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Conny Marthafanny
Analisis Asuhan Keperawatan pada Pasien DM Tipe 2 dengan Komplikasi Ulkus Kaki Diabetik Post Amputasi Below Knee dengan Intervensi Mobilisasi Dini = Analysis of Nursing Care in Patient with Diabetes Mellitus and Diabetic Foot Ulcer Complication Post Below-Knee Amputation with Early Mobilization Intervention
"Upaya pemulihan kondisi pasca-amputasi dapat dilakukan dengan berbagai cara, salah satunya dengan mobilisasi dini. Mobilisasi yang tidak tepat meningkatkan morbiditas perioperatif dan lama rawat, serta memperlambat proses penyembuhan luka. Tujuan penulisan untuk menganalisis intervensi mobilisasi secara aman pada pasien pasca- amputasi bawah lutut menggunakan metode Metode yang digunakan dengan menerapkan latihan mobilisasi selama 6 hari berturut-turut, sebanyak 2 kali dalam sehari, serta dilakukan selama 30 menit setiap kali latihan. Latihan meliputi latihan tungkai, perubahan posisi, berdiri seimbang dan berpindah posisi. Hasil evaluasi hari ke 6 klien mampu latihan gerak tungkai, berubah posisi serta posisi secara mandiri. Berdiri seimbang dan berpindah posisi dari tempat tidur ke kursi roda dengan bantuan serta terdapat peningkatan kekuatan otot pada ekstremitas bawah. Mobilisasi dini pasca- amputasi diperlukan sebagai upaya pemulihan kondisi pasien dan melatih kemampuan berjalan.
Efforts to restore post-amputation conditions can be done in various ways, one of which is early mobilization. Improper mobilization increases perioperative morbidity and length of stay, and reduces wound healing. The purpose of this paper is to analyze the interventions of safely mobilization to post below knee amputation using SAFEMOB method. This study used method which applied mobilization exercises for 6 consecutive days in 2 times a day, for 30 minutes each exercise. Exercises involve leg exercises, position changes, dangling, standing balanced and moving positions. The results of the 6 day evaluation, the patient was able to train joint movements, change position and dangling independently. Standing in balance and shifting from bed to wheelchair with help also lies in increasing strength in the lower extremities. Early mobilization post- amputation is needed as an effort to restore the patients condition and practice walking skills. "
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
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UI - Tugas Akhir  Universitas Indonesia Library
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Marcellia Arsy Mahardhika
Analisis Asuhan Keperawatan pada Pasien Ulkus Diabetik Pasca Amputasi Below Knee Dextra dengan Intervensi Guided Imagery = Analysis of Nursing Care for Diabetic Ulcer Patients After Below Knee Right Amputation with Guided Imagery Intervention
"Diabetes mellitus (DM) tipe 2 sering kali menyebabkan komplikasi kronis, salah satunya ulkus diabetik yang tidak jarang berujung pada amputasi. Penelitian ini bertujuan untuk menganalisis asuhan keperawatan pada pasien dengan DM tipe 2 yang mengalami komplikasi ulkus diabetik pasca amputasi below knee dextra, serta mengevaluasi efektivitas intervensi guided imagery dalam manajemen nyeri. Metode yang digunakan meliputi pendekatan asuhan keperawatan holistik yang mencakup pengelolaan luka pasca amputasi, pencegahan infeksi, serta perawatan psikologis dan emosional pasien. Intervensi guided imagery diterapkan untuk membantu mengurangi nyeri pasca operasi, serta meningkatkan relaksasi dan kesejahteraan pasien. Hasil analisis menunjukkan bahwa guided imagery efektif dalam menurunkan tingkat nyeri akut dan membantu pasien menghadapi stres psikologis pasca amputasi. Kesimpulannya, intervensi ini dapat menjadi bagian penting dari asuhan keperawatan komprehensif pada pasien pasca amputasi untuk meningkatkan kualitas hidup dan pemulihan mereka.
