Hasil Pencarian  ::  Simpan CSV :: Kembali

Hasil Pencarian

Ditemukan 144271 dokumen yang sesuai dengan query
cover
Rifatul Fani
Analisis faktor yang berhubungan dengan kejadian rawat inap ulang pada pasien pascalaparoskopi kolesistektomi = Factors analysis associated with readmission of patients post laparoscopic cholecystectomy
"ABSTRAKTeknik laparoskopi kolesistektomi merupakan baku emas untuk penanganan kolelitiasis simptomatik. Angka kejadian rawat inap ulang merupakan representasi dari kualitas perawatan yang diberikan Rumah Sakit. Kejadian rawat inap ulang dapat dipengaruhi oleh berbagai macam faktor, baik faktor fisik, sosial budaya, dan medikal pasien. Tujuan penelitian: Menganalisis faktor-faktor yang berhubungan dengan kejadian rawat inap ulang pada pasien paska laparoskopi kolesistektomi. Penelitian ini menggunakan desain cross-sectional dengan pendekatan retrospektif dan memilih 80 responden dengan tehnik consecutive sampling. Metode pengumpulan data dengan kuesioner dan lembar pengumpulan data. Analisis hasil penelitian menggunakan uji korelasi Spearman dan Coefficient contingency, serta uji komparasi Mann-Whitney. Analisis multivariat menggunakan regresi linier. Hasil penelitian menunjukkan bahwa faktor kejadian rawat inap ulang pasien paska laparoskopi kolesistektomi ditentukan usia, tingkat ekonomi, kepatuhan diet, dan tingkat aktivitas pasien sebesar 54,1%, sedangkan sisanya ditentukan oleh faktor lain. Faktor yang paling dominan berhubungan dengan kejadian rawat inap ulang paska laparoskopi kolesistektomi adalah tingkat aktivitas (β= -0,383).
ABSTRACT
Laparoscopic cholecystectomy is the gold standard for the treatment of symptomatic cholelithiasis. The incidence of readmission is a representation of the quality of care provided by the Hospital. Readmission can be influenced by various factors, both physical, socio-cultural, and medical factors. Objective: To analyze factors associated with readmission patients with laparoscopic cholecystectomy. This study used cross-sectional design with retrospective approach and recruited 80 respondents by consecutive sampling technique. Methods of data collection with questionnaires and data collection sheets. Analysis used Spearman and Contingency coefficient correlation, and Mann-Whitney comparison test. Multivariate analysis used linear regression. The results showed that readmission patients pasca laparoscopic cholecystectomy determined by age, economic level, diet adherence, and activity level amounted to 54.1%, while the rest is determined by other factors. The most dominant factor associated with the incidence of readmission pasca laparoscopic cholecystectomy is the level of activity (β = -0,383)."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
T52245
UI - Tesis Membership  Universitas Indonesia Library
cover
Rif`atul Fani
Analisis faktor yang berhubungan dengan kejadian rawat inap ulang pada pasien pascalaparoskopi kolesistektomi = Factors analysis associated with readmission of patients post laparoscopic cholecystectomy
"Teknik laparoskopi kolesistektomi merupakan baku emas untuk penanganan kolelitiasis simptomatik. Angka kejadian rawat inap ulang merupakan representasi dari kualitas perawatan yang diberikan Rumah Sakit. Kejadian rawat inap ulang dapat dipengaruhi oleh berbagai macam faktor, baik faktor fisik, sosial budaya, dan medikal pasien.
Tujuan penelitian: Menganalisis faktor-faktor yang berhubungan dengan kejadian rawat inap ulang pada pasien pascalaparoskopi kolesistektomi. Penelitian ini menggunakan desain cross-sectional dengan pendekatan retrospektif dan memilih 80 responden dengan tehnik consecutive sampling.
Metode pengumpulan data dengan kuesioner dan lembar pengumpulan data. Analisis penelitian menggunakan uji korelasi Spearman, Coefficient contingency, dan uji komparasi Mann-Whitney. Analisis multivariat menggunakan regresi linier.
Hasil penelitian menunjukkan bahwa faktor kejadian rawat inap ulang pasien pascalaparoskopi kolesistektomi ditentukan usia, tingkat ekonomi, kepatuhan diet, dan tingkat aktivitas pasien sebesar 54,1%, sedangkan sisanya ditentukan oleh faktor lain. Faktor yang paling dominan berhubungan dengan kejadian rawat inap ulang pascalaparoskopi kolesistektomi adalah tingkat aktivitas (B = -0,383).
Laparoscopic cholecystectomy is the gold standard for the treatment of symptomatic cholelithiasis. The incidence of readmission is a representation of the quality of care provided by the Hospital. Readmission can be influenced by various factors, both physical, socio-cultural, and medical factors.
Objective: To analyze factors associated with readmission patients post laparoscopic cholecystectomy. This study used cross-sectional design with retrospective approach and recruited 80 respondents by consecutive sampling technique.
Methods of data collection with questionnaires and data collection sheets. Analysis of research used Spearman, Contingency coefficient correlation, and Mann-Whitney comparison test. Multivariate analysis used linear regression.
