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Imelda Pujiharti
"ABSTRAK
Dehidrasi dapat menyebabkan terjadinya hipovolemia, kegagalan organ, dan
bahkan berakhir dengan kematian. Asuhan keperawatan yang berkualitas sangat
diperlukan dalam mengatasi masalah gangguan cairan pada anak. Karya ilmiah
akhir ini bertujuan untuk memberikan gambaran aplikasi Model Konservasi
Myra E. Levine dalam memberikan asuhan keperawatan pada anak dengan kanker
yang mengalami ketidakseimbangan cairan. Intervensi berdasarkan model
konservasi Levine yaitu mengkaji tanda-tanda dehidrasi, memantau adanya
muntah, diare dan demam, mengukur tanda-tanda vital, mengukur intake output
cairan dan melakukan analisis terhadap balance cairan. Evaluasi setelah
dilakukan intervensi keperawatan pada kasus 1, 2, dan 3 masalah risiko
kekurangan volume cairan tubuh tidak terjadi, sedangkan pada kasus 4 sampai
dengan 5, masalah ketidakseimbangan cairan teratasi. Rekomendasi karya ilmiah
ini adalah dalam memberikan asuhan keperawatan pada anak dengan kasus
hemato-onkologi yang mengalami ketidakseimbangan cairan kepada pasien dapat
menerapkan teori keperawatan model konservasi Myra E. Levine.ABSTRACT
Dehydration can lead to hypovolemia, organ failure, and even death. Quality
nursing care is of high importance in addressing the problem of fluid imbalance
in children. This paper aimed to describe the application of Levine?s
Conservation Model in providing nursing care to children with cancer who
experience fluid imbalance. Based on this model, the interventions include
reviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,
measuring vital signs, measuring the fluid intake and output and analyzing the
fluid balance. After the nursing intervention, the problem of risk of body fluid
volume deficiency did not occur in cases number 1, 2, and 3; while in the cases
number 4 and 5 in which fluid imbalance already happened, this imbalance
problem was resolved. It can be concluded that Levine?s model is an effective
approach to manage the fluid imbalance problem in children with hematooncology
cases.;Dehydration can lead to hypovolemia, organ failure, and even death. Quality
nursing care is of high importance in addressing the problem of fluid imbalance
in children. This paper aimed to describe the application of Levine?s
Conservation Model in providing nursing care to children with cancer who
experience fluid imbalance. Based on this model, the interventions include
reviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,
measuring vital signs, measuring the fluid intake and output and analyzing the
fluid balance. After the nursing intervention, the problem of risk of body fluid
volume deficiency did not occur in cases number 1, 2, and 3; while in the cases
number 4 and 5 in which fluid imbalance already happened, this imbalance
problem was resolved. It can be concluded that Levine?s model is an effective
approach to manage the fluid imbalance problem in children with hematooncology
cases.;Dehydration can lead to hypovolemia, organ failure, and even death. Quality
nursing care is of high importance in addressing the problem of fluid imbalance
in children. This paper aimed to describe the application of Levine?s
Conservation Model in providing nursing care to children with cancer who
experience fluid imbalance. Based on this model, the interventions include
reviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,
measuring vital signs, measuring the fluid intake and output and analyzing the
fluid balance. After the nursing intervention, the problem of risk of body fluid
volume deficiency did not occur in cases number 1, 2, and 3; while in the cases
number 4 and 5 in which fluid imbalance already happened, this imbalance
problem was resolved. It can be concluded that Levine?s model is an effective
approach to manage the fluid imbalance problem in children with hematooncology
cases.;Dehydration can lead to hypovolemia, organ failure, and even death. Quality
nursing care is of high importance in addressing the problem of fluid imbalance
in children. This paper aimed to describe the application of Levine?s
Conservation Model in providing nursing care to children with cancer who
experience fluid imbalance. Based on this model, the interventions include
reviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,
measuring vital signs, measuring the fluid intake and output and analyzing the
fluid balance. After the nursing intervention, the problem of risk of body fluid
volume deficiency did not occur in cases number 1, 2, and 3; while in the cases
number 4 and 5 in which fluid imbalance already happened, this imbalance