Type 2 diabetes mellitus (DM) often causes chronic complications, one of which is diabetic ulcers which often lead to amputation. This study aims to analyze nursing care for patients with type 2 DM who experience complications of post-amputation diabetic ulcers below knee dextra, and to evaluate the effectiveness of guided imagery interventions in pain management. The methods used include a holistic nursing care approach that includes post-amputation wound management, infection prevention, and psychological and emotional care for patients. Guided imagery interventions are applied to help reduce postoperative pain, as well as improve patient relaxation and well-being. The results of the analysis showed that guided imagery was effective in reducing acute pain levels and helping patients cope with psychological stress after amputation. In conclusion, this intervention can be an important part of comprehensive nursing care for post-amputation patients to improve their quality of life and recovery."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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UI - Tugas Akhir  Universitas Indonesia Library
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Fandiar Nur Isdiaty
Analisis praktik klinik keperawatan kesehatan masyarakat perkotaan dengan intervensi rom ankle untuk mempercepat proses penyembuhan luka ulkus kaki diabetik pada pasien diabetes mellitus tipe 2 di RSUP Fatmawati = Analysis of clinical practice on urban health nursing by ankle rom intervention to accelerate healing process of diabetic foot ulcer in patient with type 2 diabetes mellitus in RSUP Fatmawati
"Diabetes mellitus adalah salah satu penyakit tidak menular yang banyak terjadi di masyarakat perkotaan. Karakteristik masyarakat perkotaan yang heterogen rentan terhadap perubahan gaya hidup sehat yaitu pola makan tinggi kalori dan pola aktivitas rendah yang menyebabkan terjadinya diabetes mellitus tipe 2. Diabetes yang tidak terkontrol dapat menyebabkan munculnya komplikasi mikrovaskuler, salah satunya adalah ulkus kaki diabetik. Ulkus kaki diabetik yang tidak ditangani dengan baik dapat mengalami proses penyembuhan yang lama bahkan dapat muncul dampak lanjut yaitu amputasi kaki. Penyembuhan ulkus kaki memerlukan sirkulasi yang adekuat pada kaki untuk menyalurkan nutrisi ke sel-sel. Tujuan dari penulisan karya ilmiah ini adalah untuk melakukan analisis keperawatan kesehatan masyarakat perkotaan dikaitkan dengan asuhan keperawatan pada pasien diabetes mellitus tipe 2 dengan intervensi ROM ankle dalam mengatasi masalah sirkulasi pada pasien dengan ulkus kaki diabetik. Rekomendasi penulisan ini adalah perawat perlu mengajarkan dan menerapkan ROM ankle pada pasien dengan ulkus kaki diabetik untuk meningkatkan sirkulasi ke kaki sehingga mendukung percepatan proses penyembuhan luka.
Diabetes mellitus is one of non-communicable disease that happens in urban people. The heterogeneous urban people are susceptible to health behavior changes such as high calorie eating and low level activity pattern which can cause type 2 diabetes mellitus. Uncontrolled diabetes can cause micro vascular complication named diabetic foot ulcer. Diabetic foot ulcer with poor management promotes delayed of healing process even can cause foot amputation. The healing process of diabetic foot ulcer needs adequate circulation to distribute nutrition into cells. This study aimed to analyze urban health nursing linked to nursing care of type 2 diabetes mellitus patient with intervention of ankle ROM to accelerate wound healing process in diabetic foot ulcer. This study recommends nurses to teach and apply ankle ROM in diabetic foot ulcer patients due to increase foot circulation so that support acceleration of wound healing process."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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Jon Hafan Sutawardana
Penerapan model keperawatan Self Care Orem pada asuhan keperawatan pasien diabetes melitus dengan ulkus DM dan post amputasi di RSUPN Cipto Mangunkusumo Jakarta = Application of Self Care Orem's model in diabetes mellitus patients with ulcers diabetic and post amputation
"Laporan ini bertujuan untuk memaparkan analisis perawatan pasien diabetes melitus (DM) dengan ulkus diabetes post amputasi yang menggunakan model self care Orem sebagai kerangka kerjanya. Tiga puluh pasien DM juga terlibat dalam perawatan ini. Proyek tindakan keperawatan berbasis pembuktian ilmiah (evidence based nursing practice) dilakukan untuk melihat efektifitas program edukasi self efficacy dalam memperbaiki self care pasien DM tipe 2 saat berada di rumah. Proyek inovasi menghasilkan panduan berupa booklet latihan kekuatan dan keseimbangan pada pasien DM dengan nuropati perifer. Hasil analisis menunjukkan bahwa model self care Orem dapat diterapkan pada perawatan pasien DM dan program edukasi self efficacy menunjukkan hasil ada peningkatan perilaku self care pasien DM saat berada di rumah. Pasien DM dengan neuropati perifer memperoleh manfaat dari latihan kekuatan dan keseimbangan melalui pemberian booklet.