The results showed that readmission patients post laparoscopic cholecystectomy determined by age, economic level, diet adherence, and activity level amounted to 54.1%, while the rest is determined by other factors. The most dominant factor associated with the incidence of readmission post laparoscopic cholecystectomy is the level of activity (B = -0,383). "
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Nila Wahyuningsih
Analisis asuhan keperawatan pada pasien kolelitiasis dengan penerapan intervensi mobilisasi post operasi laparoskopi kolesistektomi = Nursing care analysis in cholelithiasis patients with the application of post laparoscopic early mobilization of cholecystectomy
"Kolelitiasis merupakan penyakit kandung empedu dimana terdapat endapan satu atau lebih komponen diantaranya empedu, kolesterol, billirubin, garam empedu, kalsium, protein, asam lemak, dan fosfolipid yang membentuk suatu senyawa padat yang disebut batu empedu. Laparoskopi kolesistektomi merupakan salah satu prosedur pembedahan yang ditujukan sebagai upaya kuratif untuk mengatasi masalah penyumbatan saluran empedu, yaitu dengan mengangkat kandung empedu. Asuhan keperawatan dilakukan untuk mengatasi masalah keperawatan yang terjadi pada pasien post laparoskopi kolesistektomi. Penulisan karya ilmiah bertujuan untuk menganalis asuhan keperawatan yang dilakukan pada pasien kolelitiasis dengan penerapan mobilisasi dini post laparoskopi kolesistektomi. Hasil evaluasi didapatkan masa pemulihan yang lebih cepat dengan masa rawat yang singkat, nyeri lebih cepat teratasi, dan penyembuhan luka yang baik. Mobilisasi dini sangat disarankan untuk diterapkan sesegera mungkin bagi para pasien usai dilakukan pembedahan untuk menghindari terjadinya perlambatan pemulihan pasca bedah.
Cholelithiasis is a gallbladder disease where there is one or more deposits of the bile, cholesterol, billirubin, bile salt, calcium, proteins, fatty acids, and phospholipids that form a solid compound called gallstones. Laparoscopic cholecystectomy is one of the surgical procedures aimed at curative efforts to overcome the problem of bile duct blockage, by removing the gallbladder. Nursing care is done to overcome the nursing problems of the patient who have had a laparoscopic cholecystectomy. Scientific writing aims to analize nursing care conducted in cholelithiasis patients with the application of early mobilization post laparoscopic cholecystectomy. The results of the evaluation are obtained faster recovery time with short length of stay, faster pain resolved, and good wound healing. Early mobilization is recommended to be carried out as soon as possible for patients after surgery to avoid slowing down post-surgical recovery."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
PR-pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Muthia Mazaya Pitari
Analisis Teknik Relaksasi pada Klien dengan Kolelitiasis Post Laparoskopi Kolesistektomi = Analysis of Relaxation Techniques in Clients with Cholelithiasis Post Laparoscopic Cholecystectomy
"

Nyeri akut adalah salah satu masalah keperawatan yang sering muncul pada klien post laparoskopi kolesistektomi dan berdampak pada aktivitas sehari-hari klien. Nyeri akut pada klien dapat diatasi dengan manajemen nyeri farmakologi dan non-farmakologi. Karya ilmiah akhir ini bertujuan untuk menganalisis manajemen nyeri teknik relaksasi pada klien kolelitiasis post laparoskopi kolesistektomi. Data pengkajian dianalisis dan didapatkan masalah keperawatan utama pada klien yaitu nyeri akut. Penulis melakukan analisis terhadap 8 literature review untuk menyusun asuhan keperawatan pada klien post laparoskopi kolesistektomi. Hasil analisis didapatkan bahwa manajemen nyeri farmakologi dengan pemberian ketorolak  dapat membantu mengurangi nyeri post laparoskopi kolesistektomi. Sedangkan manajemen nyeri non-farmakologi teknik relaksasi efektif untuk mengurangi nyeri pada klien post laparoskopi kolesistektomi. Edukasi teknik relaksasi pada klien merupakan salah satu peran perawat, agar manfaat teknik relaksasi untuk mengurangi nyeri post laparoskopi kolesistektomi dapat dirasakan oleh klien

 

Acute pain is one of the nursing problems that often arises in post-laparoscopic cholecystectomy clients and impacts on clients daily activities. Acute pain in the client can be overcome by pharmacological and non-pharmacological pain management. This final scientific work aims to analyze the pain management of relaxation techniques in post-laparoscopic cholecystectomy clients. The assessment data were analyzed and the main nursing problem for the client was acute Pain. The author conducted an analysis of 8 literature reviews related to compile nursing care in post-laparoscopic cholecystectomy clients. The results of the analysis found that pharmacological pain management by giving ketorolac can help reduce post-laparoscopic cholecystectomy pain. Whereas non-pharmacological pain management relaxation techniques are effective for reducing pain in post laparoscopic cholecystectomy clients. Relaxation education on clients is one of the roles of nurses, so that the benefits of relaxation techniques to reduce post laparoscopic cholecystectomy pain can be felt by the client.

 

"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
PR-pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Raya Henri Batubara
Kolesistektomi laparoskopi di Rumah Sakit Cipto Mangunkusumo 2014 : Studi retrospektif observasional = Laparoscopic cholecystectomy experience at Cipto Mangunkusumo Hospital 2014 : A retrospective study
"ABSTRAK
Latar belakang: Kolesistektomi merupakan tindakan abdomen tersering dan saat ini
kolesistektomi laparoskopi (KL) merupakan baku emas dan telah dilakukan pada 90% kasus
kolesistitis simtomatik. Tujuan penelitian ini adalah untuk mengetahui hasil KL di RSCM,
Jakarta.