problem was resolved. It can be concluded that Levine?s model is an effective
approach to manage the fluid imbalance problem in children with hematooncology
cases.;Dehydration can lead to hypovolemia, organ failure, and even death. Quality
nursing care is of high importance in addressing the problem of fluid imbalance
in children. This paper aimed to describe the application of Levine?s
Conservation Model in providing nursing care to children with cancer who
experience fluid imbalance. Based on this model, the interventions include
reviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,
measuring vital signs, measuring the fluid intake and output and analyzing the
fluid balance. After the nursing intervention, the problem of risk of body fluid
volume deficiency did not occur in cases number 1, 2, and 3; while in the cases
number 4 and 5 in which fluid imbalance already happened, this imbalance
problem was resolved. It can be concluded that Levine?s model is an effective
approach to manage the fluid imbalance problem in children with hematooncology
cases."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2016
Sp-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Desmon Wirawati
"ABSTRAK
Anemia remaja umumnya terjadi karena kurangnya konsumsi makanan mengandung zat besi karena mempertahankan body image untuk berpenampilan ideal. Masalah anemia yang tidak diatasi akan berdampak pada prestasi belajar di sekolah dan bagi remaja putri, anemia akan mempengaruhi fungsi reproduksinya. Masalah anemia yang ditemukan pada remaja putri perlu penanganan yang serius. Praktik Spesialis Keperawatan Komunitas menuntut perawat untuk dapat memberikan solusi pennyelesaian masalah dan pencegahan anemia remaja melalui ?Gerakan Remaja SeTiA?. Kegiatan ini merupakan suatu bentuk intervensi pencegahan dan penyelesaian masalah anemia pada remaja di SMP X Kota Depok Jawa Barat. Gerakan Remaja SeTiA memberikan hasil yang positif dengan bukti dapat meningkatkan rata-rata kadar hemoglobin pada remaja dengan nilai rata-rata hemoglobin pemeriksaan awal 11.42 dan akhir adalah 15.15, nilai p=0,019. Nilai ini lebih kecil dari 5%, sehingga disimpulkan terjadi kenaikan hemoglobin. Intervensi ?Gerakan Remaja SeTiA? diharapkan dapat diterapkan di berbagai sekolah.ABSTRACT
Anemia in adolescents generally occurs due to lack of consumption of iron contained foods. It is because adolescent girls tend to maintain ideal body image for dressed. Anemia problems that are not addressed will have an impact on learning achievement at school and for girls it will affect reproductive function in the future. Problems found in adolescent girls need to be solved. Practice of Specialist Community Nursing requires nurses to be able to provide solutions and anemia prevention through ?Movement of Healthy Teenager Free from Anemia-SeTiA". This movement is a form of intervention to prevent and overcome the problem of anemia in adolescents at junior X Depok, West Java. SeTiA movement gives positive results with evidence that may increase average of hemoglobin levels in adolescents. Rate of initial hemoglobin value was 11:42 and the final was 15:15, p = 0.019. This value is smaller than 5%, so it can be concluded that there was an increase in hemoglobin value. Movement of Healthy Teenager Free from Anemia-SeTiA in X junior high is expected to be implemented in various schools.;Anemia in adolescents generally occurs due to lack of consumption of iron contained foods. It is because adolescent girls tend to maintain ideal body image for dressed. Anemia problems that are not addressed will have an impact on learning achievement at school and for girls it will affect reproductive function in the future. Problems found in adolescent girls need to be solved. Practice of Specialist Community Nursing requires nurses to be able to provide solutions and anemia prevention through ?Movement of Healthy Teenager Free from Anemia-SeTiA". This movement is a form of intervention to prevent and overcome the problem of anemia in adolescents at junior X Depok, West Java. SeTiA movement gives positive results with evidence that may increase average of hemoglobin levels in adolescents. Rate of initial hemoglobin value was 11:42 and the final was 15:15, p = 0.019. This value is smaller than 5%, so it can be concluded that there was an increase in hemoglobin value. Movement of Healthy Teenager Free from Anemia-SeTiA in X junior high is expected to be implemented in various schools.;Anemia in adolescents generally occurs due to lack of consumption of iron contained foods. It is because adolescent girls tend to maintain ideal body image for dressed. Anemia problems that are not addressed will have an impact on learning