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"Pre-eklampsia merupakan penyebab terbanyak kematian ibu. Pre-eklampsia dapat menyebabkan berbagai dampak negatif. Tidak hanya pada ibu tetapi juga pada janin, baik selama kehamilan maupun saat proses persalinan. Perawat dalam memberikan asuhan keperawatan pada ibu hamil dengan pre-eklampsia di ruang perawatan dapat menggunakan teori model keperawatan konservasi Levine dan Health Belief Model. Laporan kasus penerapan kedua teori tersebut dilakukan terhadap lima ibu hamil yang mengalami pre-eklampsia dan menjalani terapi konservatif. Penerapan konservasi energi Levine dan Health Belief Model dalam lima kasus ditemukan diagnosa keperawatan gangguan rasa nyaman, risiko cedera pada ibu dan janin, ansietas, kesiapan peningkatan manajemen kesehatan dan kesiapan peningkatan proses keluarga. Hasil intervensi yang dilakukan berdasarkan prinsip konservasi pada kelima kasus menunjukkan bahwa kenyamanan meningkat, kesejahteraan ibu dan janin stabil, kecemasan menurun, manajemen kesehatan meningkat dan koping keluarga meningkat.

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Pre-eclampsia is the most common cause of maternal death. Pre-eclampsia can cause various negative effects. Not only on the mother but also on the fetus, both during pregnancy and during the delivery process. Nurses in providing nursing care to pregnant women with pre-eclampsia in the treatment room can use the Levine conservation nursing model theory and the Health Belief Model. A case report of the application of these two theories was conducted on five pregnant women who had pre-eclampsia and underwent conservative therapy. The application of Levine's energy conservation and Health Belief Model in five cases found nursing diagnoses of barriers to comfort, risk of impaired maternal-fetal relationships, anxiety, readiness to improve health management and readiness to improve family processes. The results of the intervention carried out based on conservation principles in the five cases showed that comfort increased, maternal and fetal well-being was stable, anxiety decreased, health management improved and family coping improved."

"Ibu hamil dengan anemia dan trombositopenia berada dalam kondisi yang berisiko mengancam kesehatan pada periode hamil, melahirkan, maupun postpartum. Pada periode hamil ibu berisiko mengalami perdarahan hingga kematian janin, oleh karena itu ibu perlu dibantu mengoptimalkan respon adaptifnya untuk mencapai kesehatan yang maksimal melalui pendekatan teori konservasi Levine yang dikombinasikan dengan teori Health Belief Model. Sedangkan pada periode post partum, ibu dengan anemia berisiko mengalami gangguan dalam penyembuhan luka laserasi perineum yang ditandai dengan rasa nyeri yang berkepanjangan. Uji coba evidence based practice nursing (EBPN) menggunakan intervensi kompres dingin pada laserasi perineum dengan melibatkan empat orang ibu postpartum. Partisipan diberikan kompres dingin menggunakan handuk yang sudah direndam dengan air dingin pada suhu 10oC, kemudian diaplikasikan pada laserasi perineum selama 20 menit. Hasil menunjukkan bahwa penggunaan kompres dingin pada area laserasi perineum dapat menurunkan intensitas nyeri sebesar 45.83%.

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Pregnant women with anemia and thrombocytopenia are in a condition that poses a risk to health during pregnancy, childbirth, and postpartum. During pregnancy, the mother is at risk of bleeding and fetal death, therefore the mother needs to be assisted in optimizing her adaptive response to achieve maximum health through the Levine conservation theory approach combined with the Health Belief Model theory. Meanwhile, in the post partum period, mothers with anemia are at risk for impaired healing of perineal lacerations which are characterized by prolonged pain. An evidence based practice nursing (EBPN) trial using a cold compress intervention on perineal lacerations involved four postpartum mothers. Participants were given a cold compress using a towel that had been soaked in cold water at 10oC, then applied to the perineal laceration for 20 minutes. The results showed that the use of cold compresses on the perineal laceration area could reduce pain intensity by 45.83%."