Metode: Penelitian retrospektif observasional ini menggunakan data dari departemen bedah
divisi digestif RSCM dari bulan Januari hingga Desember 2014. Partisipan penelitian ini
adalah pria atau wanita yang berusia 23-66 tahun yang menjalani KL. Tindakan bedah
dilakukan baik berupa perawatan 1 hari (one day care (ODC)) maupun elektif. Data yang
dikaji adalah temuan preoperatif dan intraoperatif, durasi operasi, lama rawat inap, dan angka
konversi ke tindakan kolesistektomi terbuka (open). Kemudian kami menganalisis faktor
yang mempengaruhi angka konversi.
Hasil: Jumlah pasien yang masuk inklusi adalah 90 orang. Usia rata-rata 43,9 tahun (SE=1,26
tahun) dengan jumlah pasien wanita 61 orang (67,8%). Median durasi operasi adalah 90±36,9
menit dimana pasien yang konversi membutuhkan operasi lebih dari 2 jam lebih banyak
(12% vs 1,5%), namun tidak bermakna secara statistik (p= 0,63). Median lama rawat inap
adalah 9±27.2 hari dan meningkat bermakna pada kasus yag konversi (24±9 hari, p = 0.011).
Median lama pre-operasi = 7±26,8 hari, dan pasca-operasi = 2±3.8 hari, dengan 13,3% pasien
dilakukan endoscopic retrograde cholangio-pancreatography (ERCP) sebelum KL. Cedera
duktus biliaris komunis (CBDK) ditemukan pada 3 kasus (3,33%). Konversi menjadi
laparotomi dibutuhkan pada 4,44% kasus. Faktor yang mempengaruhi angka konversi hanya
pada kasus adhesi (RR (95%IK) = 25,7 (2,4-273,5); p=0,007.
Kesimpulan temuan: kolesistektomi laparoskopi menawarkan lama rawat inap yang lebih
singkat. Durasi operasi pendek dan prosedur ini standard, aman, dan efektif di institusi kami. ABSTRACT
Background: Cholecystectomy is the most frequently performed abdominal operation and
currently laparoscopic cholecystectomy (LC) is considered gold standard being performed in
90% cases of symptomatic gallstones. The aim of the study was to determine results obtained
with LC at our hospital, RSCM, Jakarta.
Methods: This retrospective observational study was conducted in digestive divison in
surgery department of RSCM using data from January to December 2014. The study
participants were patients of both gender aged 23?66 years undergoing LC. Surgery was
performed either in one day care (ODC) or elective schedule. Demographic variables,
preoperative and intraoperative findings, mean operation time, hospital stay, and conversion
rate were evaluated. Factors influencing rate of conversion were also studied.
Results: A total of 90 patients were included. Mean age was 43.9 years (SE=1.26 years) with
a female 61 (67.8%). Median operative time was 90±36.9 minutes which converted cases
patient needed to operate in more than 2 hours (12% vs 1.5%), but not statistically significant
(p= 0.63). Median hospital stay was 9±27.2 days that significantly increased in converted
cases (24±9 days, p-value= 0.011). Median of pre-operation = 7±26.8 days, and postoperation
= 2±3.8 days, with 13.3% patients underwent endoscopic retrograde cholangiopancreatography
(ERCP). Common bile duct injury (CBDI) was found in 3 cases (3.33%).
Conversion to laparotomy was required in 4.44% cases. Factors that influenced the rate of
conversion included was only adhesion (RR (95%CI) = 25.7 (2.4-273.5), p=0.007.
Findings: Laparoscopic cholecystectomy offers shorter hospital stay. The operative time is
short and procedure is standard, safe and effective in our institution.;Background: Cholecystectomy is the most frequently performed abdominal operation and
currently laparoscopic cholecystectomy (LC) is considered gold standard being performed in
90% cases of symptomatic gallstones. The aim of the study was to determine results obtained
with LC at our hospital, RSCM, Jakarta.
Methods: This retrospective observational study was conducted in digestive divison in
surgery department of RSCM using data from January to December 2014. The study
participants were patients of both gender aged 23?66 years undergoing LC. Surgery was
performed either in one day care (ODC) or elective schedule. Demographic variables,
preoperative and intraoperative findings, mean operation time, hospital stay, and conversion
rate were evaluated. Factors influencing rate of conversion were also studied.
Results: A total of 90 patients were included. Mean age was 43.9 years (SE=1.26 years) with
a female 61 (67.8%). Median operative time was 90±36.9 minutes which converted cases
patient needed to operate in more than 2 hours (12% vs 1.5%), but not statistically significant
(p= 0.63). Median hospital stay was 9±27.2 days that significantly increased in converted
cases (24±9 days, p-value= 0.011). Median of pre-operation = 7±26.8 days, and postoperation
= 2±3.8 days, with 13.3% patients underwent endoscopic retrograde cholangiopancreatography
(ERCP). Common bile duct injury (CBDI) was found in 3 cases (3.33%).