This report aims to describe the analysis of nursing care for diabetic patients with ulcus diabetic post amputation using self care Orem?s model as a framework. Thirty diabetic patients involved in this care. The Evidence Based Nursing Practice (EBNP) project was an education self efficacy program intervention toward self care in type 2 diabetes mellitus patients. The innovation project produced guideline booklet regarding strengths and balances exercise in patients with diabetic peripheral neuropathy. The analysis showed that self care Orem model could be applied in the care for patients with diabetes and the self efficacy program could improve self care for patients with diabetes at home. Diabetic patients with peripheral neuropathy are benefited from the strengths and balances exercise training given from the booklet."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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Muhammad Ulil Amri
Analisis Asuhan Keperawatan pada Pasien NSTEMI Post Transradial Percutaneous Coronary Intervention dengan Penerapan Intervensi Mobilisasi Dini = Analysis of Nursing Care for Patients with NSTEMI Post Transradial Percutaneous Coronary Intervention with Application of Early Mobilization Intervention
"Tirah baring dan imobilisasi berkepanjangan pasca percutaneous coronary intervention (PCI) erat kaitannya dengan berbagai komplikasi dan prevalensi mortalitas yang tinggi di rumah sakit. Salah satu internvesi keperawatan yang dapat dilakukan untuk mencegah komplikasi akibat tirah baring pasca PCI adalah mobilisasi dini. Studi kasus dilakukan pada perempuan usia 60 tahun dengan NSTEMI. Dalam upaya untuk mempercepat pemulihan pascabedah, penulis menerapkan intervensi mobilisasi dini pada pasien. Pola mobilisasi yang diklasifikasikan sebagai tirah baring, semi-fowler, duduk, perpindahan ke kursi, dan berdiri/berjalan didokumentasikan oleh perawat selama pemberian asuhan. Intervensi dilakukan dalam 5 hari, sejak pra-PCI hingga 2 hari pasca PCI. Penulis menganalisis terhadap proses asuhan keperawatan mencakup analisis penerapan intervensi mobilisasi dini. Hasil evaluasi setelah penerapan intervensi mobilisasi dini antara lain peningkatan skala mobilitas pasien, tidak ada sesak selama latihan mobilisasi, tidak ada peningkatan nyeri pasca PCI, tidak terjadi jatuh saat proses ambulasi, kekuatan otot dan rentang gerak pasien dipertahankan, serta tidak adanya komplikasi berat pasca PCI selama penerapan mobilisasi dini. Berdasarkan temuan tersebut, penerapan mobilisasi dini secara bertahap pasca PCI dapat meningkatkan tingkat mobilitas dan tidak menimbulkan komplikasi pada pasien.
Bed rest and prolonged immobilization after percutaneous coronary intervention (PCI) are closely related to various complications and a high prevalence of mortality in hospital. One of the disease interventions that can be done to prevent complications due to bed rest after PCI is early mobilization. The case study was conducted on a 60 year old woman with NSTEMI. In an effort to speed up postoperative recovery, the authors implemented early mobilization interventions for patients. Movement patterns classified as bed rest, semi-Fowler's, sitting, transferring to a chair, and standing/walking were documented by the nurse during care delivery. The intervention was carried out within 5 days, from pre-PCI to 2 days post-PCI. The author analyzes the maintenance process including analysis of the implementation of early mobilization interventions. Evaluation results after implementing early mobilization interventions include an increase in the patient's mobility scale, no shortness of breath during mobilization exercises, no increase in pain after PCI, no falls during the ambulation process, the patient's muscle strength and range of motion are maintained, and the absence of severe complications after PCI during early mobilization. Based on these findings, gradual application of early mobilization after PCI can increase the level of mobility and not cause complications in patients."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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UI - Tugas Akhir  Universitas Indonesia Library
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Katuuk, Mario Esau
Analisis penerapan teori Self Care Orem dalam asuhan keperawatan pasien diabetes melitus dengan komplikasi congestive heart failure, efusi pleura, dan ulkus kaki diabetik = Application of Orem's theory of Self Care in caring for diabetes mellitus patient with complications of congestive heart failure, pleural effusion, and diabetic foot ulcer : An analysis
"[ABSTRAK
Diabetes melitus merupakan sekelompok gangguan metabolisme tubuh, ditandai
dengan hiperglikemik kronis yang dapat mengakibatkan komplikasi akut dan
kronis. Salah satu peran perawat sebagai pemberi asuhan adalah memberikan
asuhan keperawatan yang berkualitas melalui pendekatan Teori Self Care Orem.