"Hepatitis B merupakan penyebab utama penyakit organ hati kronik dan dapat menyebabkansirosis, gagal hati dan karsinoma hepatoselular.Transmisi penularan hepatitis B dapatterjadi pada janin yang dikandungnya. Upaya pencegahan transmisi vertikal dapatdilakukan berupa skrining pada ibu hamil pada trimester pertama kehamilan sertapemberian imunoglobulin pada bayi setelah 12 jam kelahiran. Asuhan yang diberikankepada individu untuk pencegahan penyakit menular harus diberikan secara komprehensifdengan tujuan klien mampu beradaptasi terhadap penyakitnya dan memiliki perilaku yangbaik. Pengelolaan ibu hamil dengan hepatitis B menggunakan Teori Adaptasi Roy danHealth Belief Model (HBM) bertujuan untuk memberikan pengetahuan dan meningkatkanperilaku klien akan pencegahan penularan penyakit terhadap bayi dan keluarga lainnya.

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Hepatitis B is a major cause of chronic liver disease and can cause cirrhosis, liver failure

and hepatocellular carcinoma. As many as 240 million of them have chronic hepatitis B and

780,000 people have died due to acute and chronic complications of hepatitis B.

Transmission of hepatitis B can occur in the fetus it contains. The efforts to prevent vertical

transmission can be done in the form of screening in pregnant women in the first trimester

of pregnancy as well as giving immunoglobulins to infants after 12 hours of birth. The form

of nursing care given to individuals for the prevention of infectious diseases must be

provided comprehensively with the aim of the client being able to adapt to his illness and

have good behavior. The management of pregnant women with hepatitis B using Roy's

Adaptation Theory and the Health Belief Model (HBM) aims to provide knowledge and

improve client behavior regarding the prevention of disease transmission to infants and

other families."

"Praktik residensi keperawatan maternitas bertujuan untuk meningkatkan pengetahuan ketrampilan dan sikap dalam memberikan asuhan keperawatan pada masalah kesehatan perempuan sepanjang periode kehidupannya baik di rumah sakit maupun komunitas Residensi keperawatan maternitas mencapai tujuan tersebut melalui pengembangan fungsi dan peran perawat Tujuan penulisan laporan ini untuk memberikan gambaran peran spesialis keperawatan maternitas sebagai pemberi asuhan keperawatan konselor advokat edukator koordinator kolaborator komunikator agen pembaharu dan peneliti Spesialis keperawatan maternitas memberikan asuhan keperawatan dengan menggunakan model konsep dan teori keperawatan yang sesuai dengan kondisi klien Penerapan teori self care Orem sesuai untuk memandirikan ibu hamil dengan gestational diabetes mellitus dalam merawat kehamilannya Kata kunci Gestational diabetes mellitus Spesialis keperawatan maternitas Teori keperawatan Daftar Pustaka 37 1995 ndash 2011.

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Maternity nursing residency practice aims to improve knowledge skills and attitudes in providing nursing care to women 39 s health problems during the period of their life either in the hospital or community Maternity nursing residency achieves these goals through the development of nurse rsquo s function and role The purpose of this report is to provide an overview of maternity nursing specialist rsquo s role as a care provider a counselor an advocate an educator a coordinator a collaborator a communicator an innovator and a researcher Maternity nursing specialists provide nursing care with the application of nursing conceptual models and theories suitable to the client 39 s condition The application of Orem rsquo s self care nursing theory is appropriate for pregnant women with gestational diabetes mellitus to meet theirself care needs during pregnancy Keywords Gestational diabetes mellitus Maternity nursing specialist nursing theory Bibliography 37 1995 ndash 2011 "