Conversion to laparotomy was required in 4.44% cases. Factors that influenced the rate of
conversion included was only adhesion (RR (95%CI) = 25.7 (2.4-273.5), p=0.007.
Findings: Laparoscopic cholecystectomy offers shorter hospital stay. The operative time is
short and procedure is standard, safe and effective in our institution.;Background: Cholecystectomy is the most frequently performed abdominal operation and
currently laparoscopic cholecystectomy (LC) is considered gold standard being performed in
90% cases of symptomatic gallstones. The aim of the study was to determine results obtained
with LC at our hospital, RSCM, Jakarta.
Methods: This retrospective observational study was conducted in digestive divison in
surgery department of RSCM using data from January to December 2014. The study
participants were patients of both gender aged 23?66 years undergoing LC. Surgery was
performed either in one day care (ODC) or elective schedule. Demographic variables,
preoperative and intraoperative findings, mean operation time, hospital stay, and conversion
rate were evaluated. Factors influencing rate of conversion were also studied.
Results: A total of 90 patients were included. Mean age was 43.9 years (SE=1.26 years) with
a female 61 (67.8%). Median operative time was 90±36.9 minutes which converted cases
patient needed to operate in more than 2 hours (12% vs 1.5%), but not statistically significant
(p= 0.63). Median hospital stay was 9±27.2 days that significantly increased in converted
cases (24±9 days, p-value= 0.011). Median of pre-operation = 7±26.8 days, and postoperation
= 2±3.8 days, with 13.3% patients underwent endoscopic retrograde cholangiopancreatography
(ERCP). Common bile duct injury (CBDI) was found in 3 cases (3.33%).
Conversion to laparotomy was required in 4.44% cases. Factors that influenced the rate of
conversion included was only adhesion (RR (95%CI) = 25.7 (2.4-273.5), p=0.007.
Findings: Laparoscopic cholecystectomy offers shorter hospital stay. The operative time is
short and procedure is standard, safe and effective in our institution.;Background: Cholecystectomy is the most frequently performed abdominal operation and
currently laparoscopic cholecystectomy (LC) is considered gold standard being performed in
90% cases of symptomatic gallstones. The aim of the study was to determine results obtained
with LC at our hospital, RSCM, Jakarta.
Methods: This retrospective observational study was conducted in digestive divison in
surgery department of RSCM using data from January to December 2014. The study
participants were patients of both gender aged 23?66 years undergoing LC. Surgery was
performed either in one day care (ODC) or elective schedule. Demographic variables,
preoperative and intraoperative findings, mean operation time, hospital stay, and conversion
rate were evaluated. Factors influencing rate of conversion were also studied.
Results: A total of 90 patients were included. Mean age was 43.9 years (SE=1.26 years) with
a female 61 (67.8%). Median operative time was 90±36.9 minutes which converted cases
patient needed to operate in more than 2 hours (12% vs 1.5%), but not statistically significant
(p= 0.63). Median hospital stay was 9±27.2 days that significantly increased in converted
cases (24±9 days, p-value= 0.011). Median of pre-operation = 7±26.8 days, and postoperation
= 2±3.8 days, with 13.3% patients underwent endoscopic retrograde cholangiopancreatography
(ERCP). Common bile duct injury (CBDI) was found in 3 cases (3.33%).
Conversion to laparotomy was required in 4.44% cases. Factors that influenced the rate of
conversion included was only adhesion (RR (95%CI) = 25.7 (2.4-273.5), p=0.007.
Findings: Laparoscopic cholecystectomy offers shorter hospital stay. The operative time is
short and procedure is standard, safe and effective in our institution.;Background: Cholecystectomy is the most frequently performed abdominal operation and
currently laparoscopic cholecystectomy (LC) is considered gold standard being performed in
90% cases of symptomatic gallstones. The aim of the study was to determine results obtained
with LC at our hospital, RSCM, Jakarta.
Methods: This retrospective observational study was conducted in digestive divison in
surgery department of RSCM using data from January to December 2014. The study
participants were patients of both gender aged 23?66 years undergoing LC. Surgery was
performed either in one day care (ODC) or elective schedule. Demographic variables,
preoperative and intraoperative findings, mean operation time, hospital stay, and conversion
rate were evaluated. Factors influencing rate of conversion were also studied.
Results: A total of 90 patients were included. Mean age was 43.9 years (SE=1.26 years) with
a female 61 (67.8%). Median operative time was 90±36.9 minutes which converted cases
patient needed to operate in more than 2 hours (12% vs 1.5%), but not statistically significant
(p= 0.63). Median hospital stay was 9±27.2 days that significantly increased in converted
cases (24±9 days, p-value= 0.011). Median of pre-operation = 7±26.8 days, and postoperation
= 2±3.8 days, with 13.3% patients underwent endoscopic retrograde cholangiopancreatography
(ERCP). Common bile duct injury (CBDI) was found in 3 cases (3.33%).
Conversion to laparotomy was required in 4.44% cases. Factors that influenced the rate of
conversion included was only adhesion (RR (95%CI) = 25.7 (2.4-273.5), p=0.007.
Findings: Laparoscopic cholecystectomy offers shorter hospital stay. The operative time is
short and procedure is standard, safe and effective in our institution."