Penggunaan pendekatan teori ini diharapkan dapat membantu perawat dalam
menanggulangi keterbatasan yang dimiliki pasien dan melibatkan pasien secara
aktif dalam proses perawatannya melalui peilaku perawatan mandiri. Tujuan
penulisan karya ilmiah akhir ini adalah menganalisis hasil proses belajar residensi
keperawatan medikal bedah melalui penerapan asuhan keperawatan, penerapan
evidence based nursing practice, dan inovasi keperawatan. Data yang diperoleh
selama praktik klinik menunjukkan sebagian besar pasien diabetes melitus
mengalami komplikasi ulkus kaki diabetik yang disebabkan oleh perilaku
perawatan kaki mandiri belum optimal. Hasil penerapan evidence based nursing
practice berupa kegiatan edukasi perawatan kaki mandiri dapat meningkatkan
pengetahuan dan membentuk perilaku perawatan kaki sebagai tindakan
pencegahan dini. Hasil kegiatan inovasi keperawatan melalui pengkajian
kesehatan mandiri adalah pasien dapat melakukan pengkajian mandiri terhadap
kebutuhan edukasi dan mendapatkan edukasi sesuai kebutuhan mereka.
Kesimpulan dari karya ilmiah akhir ini adalah perlunya peningkatan kualitas
asuhan keperawatan pada pasien diabetes melitus melalui pendekatan teori keperawatan untuk meningkatkan kemandirian pasien dalam pengelolaan penyakitnya.ABSTRACT Diabetes mellitus is a metabolic disorder that characterized by chronic
hyperglycemia which could lead to acute and chronic complications. One of nurse
roles in managing diabetes mellitus is deliver nursing care using Orem?s Theory
of Self Care as guide of nursing practice. With this theoretical approach, nursing
is expected to be able to overcome the limitations and inability of the patients and
actively involve patients in the treatment process through self-care behaviors. The
aims of this paper is to analyze the implementation of nursing care, application of
evidence based nursing practice, and innovation program which integrated to
clinical practice. Based on patient collective data, that was found that the majority
of diabetes mellitus patients had been hospitalized with diabetic foot ulcers
complications that caused by non-optimal foot self-care behavior. The results of
evidence based nursing practice showed that the diabetic foot care education
program can improve the knowledge and build the foot self-care behavior as early
prevention action. The results of innovation program through self-health
assessment program are patients could assess their needs of educations and get
health education according to assessment results. In conclusion, it?s needed to
improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. ;Diabetes mellitus is a metabolic disorder that characterized by chronic
hyperglycemia which could lead to acute and chronic complications. One of nurse
roles in managing diabetes mellitus is deliver nursing care using Orem?s Theory
of Self Care as guide of nursing practice. With this theoretical approach, nursing
is expected to be able to overcome the limitations and inability of the patients and
actively involve patients in the treatment process through self-care behaviors. The
aims of this paper is to analyze the implementation of nursing care, application of
evidence based nursing practice, and innovation program which integrated to
clinical practice. Based on patient collective data, that was found that the majority
of diabetes mellitus patients had been hospitalized with diabetic foot ulcers
complications that caused by non-optimal foot self-care behavior. The results of
evidence based nursing practice showed that the diabetic foot care education
program can improve the knowledge and build the foot self-care behavior as early
prevention action. The results of innovation program through self-health
assessment program are patients could assess their needs of educations and get
health education according to assessment results. In conclusion, it?s needed to
improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. ;Diabetes mellitus is a metabolic disorder that characterized by chronic
hyperglycemia which could lead to acute and chronic complications. One of nurse
roles in managing diabetes mellitus is deliver nursing care using Orem?s Theory
of Self Care as guide of nursing practice. With this theoretical approach, nursing
is expected to be able to overcome the limitations and inability of the patients and