"ABSTRAKLaporan ini merupakan rangkuman kegiatan praktek residensi ners spesialis keperawatan maternitas selama satu tahun untuk menerapkan peran dan fungsi perawat maternitas dengan fokus penerapan teori model keperawatan konservasi Levine pada pasien dengan kanker ovarium sebelum operasi. Penerapan teori konservasi Levine ini bertujuan agar perawat dapat membantu perempuan dengan kanker ovarium melakukan konservasi menggunakan sumber daya yang dimilikinya dalam menghadapi penyakitnya, sehingga dapat beradaptasi dan mencapai keutuhan. Selain itu dilaporkan juga tentang kegiatan pencapaian kompetensi perawat spesialis maternitas sebagai pemberi asuhan, konselor, pendidik, advokat, kolaborator, peneliti dan change agent serta proyek inovasi yang dilakukan di lahan praktik. Laporan residen juga memaparkan pencapaian target kompetensi pada tiga lahan praktik dan usaha memodifikasi hanmbatan yang dihadapi selama praktik Kata kunci: kanker ovarium, konservasi, peran perawat maternitas

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ABSTRACTThis report is a summary activities of maternity nursing resident in order to apply the roles and function of maternity nursing specialist which is focus on the implementing Levine rsquo s Conservation Model in nursing care of patient with pre operative ovarian cancer. Application of the theory conservation Levine can be used to patients with ovarian cancer to conserve their resources in the face of illness, so they are able to adapt and achieve the wholeness. This report describes the role of maternity nursing resident as a consultant, educator, researcher in nursing care, achievement of competencies on three clinical field and solving the problem during the process of clinical practice Keyword ovarian cancer, levine rsquo s conservation, maternity nursing "

"Anemia pada kehamilan masih menjadi perhatian selama periode reproduksi, karena berhubungan dengan peningkatan mortalitas dan morbiditas ibu dan bayi. Ibu hamil multipara memiliki resiko lebih besar mengalami anemia dalam kehamilannya. Peran perawat spesialis maternitas sangat penting untuk membantu ibu hamil multipara dengan anemia dalam memenuhi kebutuhan dasarnya karena berbagai masalah keperawatan yang muncul. Metodologi dalam penulisan menggunakan studi kasus pada lima orang ibu hamil multipara dengan anemia. Masalah keperawatan yang muncul diantaranya resiko cedera pada ibu, resiko cedera pada janin, gangguan rasa nyaman: pusing, keterbatasan aktivitas dan potensial peningkatan pengetahuan tentang anemia. Penerapan teori self care berfokus pada kemampuan individu untuk memenuhi kebutuhan dirinya secara mendiri dengan memperhatikan tingkat ketergantungan perawatan. Penerapan teori self care cocok digunakan pada ibu hamil multipara dengan anemia dalam membantu memandirikan pasien. Perawat dapat menggunakan kerangka kerja Orem sebagai panduan dalam melakukan proses keperawatan.

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Anemia in pregnancy is still being a major concern on health problem during reproductive period, as it is associated with increased maternal and infant morbidity and mortality. Multiparous pregnant women have a higher risk to be anemic during their pregnancies. Nurse specialist maternity play the crucial roles to help multiparous pregnant women with anemia in filling their basic needs due to various nursing problems. Methodology in writing uses case studies on five multiparous pregnant women with anemia. Several nursing issues commonly emerged are the risk of injury both to the mother and to the fetus, common sense problem: dizziness, limited activity and the knowledge of anemia that is potentially improved. The self-care theory focuses on an individual's ability to fill his or her self-needs by paying attention to the level of dependent care. The application of self-care theory is suitable for multiparous pregnant women with anemia as it helps them to be independent patients. Nurses may use the Orem framework as a guide in conducting the nursing process."

"Karya Ilmiah Akhir ini merupakan analisis dan rangkaian kegiatan praktik residensi ners spesialis keperawatan maternitas, dengan penerapan teori keperawatan konservasi Levine dan unpleasant symptoms pada proses keperawatan ibu hamil dengan preeklampsia berat. Teori konservasi Levine memungkinkan individu untuk beradaptasi guna mempertahankan integritasnya dengan hasil akhir berupa konservasi. Fokus utama konservasi adalah keseimbangan antara suplai dan kebutuhan energi agar terjaga seluruh aspek keutuhan individu. Sedangkan teori unpleasant sympthom digunakan dalam mengurangi gejala - gejala ketidaknyamanan dengan cara meningkatkan pemahaman terhadap sekumpulan gejala ketidaknyamanan dari berbagai konteks dan menyediakan informasi yang bermanfaat serta memberikan dampak negatif dari gejala ? gejala ketidaknyamanan. Laporan akhir residensi juga memaparkan pencapaian target kompetensi dan berusaha memodifikasi hambatan yang dihadapi selama praktik.

