursing theory in providing nursing care., Surgical pain causes anxiety, fear and change in children's behaviours. A good quality of nursing care is needed to overcome children's pain. This scientific paper aimed to illustrate the application of comfort theory Kolcaba in providing nursing care to patients suffered post-surgical pain. Intervention was determined based on comfort theory which included: measure pain scale, provide a comfortable position, offer honey, teach families management of pain, and give positive reinforcement on family involvement during the care. Result's evaluation indicated thet comfort application in nursing theory need to be supported by other factors such as the condition of the patient, the environment and health care team to prevent and overcome pain. This scientific paper recommends the application of nursing theory in providing nursing care.]"

"Mual muntah merupakan gangguan rasa nyaman yang dialami oleh sebagian besar anak pasca operasi. Mual muntah dapat mengakibatkan gangguan keseimbangan cairan merupakan resiko yang dapat terjadi pada hampir sebagian besar anak yang telah mengalami pembedahan. Gangguan keseimbangan cairan dan elektrolit pasca pembedahan dapat menyebabkan perburukan pada kondisi anak yang pada akhirnya menghambat proses pemulihan luka pembedahan. Tujuan dari penulisan karya ilmiah akhir ini adalah untuk memberikan gambaran aplikasi konsep Teori Comfort dalam asuhan keperawatan pada anak pasca pembedahan yang memiliki kebutuhan akan cairan dan elektrolit. Penggunaan teori comfort dapat meningkatkan kesadaran perawat akan kebutuhan-kebutuhan klien terhadap kenyamanan di setiap aspek fisik, psikospiritual, lingkungan, dan sosiokultural baik yang dikeluhkan oleh klien maupun hasil dari analisa perawat. Melalui aplikasi teori yang telah dilaksanakan perawat dapat mengetahui perubahan tingkat kenyamanan sebelum dan sesudah dilakukannya intervensi keperawatan. Disarankan agar aplikasi teori Comfort dipertahankan pelaksanaannya di lahan praktik asuhan keperawatan.

---

Uncomfortable condition such as nausea and vomiting are experienced by most of postoperative children. This uncomfortable may lead to fluid and electrolyte imbalance. Fluid and electrolyte imbalance can lead to deterioration in the condition of the child, which in turn inhibits the surgical wound healing process. The purpose of this final scientific writing is to provide an overview about the application of Comfort theory concept in postoperative children nursing care. The application of comfort theory is expected to increase nurses awareness on the need of patient comfort which include physical, psycho spritiual, social cultural, and enviormental. With the application of theories nurse can made a comparison of the comfort level before and after intervention for each case. It is recommended that application of the theory of Comfort retained its implementation in the field of nursing care practices."

"Praktek Spesialis Keperawatan Anak peminatan bedah anak ini bertujuan untuk melakukan praktek dengan mengaplikasikan model Teori Comfort Katherina Kolcaba. Peran sebagai pemberi asuhan keperawatan diterapkan pada 5 orang anak yang telah menjalani operasi yang mengalami rasa nyeri, dan satu orang pasien kelolaan utama yaitu pasien post operasi penutupan colostomi. Peran sebagai peneliti dalam melakukan penerapan tindakan keperawatan yang berbasis pembuktian ilmiah (evidence based nursing practise) yaitu dengan membuktikan terapi musik sebagai salah satu tehnik penanganan nyeri pada anak post operasi dan tindakan invasif. Peran sebagai inovator melalui penyusunan program pemberian terapi musik pada anak yang mengalami nyeri yang bertujuan untuk mengurangi nyeri dan meningkatkan kenyamanan pasien anak dan meningkatkan kualitas asuhan keperawatan. Hasil praktek ini menunjukan bahwa teori Comfort Katherina Kolcaba digunakan pada pasien yang mengalami rasa nyeri post operasi dan tindakan invasif, dan terapi musik efektif untuk mengurangi rasa nyeri yang dialami anak pada waktu tindakan, terutama nyeri ringan.