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
cover
Dodi Andrian
Analisis praktik klinik keperawatan kesehatan masyarakat perkotaan pada pasien kolelitiasis di ruang bedah lantai 4 utara RSUP Fatmawati = Analysis clinical practice of urban community health with colelithiasis patients in surgicals room 4th floor north RSUP Fatmawati
"ABSTRAK
Perilaku dan gaya hidup masyarakat perkotaan dalam mengkonsumsi makanan cepat saji yang tinggi lemak dan kolesterol merupakan faktor risiko terjadinya kolelitiasis. Karya ilmiah akhir Ners ini menggambarkan pelaksanaan asuhan keperawatan pada pasien pascabedah kolesistektomi. Peran perawat sangat penting untuk memberikan edukasi tentang diet rendah lemak pada pasien kolelitiasis. Pembatasan asupan kolesterol untuk mencegah terjadinya hipersaturasi cairan empedu yang akan memicu terbentuknya batu empedu kembali setelah pengangkatan kandung empedu. Peningkatan pemahaman pasien tentang diet rendah lemak untuk mengubah perilaku pasien setelah pulang dari rumah sakit. Pengaturan lingkungan dan penggunaan media yang lebih bervariasi dalam edukasi pada pasien.
ABSTRACT
Urban behavior and lifestyle in consumpting fast food which contains high fat and cholesterol was a risk factor for cholelithiasis. This Ners paper described the implementation of nursing care for post cholecystectomy patients. Nurse's role was very important to give education about low-fat dietary for cholelithiasis patient. Cholesterol intake restriction to prevent hipersaturasion of bile which would trigger the formation of new gallstones after gallblader removal. Improvement of patient understanding about the low-fat diet to change the patient behavior after discharge from hospital. Environment settings and more varied use of media in educating the patient."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
PR-pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Natasya Dwi Amalia
Analisis Asuhan Keperawatan pada Pasien Kolelitiasis Pre Laparoskopi Kolesistektomi dengan Penerapan Intervensi Keperawatan Relaksasi Napas Dalam di Ruang Rawat Lantai 4 Zona B Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo Jakarta = Analysis of Nursing Care in Cholelithiasis Patient Pre-Laparoscopic Cholecystectomy with Deep Breathing Relaxation Nursing Intervention in Surgical Ward of RSUPN Dr. Cipto Mangunkusumo Jakarta
"Kolelitiasis menjadi salah satu masalah kesehatan sistem gastrointestinal utama di tingkat global. Hal ini disebabkan karena adanya perubahan gaya hidup masyarakat meliputi penurunan aktivitas fisik dan pola diet yang kurang tepat. Salah satu penatalaksanaan pembedahan yang dilakukan pada pasien kolelitiasis ialah laparoskopi kolesistektomi. Karya Ilmiah Akhir Ners ini bertujuan untuk menyajikan hasil analisis asuhan keperawatan pada pasien kolelitiasis pre laparoskopi kolesistektomi dengan menerapkan intervensi keperawatan teknik relaksasi napas dalam guna mengatasi ansietas preoperasi. Adapun intervensi lain yang direkomendasikan berdasar pada kajian praktik berbasis bukti meliputi penerapan intervensi penggunaan terapi musik guna menurunkan kecemasan pada pasien pra pembedahan laparoskopi kolesistektomi. Penggabungan penerapan relaksasi napas dalam dan terapi musikdiharapkan dapat diaplikasikan oleh perawat di ruangan khususnya pada pasien yang akan menjalankan operasi laparoskopi kolesistektomi untuk mengatasi masalah ansietas preoperasi.

Cholelithiasis is one of the major health problems of gastrointestinal system at the global level. This is due to changes in peoples lifestyles including decreased physical activity and inappropriate dietary patterns. One of the surgical treatments performed on cholelithiasis patients is laparoscopic cholecystectomy. The aims of this study is to analyse the nursing care of pre-laparoscopic cholecystectomy patients by applying deep breathing relaxation intervention to overcome the preoperative anxiety problem. Besides that, another intervention that is recommended based on evidence-based practice studies is the use of intervention of music therapy to reduce anxiety in pre-laparoscopic cholecystectomy patients. Combining the application of deep breathing relaxation and music therapy is expected to be applied by nurses, especially for patients who will undergo laparoscopic cholecystectomy to overcome the problem of preoperative anxiety."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
PR-pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Muhammad Zaki
Pengaruh mobilisasi dini dan konsumsi air mineral dua jam post laparoskopik kolesistektomi terhadap penurunan skala nyeri bahu pasien = the effectiveness of early mobilization and mineral water consumption two hours post laparoscopic cholecystectomy on decreasing shoulder pain
"ABSTRAK
Nama : Muhammad ZakiProgram Studi : Magister Ilmu KeperawatanJudul : Pengaruh Mobilisasi Dini dan Konsumsi Air Mineral Dua Jam Post Laparoskopik Kolesistektomi Terhadap Penurunan Skala Nyeri Bahu Pasien. Pembedahan laparoskopik kolesistektomi dapat menimbulkan pneumoperitonium yang akan menimbulkan efek nyeri pada bahu pasien yang secara nyata banyak muncul pada jam ke enam setelah pembedahan selesai. Penelitian ini bertujuan mengetahui pengaruh mobilisasi dini dan konsumsi air mineral saat diberikan dua jam post laparoskopik kolesistektomi terhadap penurunan skala nyeri bahu pasien. Desain penelitian ini menggunakan quasy experimental pre ndash; post with control group, metode pengumpulan sampel dilakukan secara purposive sampling. Sampel penelitian terdiri atas 18 orang tiap kelompok intervensi dan kelompok kontrol. Uji statistik menggunakan friedman test dan uji wilcoxon didapatkan hasil pengukuran skala nyeri bahu dengan menggunakan Numeric Rating Scale NRS pada jam ke 2, 6 dan jam ke 24 post laparoskopik kolesistektomi menunjukkan secara statistik dan klinis signifikan dalam menurunkan skala nyeri bahu pasien pada kedua kelompok. Sehingga dapat disimpulkan bahwa terdapat perbedaan signifikan pada kelompok kontrol dibandingkan kelompok intervensi pada pengaruh perubahan skala nyeri bahu responden setelah diberi tindakan mobilisasi dini dan konsumsi air mineral dengan p value= 0, 0001; ?