actively involve patients in the treatment process through self-care behaviors. The
aims of this paper is to analyze the implementation of nursing care, application of
evidence based nursing practice, and innovation program which integrated to
clinical practice. Based on patient collective data, that was found that the majority
of diabetes mellitus patients had been hospitalized with diabetic foot ulcers
complications that caused by non-optimal foot self-care behavior. The results of
evidence based nursing practice showed that the diabetic foot care education
program can improve the knowledge and build the foot self-care behavior as early
prevention action. The results of innovation program through self-health
assessment program are patients could assess their needs of educations and get
health education according to assessment results. In conclusion, it?s needed to
improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. , Diabetes mellitus is a metabolic disorder that characterized by chronic
hyperglycemia which could lead to acute and chronic complications. One of nurse
roles in managing diabetes mellitus is deliver nursing care using Orem’s Theory
of Self Care as guide of nursing practice. With this theoretical approach, nursing
is expected to be able to overcome the limitations and inability of the patients and
actively involve patients in the treatment process through self-care behaviors. The
aims of this paper is to analyze the implementation of nursing care, application of
evidence based nursing practice, and innovation program which integrated to
clinical practice. Based on patient collective data, that was found that the majority
of diabetes mellitus patients had been hospitalized with diabetic foot ulcers
complications that caused by non-optimal foot self-care behavior. The results of
evidence based nursing practice showed that the diabetic foot care education
program can improve the knowledge and build the foot self-care behavior as early
prevention action. The results of innovation program through self-health
assessment program are patients could assess their needs of educations and get
health education according to assessment results. In conclusion, it’s needed to
improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. ]"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
TA-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Katuuk, Mario Esau
Analisis Penerapan Teori Self Care Orem dalam Asuhan Keperawatan Pasien Diabetes Melitus dengan Komplikasi Congestive Heart Failure, Efusi Pleura, dan Ulkus Kaki Diabetik = Application of Orem's Theory of Self Care in Caring for Diabetes Mellitus Patient with Complications of Congestive Heart Failure, Pleural Effusion, and Diabetic Foot Ulcer: An Analysis
"ABSTRAK
Diabetes melitus merupakan sekelompok gangguan metabolisme tubuh, ditandai dengan hiperglikemik kronis yang dapat mengakibatkan komplikasi akut dan kronis. Salah satu peran perawat sebagai pemberi asuhan adalah memberikan asuhan keperawatan yang berkualitas melalui pendekatan Teori Self Care Orem. Penggunaan pendekatan teori ini diharapkan dapat membantu perawat dalam menanggulangi keterbatasan yang dimiliki pasien dan melibatkan pasien secara aktif dalam proses perawatannya melalui peilaku perawatan mandiri. Tujuan penulisan karya ilmiah akhir ini adalah menganalisis hasil proses belajar residensi keperawatan medikal bedah melalui penerapan asuhan keperawatan, penerapan evidence based nursing practice, dan inovasi keperawatan. Data yang diperoleh selama praktik klinik menunjukkan sebagian besar pasien diabetes melitus mengalami komplikasi ulkus kaki diabetik yang disebabkan oleh perilaku perawatan kaki mandiri belum optimal. Hasil penerapan evidence based nursing practice berupa kegiatan edukasi perawatan kaki mandiri dapat meningkatkan pengetahuan dan membentuk perilaku perawatan kaki sebagai tindakan pencegahan dini. Hasil kegiatan inovasi keperawatan melalui pengkajian kesehatan mandiri adalah pasien dapat melakukan pengkajian mandiri terhadap kebutuhan edukasi dan mendapatkan edukasi sesuai kebutuhan mereka. Kesimpulan dari karya ilmiah akhir ini adalah perlunya peningkatan kualitas asuhan keperawatan pada pasien diabetes melitus melalui pendekatan teori keperawatan untuk meningkatkan kemandirian pasien dalam pengelolaan penyakitnya.