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The final paper is an analysis of maternity nursing practice spesialist with the application Concervation Levine and unpleasant symptoms on nursing process with severe preeclampsia pregnant women. Levine conservation theory allows individuals to adapt in order to maintain its integrity with the final result of conservation. The main focus of conservation is a balance between supply and demand, in order to keep all aspects of individual integrity. While unpleasant theory sympthom use in reducing the symptoms - symptoms of discomfort by increasing the understanding of the group of symptoms of discomfort from a variety of contexts and provide useful information and that had a negative impact on the symptoms - symptoms of discomfort. The final report also describes residency achievement of competence and attempt to modify the constraints faced during practice."

"[ABSTRAKPermasalahan kesehatan selama masa kehamilan membutuhkan perhatian dari petugas kesehatan sehingga proses kehamilan dan persalinan dapat berjalan selamat. Peran Ners spesialis keperawatan maternitas sangat diperlukan dalam upaya pencegahan dan penanggulangan masalah tersebut. Karya ilmiah akhir ini bertujuan untuk memberikan gambaran pelaksanaan praktik residensi ners spesialis keperawatan maternitas dan memberikan gambaran fokus penerapan model konsep need for help Wiedenbach pada fase akut dan self care Orem pada fase pemeliharaan. Evaluasi yang diharapkan pada fase akut adalah kontraksi berhenti, dan tidak adanya tanda-tanda kegawatan maternal dan janin. Evaluasi pada fase pemeliharaan yaitu peningkatan kemandirian klien. Penerapan model dan konsep keperawatan need for help dan self care terbukti bermanfaat mengatasi kontraksi dalam kehamilan sehingga bisa di aplikasikan dalam proses asuhan keperawatan kontraksi dalam kehamilan.

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ABSTRACTHealth problems during pregnancy require the attention of health professionals so that the process of pregnancy and childbirth can be safe. The role of maternity nursing specialist is indispensable in the prevention and control of the problem. This final scientific work aimed to provide an overview of the implementation of maternity nursing specialist residency practice and describe the application of Wiedenbach Need for Help Conceptual Model in the acute phase and Orem Self Care Conceptual Model in the maintenance phase. The expected evaluation in the acute phase was the contraction stopped, and there were no signs of maternal and fetal distress. The evaluation in the maintenance phase was the increase of the client independency. The application of Need for Help and Self Care Nursing Model and Concept has been proved beneficial to overcome the preterm contraction, so that these models can be applied in the nursing care process of preterm contraction., Health problems during pregnancy require the attention of health professionals so that the process of pregnancy and childbirth can be safe. The role of maternity nursing specialist is indispensable in the prevention and control of the problem. This final scientific work aimed to provide an overview of the implementation of maternity nursing specialist residency practice and describe the application of Wiedenbach Need for Help Conceptual Model in the acute phase and Orem Self Care Conceptual Model in the maintenance phase. The expected evaluation in the acute phase was the contraction stopped, and there were no signs of maternal and fetal distress. The evaluation in the maintenance phase was the increase of the client independency. The application of Need for Help and Self Care Nursing Model and Concept has been proved beneficial to overcome the preterm contraction, so that these models can be applied in the nursing care process of preterm contraction.]"