---

Specialist Nursing Practice Children's specialization in pediatric surgery practice with the aim to apply the theory of Comfort models Katherina Kolcaba. Role as provider of nursing care applied to the 5 children who have undergone surgery are experiencing pain, and one patient that the patient's primary management of postoperative closure colostomi. Role as a researcher in performing nursing actions based on the application of scientific evidence (evidence based nursing practice model) to prove that music therapy as a pain management technique in children and postoperative invasive action.

Role as an innovator through the preparation of a program of music therapy on children who experience pain which aims to reduce pain and increase patient comfort and improve the child's quality of nursing care. This practice results show that the theory Comfort Katherina Kolcaba used in patients experiencing postoperative pain and invasive, and effective music therapy to reduce the pain experienced by the child at the time of the action, especially mild pain."

"Karya Ilmiah Akhir ini memberikan gambaran tentang pelaksanaan Program Residensi Ners Spesialis Keperawatan Anak dalam bentuk kegiatan praktik residensi 1 dan 2. Karya Ilmiah Akhir ini bertujuan untuk memberikan gambaran aplikasi teori keperawatan “Comfort Theory” dari Katharine Kolcaba pada asuhan keperawatan anak dengan stoma dan pencapaian kompetensi baik sebagai pemberi asuhan, advocator, conselor, educator, colaborator, dan change agent selama praktik residensi. Salah satu komplikasi yang dapat terjadi pada anak dengan stoma adalah adanya kerusakan kulit peristoma. Masalah integritas kulit merupakan masalah keperawatan yang sering dijumpai pada anak dengan stoma sebagai akibat dari adanya kontak kulit dengan feses. Masalah integritas kulit dapat bersifat aktual maupun risiko seperti yang ditemukan pada lima kasus kelolaan. Tiga kategori intervensi keperawatan berdasarkan comfort theory telah diberikan untuk mengatasi masalah integritas kulit. Hasil evaluasi pada akhir perawatan menunjukkan bahwa tidak semua masalah integritas kulit ini dapat teratasi. Masih dibutuhkan banyak dukungan agar intervensi keperawatan dapat dilaksanakan secara optimal guna mencegah dan mengatasi masalah integritas kulit pada anak dengan stoma agar kebutuhan klien akan kenyamanan terpenuhi.

---

Final assignment provides an overview about the implementation of the Residency Specialist Pediatric Ners Program in the form of practical activities residency 1 and 2. The aims from this final assignment is to provide an overview the application of nursing theory "Comfort Theory" Katharine Kolcaba on nursing care of children with a stoma and the achievement of competence well as caregivers, advocator, counselor, educator, colaborator, and change agent during practice residency. One of the stoma complications is periostomal skin damage that can occur among pediatric patients. The skin integrity is a common problem in children with a stoma as a result of stool contamination. Skin integrity problems can be actual or risk such as those found in five cases managed. Three categories of nursing interventions based on comfort theory has been given to solve the skin integrity problems. There are five pediatric patients with stoma were included in this study. The result of the study showed that not all of the skin integrity problems could be solved. In order to prevent and overcome of the skin integrity problem in children with stoma, a good quality and supports of the nursing interventions are needed that affects in fulfill of comfort needs."

"Karya Ilmiah Akhir ini memberikan gambaran tentang pelaksanaan Program Residen Ners Spesialis Keperawatan Anak dalam bentuk kegiatan praktik Residensi I dan II. Karya Ilmiah Akhir ini bertujuan untuk memberikan gambaran aplikasi teori comfort Kolcaba dalam asuhan keperawatan pada anak dengan peningkatan suhu tubuh dan pencapaian kompetensi baik sebagai praktisi, pendidik, advokat, pengelola dan peneliti selama praktik residensi. Menurut comfort Kolcaba, peningkatan suhu tubuh merupakan salah satu gangguan pemenuhan kebutuhan rasa nyaman fisik yang berkaitan erat dengan kebutuhan rasa nyaman psikospiritual, sosiokultural dan lingkungan. Intervensi yang dilakukan adalah memonitor status hemodinamik, menganjurkan keluarga untuk selalu berada di samping pasien, mengajarkan keluarga dalam pemberian kompres air hangat dan mengatur suhu ruangan sesuai suhu tubuh pasien. Salah satu inovasi yang dilakukan adalah mengukur suhu tubuh dengan menggunakan termometer timpani dimana residen menerapkan salah satu kompetensi perawat spesialis sebagai ranah pengembangan profesional sekaligus memberikan kebutuhan rasa nyaman dan mencegah trauma pada anak.

