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Abstrak :
[ABSTRAK
Pengambilan darah intravena dapat menimbulkan stres pada anak, sementara manajemen stres belum optimal dilaksanakan. Penelitian bertujuan untuk mengetahui efektivitas posisi duduk dalam dekapan keluarga terhadap stres anak prasekolah yang dilakukan pengambilan darah intravena. Desain penelitian Randomized Clinical Trial dengan 18 responden kelompok intervensi (posisi duduk dalam dekapan keluarga) dan 18 responden kelompok kontrol (posisi supine). Pengukuran stres menggunakan Children?s Fear Scale diinterpretasi melalui hasil rekaman video. Hasil menunjukkan rerata skor stres pada kelompok intervensi lebih rendah dari kelompok kontrol (p value < 0,05) dan tidak terdapat hubungan antara karakteristik anak dengan skor stres. Penelitian ini merekomendasikan perawat menerapkan posisi duduk dalam dekapan keluarga di setiap prosedur pengambilan darah intravena.

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ABSTRACT
Intravenous blood collection may cause stress in children, while stress management was not optimally implemented. The purpose of study is to examine the effect of chest to chest straddle position on preschoolers stress during intravenous blood collection procedure. Study used Randomized Clinical Trial research design, where 18 respondents in intervention groups (chest to chest straddle position) and 18 respondents in control groups (supine position). Measuring stress using the Children's Fear Scale through video recorded. The result showed mean scores of stress in the intervention group significantly lower than the control group (p value < 0,05) and there was no correlation between characteristics of respondent and stress. Research recommend nurse may apply chest to chest straddle position in every procedure of intravenous blood collection.;Intravenous blood collection may cause stress in children, while stress management was not optimally implemented. The purpose of study is to examine the effect of chest to chest straddle position on preschoolers stress during intravenous blood collection procedure. Study used Randomized Clinical Trial research design, where 18 respondents in intervention groups (chest to chest straddle position) and 18 respondents in control groups (supine position). Measuring stress using the Children's Fear Scale through video recorded. The result showed mean scores of stress in the intervention group significantly lower than the control group (p value < 0,05) and there was no correlation between characteristics of respondent and stress. Research recommend nurse may apply chest to chest straddle position in every procedure of intravenous blood collection.;Intravenous blood collection may cause stress in children, while stress management was not optimally implemented. The purpose of study is to examine the effect of chest to chest straddle position on preschoolers stress during intravenous blood collection procedure. Study used Randomized Clinical Trial research design, where 18 respondents in intervention groups (chest to chest straddle position) and 18 respondents in control groups (supine position). Measuring stress using the Children's Fear Scale through video recorded. The result showed mean scores of stress in the intervention group significantly lower than the control group (p value < 0,05) and there was no correlation between characteristics of respondent and stress. Research recommend nurse may apply chest to chest straddle position in every procedure of intravenous blood collection., Intravenous blood collection may cause stress in children, while stress management was not optimally implemented. The purpose of study is to examine the effect of chest to chest straddle position on preschoolers stress during intravenous blood collection procedure. Study used Randomized Clinical Trial research design, where 18 respondents in intervention groups (chest to chest straddle position) and 18 respondents in control groups (supine position). Measuring stress using the Children's Fear Scale through video recorded. The result showed mean scores of stress in the intervention group significantly lower than the control group (p value < 0,05) and there was no correlation between characteristics of respondent and stress. Research recommend nurse may apply chest to chest straddle position in every procedure of intravenous blood collection.]

Abstrak :
ABSTRAK
Malnutrisi, kaheksia, dan obesitas/overweight merupakan masalah nutrisi yang sering ditemui pada anak kanker akibat dari proses penyakit dan efek kemoterapi. Karya Ilmiah Akhir ini bertujuan memberikan gambaran praktek ners spesialis dalam mengaplikasikan model adaptasi Roy pada asuhan keperawatan anak kanker yang mengalami masalah nutrisi. Praktek ners spesialis dilakukan untuk mencapai kompetensi sesuai peran perawat. Aplikasi model adaptasi Roy tertuang dalam lima kasus terpilih dengan masalah yang ditemukan adalah ketidakseimbangan nutrisi kurang dari kebutuhan tubuh, risiko nutrisi kurang dari kebutuhan tubuh dan obesitas. Pendidikan kesehatan berbasis pembuktian ilmiah digunakan sebagai salah satu intervensi keperawatan untuk meningkatkan adaptasi anak sehingga dapat bertoleransi terhadap pemenuhan kebutuhan nutrisi. Evaluasi keperawatan lima kasus tersebut adalah satu kasus beradaptasi secara integrasi, empat kasus beradaptasi secara kompensasi. Karya ilmiah ini merekomendasikan teori model adaptasi Roy dapat diaplikasikan pada asuhan keperawatan anak kanker dengan masalah nutrisi.

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ABSTRACT
Malnutrition, cachexia, and obesity/overweight, is a common nutritional problem in children who have cancer as a result of the disease process and the effects of chemotherapy. The aim of this final assignment was to provide an overview of the practice specialist nurses by applying the Roy adaptation model in nursing care of children who have cancer with nutritional problems. Practice spesialis nurses to achieve competency according the role of nurses. Roy adaptation model was applied in five selected cases and the nursing problem found was imbalance nutrition less than the body needs, risk imbalance nutrition less than the body needs and obesity. Health education is evidence based practice be used as a nursing intervention to improve the adaptation level of the child so that it can tolerate the fulfillment of nutrition needs. Nursing evaluation in five selected cases was one case integrated adaptation level and four cases compensatory adaptation level. This paper recommend Roy adaptation model theory can be applied to nursing care in children who have cancer with nutrition problems.;