"Mioma Uteri merupakan neoplasma jinak yang berasal dari otot uterus dan jaringan ikat yang menumpangnya. Tujuan dari penulisan ini adalah untuk mengetahui gambaran kegiatan pelaksanaan praktek residensi dengan menerapkan teori unpleasant symptoms pada klien dengan Mioma Uteri. Kedua kasus mengalami ketidaknyamanan yang berkaitan dengan Mioma Uteri. Kedua kasus mengalami masalah baik fisik, psikologis maupun situasional. Kasus pertama dilakukan laparoskopi miomektomi dan kasus kedua dilakukan laparotomi miomektomi. Masalah keperawatan yang muncul sebelum pembedahan adalah nyeri dan cemas, sedangkan masalah keperawatan setelah pembedahan adalah resiko gangguan perfusi jaringan, nyeri, cemas, resiko infeksi, intoleransi aktifitas dan mengembangkan rencana tujuan jangka panjang dalam perencanaan kehamilan. Implementasi yang dilakukan adalah mengatasi gejala ketidaknyamanan yang dirasakan klien. Pendekatan teori unpleasant symptoms pada asuhan keperawatan pada klien Mioma Uteri dapat menangani ketidaknyamanan yang dirasakan oleh klien serta meningkatkan pemberian asuhan keperawatan yang komprehensif.

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Uterine Myomas are benign neoplasma, monoclonal tumors of the smoth muscle cells of the myometrium. The purpose of this report is to have a report of clinical practice in residency in implementing nursing role in maternity setting, focusing on implementation of unpleasant symptoms. Both cases are experiencing unpleasants associated with uterine myomas. Both cases have problems, either physical, psychological and situational. The first case performed laparoscopic myomectomy and second cases laparotomy myomectomy.

Nursing problems that arise before surgery are pain and anxiety, while nursing problems after surgery is the risk of tissue perfusion disorders, pain, anxiety, risk of infection, intolerance activities and develop aplan for long term goals of pragnancyng planning. The implementation is to overcome the perceived unpleasant symptoms cliens. Application of the theory unpleasant symptoms with uterine myomas can handle the unpleasant symptoms as well as improve the delivery of comprehensive nursing care."

"Ibu hamil dengan preeklampsia dengan gambaran yang parah dapat mengakibatkan komplikasi akut dan berisiko menetap dalam jangka panjang bagi wanita dan bayinya. Perjalanan klinis preeklampsia dengan gambaran berat ditandai dengan kemunduran progresif kondisi ibu dan janin. Pendekatan dengan teori Newman “health as expanding consciousness”, disini perawat hadir untuk klien pada titik pilihan kritis dalam hidup mereka dan berpartisipasi dengan mereka dalam proses perluasan kesadaran melalui proses keperawatan. Perawat memfasilitasi wawasan klien melalui berbagi proses pengenalan pola dalam bentuk pemberian proses keperawatan. Selama proses keperawatan, perawat hadir dalam merawat kesejahteraan biologis, psikologis, sosial dan spiritual pasien, sehingga melalui fokus caring Swanson ini yang berfokus pada “maintaining belief”, “being with”, “doing for” dan “enabling”. Uji coba evidence-based practice nursing (EBNP) dengan menggunakan teknik diaphragm breathing menjadi bagian dari proses keperawatan. Alat ukur atau tool yang digunakan untuk mengukur kecemasan ibu hamil adalah menggunakan PRAQ-R2. Hasil yang diterapkan oleh wanita hamil memiliki efek menguntungkan dalam menurunkan kecemasan ibu hamil dengan rata rata pre-test skor 38.6 menjadi 15.4 di post-test.

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.Pregnant women with preeclampsia with severe features can cause acute complications and risk long-term persistence for the woman and her baby. The clinical course of preeclampsia with severe features is characterized by progressive deterioration of maternal and foetal condition. Approach to Newman's theory of "health as expanding consciousness", here nurses are present for clients at critical choice points in their lives and participate with them in the process of expanding awareness through the nursing process. The nurse facilitates client insight through sharing the pattern recognition process in the form of providing the nursing process. During the nursing process, nurses are present in caring for the biological, psychological, social and spiritual well-being of patients, so that through Swanson's caring focus which focuses on "maintaining belief", "being with", "doing for" and "enabling". Evidence-based practice nursing (EBNP) trials using the diaphragm breathing technique are part of the nursing process. Measuring instrument or tool used to measure the anxiety of pregnant women is using PRAQ- R2. The results applied by pregnant women have a beneficial effect in reducing the anxiety of pregnant women with an average pre-test score of 38.6 to 15.4 in the post-test."