ABSTRACT
Name Muhammad ZakiStudy Program Master of Nursing ScienceTitle The effectiveness of early mobilization and mineral water Consumption two hours post laparoscopic cholecystectomy on decreasing shoulder pain. Laparoscopic Cholecystectomy is at risk for pneumoperitoneum that lead patients to feel pain on the shoulder after six hours post surgery. This study aimed to determine the effectiveness of early mobilization and consumption of mineral water two hours post laparoscopic cholecystectomy on decreasing the scale of shoulder pain. This queasy experimental study conducted pre post testing that involved 18 intervention groups and control groups. All subjects were chosen based on purposive sampling method. Data were analyzed by using test Friedman and Wilcoxon. The statistical test using Friedman test and Wilcoxon test showed the measurement of shoulder pain scale by using Numeric Rating Scale NRS at 2, 6 and 24 hours post laparoscopic cholecystectomy showed statistically and clinically significant in decreasing patient shoulder pain scale in both groups. So it can be concluded that there are significant differences in the control group compared to the intervention group on the effect of the change of shoulder pain scale after giving the action of early mobilization and mineral water consumption with p value 0, 0001 "
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
T48499
UI - Tesis Membership  Universitas Indonesia Library
cover
Julian
Cost of treatment cholelithiasis dengan laparoscopic cholecystectomy berdasarkan drg's di Rumah Sakit Gading Pluit 2007
"Batu empedu /cholelithiawls' adalah suatu penyakit yang cukup banyak terjadi, di Indonesia dilaporkan ada 268 kasus dalam empat tahun (1991-l994). Dimana kasus ini mcmerlukan operasi. Dengan majunya téknologi alat kedokteran dan ilmu kedokteran serta pengetahuan kesehatan rnasyarakat yang terus berkembang, mcnambah keinginan doktcr untuk mernbcrikan pelayanan pembedahan minimal invasy seiring tuntutan pasien akan tindakan pembedahan yang lebih nyaman.
Tindakan bedah dengan tehnik Laparoscopic memberikan pilihan altematif bagi penderita karena tindakan pembedahan dengan can ini hanya diperlukan Iuka opcrasi yang minimal/ kwa. 'rmaakan ms memcrlukan biaya yang besar dan sangat bervariasi, tergautungjenis tindakan yang dilakukan.
Pada umumnya nnnah sakit di Indonesia mempunyai masalah mengenai informasi biaya yang disebabkan oleh sistem pembayaran langsung pexjasa pelayanan (pee jbr ser-vice).Biaya pelayanan kesehatan yang bervariasi dan scmakin meningkat dikarenakan belum adanya harga standar berdasarkan unit cost untuk berhagai pelayanan kesehatan yang dibedkan. Pengendalian biaya dari bentukfzejbr service ke Prospective Payment System (PPS) perlu dilakukan. Salah satu bentuk PPS adalah Diagnosis Related Grolgps (DRG’S).DRG’s adalah sistem pembayamn perkelompok pcnyakit tanpa melihat tindakan yang cljberikan atau lamanya perawatan di rumah sakit. Tujuan penelitian ini adalah untuk melihat bagaimana pengelompokan, Clinical Pathway dan cost of treatment Cholelirhiasis dengan Laparoscopic Cholecysreclomy berdasarkan DRG’s di Rumah Sakit Gading Pluit tahun 2007.
Penelitian ini merupakan penelitian kuantitatif deskriptif dengan rancangan crossecrional retrospekryf Penelitian dilaksanaknn sejak awal Februari 2008 sampai dengan April 2000 dengan' mcnggunakan data sekunder dari kamar opcrasi dan rekam meaik pasien mwar inap dmgan aiggnosa chozezffhfasfr Salam tahun 2001. Unit cost dihitimg dengan manggunakan Activity Based Costing. Analisa data dilakukan secara univariat untuk melihat distribusi Bekuensi, nilai mean, median, modus, nilai minimum dan nilai maksimurn.