---

This Final Scientific Paper provides an overview of the implementation of the Resident Program Specialist Nurses in the form of practical activities Residency I and II. This Final Scientific aims is in order to provide an overview Comfort Kolcaba Theory Application of children nursing care by increased body temperature and achievement of competency either as a practitioner, educator, advocate, manager and researcher during practice residency. According to Kolcaba comfort theory, increasing body temperature is one of the comfortable sense of fulfillment disorders are strongly associated with physical comfort needs psikospiritual, sociocultural and environmental. Interventions need to be done is to monitor hemodynamic status, advised the family to accompanied the patient, the family teaches the provision of warm water compress and maintain the room's temperature according the patient's body temperature. One inovation need to be done is measure the body temperature using a thermometer tympanic where residents apply one domain competence as a specialist nurse professional development needs as well as providing a sense of comfort and prevent trauma to child."

"Penerapan teori Comfort Kolcaba ini dilakukan pada 5 kasus kelolaan yang berbeda untuk memenuhi kebutuhan rasa nyaman nyeri yang berfokus pada faktor fisik, psikospiritual, sosiokultural, dan lingkungan. Asuhan keperawatan untuk memenuhi kebutuhan rasa nyaman nyeri tersebut dilakukan dengan menggunakan intervensi standard comfort, coaching dan comfort food for the soul, yaitu dengan memberikan guided imagery sehingga pasien dapat mencapai tingkat kenyamanan relief, ease, dan transcendence. Evaluasi menggunakan numeric rating scale menunjukkan hasil diakhir perawatan nyeri berkurang, terkontrol dan peningkatan kenyamanan. Residen menyarankan agar meningkatkan peran kemitraan antara perawat, petugas kesehatan lainnya dan keluarga serta melakukan asuhan keperawatan berbasis evidence based practice dalam memberikan asuhan keperawatan pada pasien kanker anak yang mengalami nyeri.

---

The application of this theory is done in 5 different managed cases to fulfil the needs of pain-comfort senses which is focused on physical, psychospiritual, sociocultural, and environmental factors. This nursing care uses standard comfort, coaching and comfort food for the soul to fulfil the needs of pain-comfort senses, that the clients can achieve relief, ease, and transcendence comfort. Resident suggests increasing the role of the partnership between nurses, other health workers and family and do nursing care based on evidence based practice."

"[ABSTRAKNyeri merupakan salah satu masalah utama pada pasien kanker anak. Karya Ilmiah Akhir ini bertujuan memberikan gambaran penerapan, analisis Comfort Theory Kolcaba pada pasien kanker anak dengan nyeri, dan pencapaian kompetensi ners spesialis keperawatan anak. Penerapan teori dilakukan pada lima pasien, menggunakan pendekatan proses keperawatan. Pengkajian dan penetapan masalah keperawatan menggunakan struktur taksonomi Kolcaba. Intervensi dan implementasi menggunakan intervensi kenyamanan standar, coaching, dan comfort food for the soul. Evaluasi menggunakan comfort behavior scale menunjukkan hasil diakhir perawatan, nyeri berkurang, terkontrol, dan kenyamanan bertambah. Kompetensi tercapai sesuai target. Comfort Theory bisa menjadi pilihan dalam merawat pasien kanker anak dengan nyeri.