ABSTRACT
Diabetes mellitus is a metabolic disorder that characterized by chronic hyperglycemia which could lead to acute and chronic complications. One of nurse roles in managing diabetes mellitus is deliver nursing care using Orem's Theory of Self Care as guide of nursing practice. With this theoretical approach, nursing is expected to be able to overcome the limitations and inability of the patients and actively involve patients in the treatment process through self-care behaviors. The aims of this paper is to analyze the implementation of nursing care, application of evidence based nursing practice, and innovation program which integrated to clinical practice. Based on patient collective data, that was found that the majority of diabetes mellitus patients had been hospitalized with diabetic foot ulcers complications that caused by non-optimal foot self-care behavior. The results of evidence based nursing practice showed that the diabetic foot care education program can improve the knowledge and build the foot self-care behavior as early prevention action. The results of innovation program through self-health assessment program are patients could assess their needs of educations and get health education according to assessment results. In conclusion, it's needed to improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Yani Sofiani
Analisis Hubungan Karakteristik dan Budaya Pasien Diabetes Mellitus yang Mengalami Amputasi Kaki dengan Kualitas Hidup dalam Konteks Asuhan Keperawatan Pasien Diabetes Mellitus di DKI Jakarta = Correlation Analysis between Characteristics and Culture of Patient with Diabetic Foot Amputation, with Their Quality of Life in Context of Nursing Care of Patient with Diabetes Mellitus in DKI Jakarta
"ABSTRAK
Diabetes Mellitus merupakan suatu sindroma klinis kelainan metabolik yang ditandai dengan hiperglikemia yang berlangsung lama. Salah satu komplikasi jangka panjang yang dapat terjadi adalah neuropati dimana pada tahap lanjut dapat dilakukan tindakan amputasi. Penelitian ini bertujuan untuk memperoleh gambaran analisis hubungan karakteristik dan budaya pasien Diabetes Mellitus ( DM ) yang mengalami amputasi kaki dengan kualitas hidup. Pada penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan croossectiona. Jumlah responden 76 pasien di wilayah DKI Jakarta. Variabel independen dalam penelitian ini adalah karakteristik pasien DM yang mengalami amputasi kaki (usia, tingkat pendidikan, jenis kelamin, lama menderita DM, lama mengalami amputasi, jenis amputasi dan komplikasi lain yang diderita pasien) dan faktor budaya (rasa optimis dalam mengendalikan gula darah dan suku bangsa), sedangkan variabel dependen adalah kualitas hidup. Analisis bivariat menggunakan ANOVA dan Chi Square dengan alfa (< 0.05) menunjukkan ada hubungan tingkat pendidikan dengan kualitas hidup (p value 0.019) dan ada hubungan jenis amputasi dengan kualitas hidup (p value 0.0005). Pada analisis regresi logistic ganda didapatkan 2 variabel yang berpengaruh terhadap kualitas hidup yaitu tingkat pendidikan dan jenis amputasi. Pasien DM yang mengalami amputasi kaki yang berpendidikan tinggi memiliki kualitas hidup 23 kali lebih baik dibandingkan pasien DM yang mengalami amputasi kaki yang berpendidikan rendah setelah dikontrol variabel jenis kelamin, jenis amputasi, rasa optimis dan komplikasi dan pasien DM yang mengalami amputasi kaki dibawah mata kaki memiliki kualitas hidup 602 kali lebih baik dibandingkan pasien DM yang mengalami amputasi kaki diatas mata kaki setelah dikontrol variabel jenis kelamin, tingkat pendidikan, rasa optimis dan komplikasi. Saran pada penelitian ini adalah perawat perlu senantiasa melakukan deteksi dini terhadap kondisi kaki pasien DM dan selalu memotivasi pasien agar selalu melakukan perawatan kaki dengan rutin.