Pengelompokan Cfialelilhiasis dengan Lqpmoscopic Cholecyszecrorrrv berdasarkan DRG’s di Rumah Sakit Gading Pluit adalah : Laparoscopic Cholecysteclomy mumi, Laparoscopab Chnlecystectomy dengan Penyerta, Laparoscopxb Cholecystectomy dengan Penyulit dan Laparoscopic Cholecysteciomy dengan Penyerta dan Penyulit Berdasarkan basil penclitian diketahui clinical pathway Cholelfrhiasis dengan Laparoscopic Cholecysteciorny terdiri dari 9 tahapan yaitu : pendaiiaran poliklinik, penegakan diaguosa, Admision , penerimaan pasien, pm-oprasi, Operasi, post operasi, pulang dan Billing. Cost of treatment Cholelithiaais dengan Iaparoscopic ChoIecy.s-rectomy di Rumah Sakit Gading Pluit tahun 2007 adalah sebagai berikut : (1) Biaya Laparoscopic Cholecystectomy Rp.8.222.412.- (2) Biaya Laparoscopic Cholecysrectomy dengan Penyerta Rp.9.309.I64,- (3) Biaya Laparoscopic Cfrolecystectomy dengan Penyulit np.13.4a3_3o3,- (4) Biaya Laparoscopic Qliolecystecrorny aengan Pmyuliz can Penyertzi Rp.17.596.6o5,- Ijengan cost recovery rate rumah sdkit rata-rata nilainya 230%.
Dari hasil penelitian terlihat manfaatnya melakukan perhitungan biaya rawat ihap berdasarkan Diagnosis Related Groups sebagai dasar penetapan tarif rawat inap.
Gall-stone/ cholelithiasis is a commonly occurred disease. In Indonesia, there had been 2687 cases of this disease occurred for the last four years (1991 - 1994) that needed surgeries. The advancement of health instruments, medical knowledge, and continuously growing of health awareness in the society, motivate medical practitioner to give a minimally invasive surgery service, inlining with the patients needs ofa more convenient surgery.
The Laparoscopic surgery technique gives adds alternative choice to the patient, as this technique only needs a minimum surgical wound. This technique, however, require a large amount of costs; and it will vary according to the medical measure needed.
Generaly, Indonesian Hospitals will have a problem in providing infomration about the service fee, due to the direct fee for service payment system.The absence of standard unit costs for many medical services caused the costs of medical services varied and increasing.
Therefore, a change of cost control fiom fee per service to Prospective Payment System (PPS) is needed. One type of PPS is Diagnosis Related Groups (DRG’s) .DRG’s is a payment system per type of disease, without looking at the type of measurement given, or treatment dur°ation in the hospital. The objective of this research is to obtain the classification of Clinical Pathway and treatment cost of Cholelithiasis with Laparoscopic Cholecystectomy using DRG's at Gading Pluit Hospital in 2007.
This research is uses quantitative descriptive research with a cross-sectional retrospective method. The research was held from Febnrary - April 2008, by using a secondary data 'fiom one surgery room and inpatients medical records diagnosed with Cholclithiasis in 2007. The unit costs were measured by Activity Based Costing.
Univariate data analyses were used to see the iiequent distribution, means, median, modus, minimum and maximum value. The groupings of Cholelithiasis with Laparoscopic Cholecystectomy according to DRG's in Gading Pluit Hospital are: pure laparoscopic Cholecystectomy, Laparoscopic Cholccystectomy with complicating disease, Laparoscopic Cholecystectomy with associated condition and Laparoscopic Cholecystectomy with both complicating disease and associated condition.
According to the research, it is concluded that there are 9 steps in Cholelithiasis clinical pathway with laparoscopic Cholecystectomy: polyclinic registration, diagnosis, admission, patient acceptance, pre-surgery, surgery, post surgery, discharge and billing.
The Costs of Cholelithiasis treatment with Laparoscopic Cholecystectomy at Gading Pluit Hospital in 2007 are as foIlows:(l) Pune Laparoscopic Cholecystcctomy: Rp.8.222.4l2,-(2) Laparoscopic Cholecystectomy with complicating disease: Rp.9,309,l64,- (3)Laparoscopic Cholecystectomy with associated condition Rp.13.483.303,- (4)Laparoscopic Cholecystectomy with both complicating disease and associated condition :Rp. l'7.596.605,-.cost recovery rate for the hospital is approximately 230%. From the research, we can see the benefit of cost calculation using Diagnosis Related Groups as a way to dctcnnine the hospitalization costs."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2008
T34434
UI - Tesis Open  Universitas Indonesia Library
cover
Septo Sulistio
Instilasi ropivakain 0.375% intraperitonium sebagai ajuvan terapi nyeri pascalaparoskopi kolesistektomi = Intraperitoneal instillation of ropivacaine 0.375% as postlaparoscopy cholecystectomy pain therapy adjuvant
"[ABSTRAK
Latar Belakang : Laparoskopi kolesistektomi saat ini menjadi pilihan utama kasus batu kandung empedu simtomatik. Walaupun minimal, laporan mengenai nyeri abdomen dan nyeri bahu masih dirasakan pascalaparoskopi kolesistektomi. Nyeri ini muncul segera setelah operasi dan dapat bertahan selama 3 hari. Penelitian ini bertujuan untuk mengetahui efektivitas instilasi ropivakain 0.375% intraperitonium sebagai ajuvan terapi nyeri pascalaparoskopi kolesistektomi.