---

ABSTRACTPain is one of main problems in children with cancer. This study aimed to describe and to analyze: (1) the application of Kolcaba's Comfort Theory on children with cancer who experience pain, and (2) the competencies achieved by pediatric clinical nurse specialist. The theory was applied to five patients using nursing process approach. The assessment and decision of the nursing problem was conducted using Kolcaba's taxonomic structure. The intervention and implementation using standard comfort intervention, coaching, and comfort food for the soul. Comfort behavior scale was used for the evaluation. The results showed that at the end of the nursing implementation, pain was reduced, controlled, and the comfort was increased. The targeted competencies were achieved. Comfort Theory can be recommended for caring children with cancer.;Pain is one of main problems in children with cancer. This study aimed to describe and to analyze: (1) the application of Kolcaba's Comfort Theory on children with cancer who experience pain, and (2) the competencies achieved by pediatric clinical nurse specialist. The theory was applied to five patients using nursing process approach. The assessment and decision of the nursing problem was conducted using Kolcaba's taxonomic structure. The intervention and implementation using standard comfort intervention, coaching, and comfort food for the soul. Comfort behavior scale was used for the evaluation. The results showed that at the end of the nursing implementation, pain was reduced, controlled, and the comfort was increased. The targeted competencies were achieved. Comfort Theory can be recommended for caring children with cancer., Pain is one of main problems in children with cancer. This study aimed to describe and to analyze: (1) the application of Kolcaba's Comfort Theory on children with cancer who experience pain, and (2) the competencies achieved by pediatric clinical nurse specialist. The theory was applied to five patients using nursing process approach. The assessment and decision of the nursing problem was conducted using Kolcaba's taxonomic structure. The intervention and implementation using standard comfort intervention, coaching, and comfort food for the soul. Comfort behavior scale was used for the evaluation. The results showed that at the end of the nursing implementation, pain was reduced, controlled, and the comfort was increased. The targeted competencies were achieved. Comfort Theory can be recommended for caring children with cancer.]"

"[Demam merupakan gejala yang sering dialami anak dengan penyakit infeksi. Kondisi demam tinggi berdampak merugikan anak. Demam tinggi membuat anak tidak nyaman, serta meningkatkan kebutuhan kalori dan cairan. Teori Comfort dari Kolcaba memberikan arahan dalam pemenuhan rasa nyaman pada pasien. Karya ilmiah ini bertujuan memberikan gambaran asuhan keperawatan pada anak demam dengan mengaplikasikan teori comfort Kolcaba yang berfokus pada pemenuhan kebutuhan kenyamanan. Asuhan keperawatan dilakukan berdasarkan tahapan comfort yaitu pengkajian (kenyamanan fisik, psikospiritual, lingkungan dan sosiokultural), merumuskan diagnosa keperawatan, menetapkan intervensi (berdasarkan standar comfort, coaching, dan comfort food for the soul), implementasi, dan evaluasi. Teori comfort Kolcaba dapat diterapkan dalam asuhan anak demam. Dukungan dan keterlibatan dari orangtua juga sangat penting dalam perawatan anak, sehingga terlihat bahwa ke empat aspek kenyamanan harus saling mendukung untuk pencapaian kenyamanan secara holistik. , Fever is a symptom that is often experienced by children with infectious diseases. High fever condition adversely affects the child. High fever makes the child uncomfortable, and increase calorie and fluid needs. Comfort Theory of Kolcaba provides direction in compliance with comfort to the patient. This paper aims to provide an overview of nursing care in febrile children with comfort Kolcaba apply theory that focuses on meeting the needs of comfort. Nursing care is done by stages comfort assessment (physical comfort, psychospiritual, environmental and sociocultural), formulate nursing diagnoses, interventions set (based on standard comfort, coaching, and comfort food for the soul), implementation, and evaluation. Kolcaba comfort theory can be applied in the care of the child's fever. Support and involvement of parents is also very important in the care of children, so it appears that all four aspects must be mutually supportive comfort for the achievement of holistic comfort.]"