ABSTRACT
Diabetes Mellitus (DM) is a clinical syndrome of metabolism disorder, which is signed by a prolonged hyperglycemic. DM could lead to a chronicle complication called neuropathy, whereas in a further phase, amputation will be the last action need to be taken. This research was conducted to get analytical pictures of relation between characteristics and culture of patient with diabetic foot amputation with their quality of life. With correlation descriptive design, this research involving 76 respondents of patient in DKI Jakarta. Independent variables in this research are characteristics of patient with diabetic foot amputation(age, education level, gender, how long have they been living with DM, how long have they been living with foot amputation, type of amputation, and other complication that the patients have) and factor of culture (optimisms in controlling glucose level in blood and race). The independents variable was the quality of life. Bivariat analysis using ANOVA and Chi Square with alpha (<0.05) had showed that there ware a correlation between level of education and the quality of life (p value 0.019) and a correlation between type of amputation and the quality of life (p value 0.0005). Logistics regression analysis showed that two dominant factor to the quality of life there are type amputation and education level. Patient with diabetic foot amputation with higher education level have quality of life 23 times better than the patient with diabetic foot amputation with a lower education level after controlled with variable of gender, type of amputation, optimism and complication. Patient with DM that had amputation below their ankle have 602 times better quality of life than they who had amputation over their ankle after controlled with variable of gender, type of amputation, optimism and complication. Hopefully, this research will inspire nurses for advice the patient to a routine treatment for their foot and early detection complication."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2008
T-Pdf
UI - Tesis Open  Universitas Indonesia Library
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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
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UI - Tugas Akhir  Universitas Indonesia Library
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Riastuti Handayani
Analisa Asuhan Keperawatan Medikal Bedah pada Pasien dengan Diabetes Melitus Tipe 2 dan Penggunaan Olive Oil untuk Mengurangi Risiko Luka Kaki Diabetik = Analysis of Medical Surgical Nursing Care for Type 2 Diabetes Mellitus Patients and the Use of Olive Oil to Reduce the Risk of Diabetic Foot Wounds
"Luka kaki diabetik merupakan salah satu komplikasi diabetes melitus. Pencegahan dan pengelolaan yang baik perlu dilakukan untuk mencegah masalah lebih serius pada penderita diabetes. Perawatan kaki yang baik dan benar merupakan salah satu manajemen diabetik untuk mencegah komplikasi ulkus diabetik. Salah satu upaya perawatan kaki adalah dengan menjaga kelembaban kulit kaki. Olive oil kaya akan vitamin dan antioksidan yang telah dikaitkan dengan peningkatkan kelembaban kulit. Selain itu olive oil memiliki sifat anti radang dan antimikroba yang dapat membantu penyembuhan luka. Karya ilmiah ini bertujuan untuk memaparkan hasil praktik keperawatan medikal bedah pada pasien dengan diabetes melitus dengan penerapan olive oil pada perawatan kaki untuk mencegah ulkus diabetik. Hasil implementasi penggunaan olive oil memang tidak dapat langsung merubah kondisi kelembaban kulit, diperlukan konsistensi dalam melakukan perawatan kulit untuk membantu menjaga kelembaban kulit. Tidak hanya konsistensi dalam penggunaan olive oil sebagai pelembab, namun kontrol gula darah, asupan cairan dan nutrisi serta menjaga diri dari suhu ekstrim juga diperlukan untuk menjaga kelembaban kulit.
Diabetic foot ulcers are a prevalent complication of diabetes mellitus, requiring preventive and effective management to avert more severe consequences for diabetic patients. Proper foot care plays a critical role in diabetic management to prevent the development of ulcers. One key aspect of foot care involves maintaining skin moisture. Olive oil, rich in vitamins and antioxidants, has been associated with enhanced skin hydration. Additionally, olive oil possesses anti-inflammatory and antimicrobial properties, which may aid in wound healing. This study aims to present the outcomes of applying olive oil in the foot care management of patients with diabetes mellitus to prevent diabetic ulcers. The results indicate that while the immediate effect on skin moisture is not apparent, consistent application of olive oil is necessary to help maintain skin hydration. Along with regular use of olive oil as a moisturizer, blood glucose control, adequate fluid and nutritional intake, and protection from extreme temperatures are also essential for preserving skin moisture. "
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
PR-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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