Metode : Penelitian ini adalah uji klinik acak tersamar ganda yang dikerjakan di Instalasi Bedah Pusat RSCM pada bulan November 2014 sampai April 2015. Subjek yang memenuhi kriteria dibagi menjadi kelompok ropivakain (R) (n=35) mendapat 40 mL ropivakain 0.375% dan kelompok NaCl (N) (n=33) mendapat 40 mL NaCl 0.9%. Peracikan regimen dikerjakan oleh orang yang berbeda dengan operator dan penilai. Tingkat nyeri statis, dinamis dan nyeri rujuk dinilai pada jam
ke-1, 6 dan 24 pascaoperasi. Waktu meminta analgetik tambahan pertama (petidin) juga dicatat. Data regimen yang diterima baru dibuka setelah pengumpulan data selesai.
Hasil : Secara statistik terdapat perbedaan bermakna pada proporsi nyeri statis jam pertama antara kelompok R dan N. Kelompok R cenderung memiliki nilai VAS lebih rendah (p=0.05;OR=0.453). Tidak terdapat perbedaan bermakna pada keseluruhan jenis nyeri yang dinilai dalam tiap-tiap waktu penilaian. Median waktu meminta petidin juga tidak berbeda antara kedua kelompok.
Simpulan: Instilasi ropivakain 0.375% intraperitonium tidak lebih efektif sebagai ajuvan terapi nyeri pascalaparoskopi kolesistektomi dibandingkan tanpa ajuvan.
ABSTRACT
Background: Laparoscopy cholecystectomy has been the preferred procedure for symptomatic cholelithiasis. Although less minimal, abdominal and shoulder pain are still reported. The pain rises after operation and persists for 3 days. The aim of this study was to determine the effect of intraperitoneal ropivacaine 0.375% as adjuvant in postlaparoscopy cholecystectomy pain therapy.
Method: This was a randomized, double blinded, clinical control trial that held in central operating theater Ciptomangunkusumo hospital during November 2014 until April 2015. Subjects divided into two groups. The ropivacaine (R) group (n=35) got 40 mL ropivacain 0.375% and the control (N) group (n=33) got NaCl 0.9% in same volume. Regiment was prepared by different personel from the operator and evaluator. Pain at rest, cough and shoulder pain were recorded in VAS at 1st, 6th and 24th hours postoperative. Time to get the first petidine dose was also recorded.
Result: Ropivacaine had higher proportion of mild pain at rest (VAS<4) at 1st hour (p=0.050; OR=0.453). There were no statistically significant difference for other pain proportions in any time measured. Median time to get first petidine dose did not differ between the two groups.
Conclusion: Intraperitoneal instillation of ropivacaine 0.375% as adjuvant in postlaparoscopy cholecystectomy pain therapy is not more effective than without adjuvant.;Background: Laparoscopy cholecystectomy has been the preferred procedure for symptomatic cholelithiasis. Although less minimal, abdominal and shoulder pain are still reported. The pain rises after operation and persists for 3 days. The aim of this study was to determine the effect of intraperitoneal ropivacaine 0.375% as adjuvant in postlaparoscopy cholecystectomy pain therapy.
Method: This was a randomized, double blinded, clinical control trial that held in central operating theater Ciptomangunkusumo hospital during November 2014 until April 2015. Subjects divided into two groups. The ropivacaine (R) group (n=35) got 40 mL ropivacain 0.375% and the control (N) group (n=33) got NaCl 0.9% in same volume. Regiment was prepared by different personel from the operator and evaluator. Pain at rest, cough and shoulder pain were recorded in VAS at 1st, 6th and 24th hours postoperative. Time to get the first petidine dose was also recorded.
Result: Ropivacaine had higher proportion of mild pain at rest (VAS<4) at 1st hour (p=0.050; OR=0.453). There were no statistically significant difference for other pain proportions in any time measured. Median time to get first petidine dose did not differ between the two groups.
Conclusion: Intraperitoneal instillation of ropivacaine 0.375% as adjuvant in postlaparoscopy cholecystectomy pain therapy is not more effective than without adjuvant., Background: Laparoscopy cholecystectomy has been the preferred procedure for symptomatic cholelithiasis. Although less minimal, abdominal and shoulder pain are still reported. The pain rises after operation and persists for 3 days. The aim of this study was to determine the effect of intraperitoneal ropivacaine 0.375% as adjuvant in postlaparoscopy cholecystectomy pain therapy.
Method: This was a randomized, double blinded, clinical control trial that held in central operating theater Ciptomangunkusumo hospital during November 2014 until April 2015. Subjects divided into two groups. The ropivacaine (R) group (n=35) got 40 mL ropivacain 0.375% and the control (N) group (n=33) got NaCl 0.9% in same volume. Regiment was prepared by different personel from the operator and evaluator. Pain at rest, cough and shoulder pain were recorded in VAS at 1st, 6th and 24th hours postoperative. Time to get the first petidine dose was also recorded.
Result: Ropivacaine had higher proportion of mild pain at rest (VAS<4) at 1st hour (p=0.050; OR=0.453). There were no statistically significant difference for other pain proportions in any time measured. Median time to get first petidine dose did not differ between the two groups.
Conclusion: Intraperitoneal instillation of ropivacaine 0.375% as adjuvant in postlaparoscopy cholecystectomy pain therapy is not more effective than without adjuvant.]"
Fakultas Kedokteran Universitas Indonesia, 2015
T58676
UI - Tesis Membership  Universitas Indonesia Library
<<   1 2 3 4 5 6 7 8 9 10   >>