achievement at school and for girls it will affect reproductive function in the future. Problems found in adolescent girls need to be solved. Practice of Specialist Community Nursing requires nurses to be able to provide solutions and anemia prevention through ?Movement of Healthy Teenager Free from Anemia-SeTiA". This movement is a form of intervention to prevent and overcome the problem of anemia in adolescents at junior X Depok, West Java. SeTiA movement gives positive results with evidence that may increase average of hemoglobin levels in adolescents. Rate of initial hemoglobin value was 11:42 and the final was 15:15, p = 0.019. This value is smaller than 5%, so it can be concluded that there was an increase in hemoglobin value. Movement of Healthy Teenager Free from Anemia-SeTiA in X junior high is expected to be implemented in various schools.;Anemia in adolescents generally occurs due to lack of consumption of iron contained foods. It is because adolescent girls tend to maintain ideal body image for dressed. Anemia problems that are not addressed will have an impact on learning achievement at school and for girls it will affect reproductive function in the future. Problems found in adolescent girls need to be solved. Practice of Specialist Community Nursing requires nurses to be able to provide solutions and anemia prevention through ?Movement of Healthy Teenager Free from Anemia-SeTiA". This movement is a form of intervention to prevent and overcome the problem of anemia in adolescents at junior X Depok, West Java. SeTiA movement gives positive results with evidence that may increase average of hemoglobin levels in adolescents. Rate of initial hemoglobin value was 11:42 and the final was 15:15, p = 0.019. This value is smaller than 5%, so it can be concluded that there was an increase in hemoglobin value. Movement of Healthy Teenager Free from Anemia-SeTiA in X junior high is expected to be implemented in various schools."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2016
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Tri Antika Rizki Kusuma Putri
"ABSTRAK
Praktek klinik lanjut selama masa residensi keperawatan pada sistem neurologi dimaksudkan untuk mampu memberikan asuhan keperawatan, menerapkan Evidence Based Nursing EBN serta mampu berperan sebagai inovator di ruang perawatan. Peran pemberi asuhan keperawatan dilakukan dengan menggunakan model adaptasi Roy pada pasien dengan miastenia gravis dan 30 pasien lainnya dengan berbagai gangguan sistem persarafan. Perilaku maladaktif paling banyak adalah mode adaptasi fisiologi, yaitu risiko ketidakefektifan perfusi jaringan serebral. Intervensi keperawatan berupa manajemen edema serebral ditujukan untuk meningkatkan adaptasi pasien dalam meningkatkan perfusi jaringan serebral. Penerapan EBN: Functional Oral Intake Scale FOIS pada sembilan pasien disfagia sebagai bentuk evaluasi kemampuan makan pasien menunjukkan sensitifitas terhadap kejadian aspirasi dan perubahan kemampuan makan pasien. Program inovasi penerapan format pengkajian tambahan dapat digunakan sebagai alat bantu bagi perawat dalam menegakan diagnosa keperawatan.ABSTRACT Advanced clinical practice in neurological system during the nursing residency period is proposed to be able to provide nursing care, implement the Evidence Based Nursing EBN and be able to act as an innovator in the treatment room. The role of nurse care provider was made using Roy 39 s adaptation model in patients with myasthenia gravis and 30 other patients with various neural system disorders. The most maladaptive behavior is the physiological adaptation mode is the risk of ineffective cerebral tissue perfusion. The nursing management intervention like cerebral edema is aimed to improve patient adaptation in enhancing cerebral tissue perfusion. Implementation of EBN Functional Oral Intake Scale FOIS in nine dysphagia patients as a evaluation form for feeding ability patients showed a sensitivity to occurrence of aspiration and changes in the patient 39 s eating ability. Implementation of additional asessment form as a innovation program can be used as a tool for nurses in determine nursing diagnoses."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
UI - Tugas Akhir  Universitas Indonesia Library
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Fillia Veronica Tiwatu
"ABSTRAK
Laporan Praktek Residensi Spesialis Keperawatan Maternitas Dengan Penerapan Teori Need For Help Wiedenbach, Self Care Orem Dan Caring Swanson Pada Ibu Dengan Preeklampsia Abstrak Angka kematian ibu di Indonesia masih tinggi yaitu sebesar 359/100.000 kelahiran hidup. Pada tahun 2013 tercatat 27.1 penyebab kematian ibu disebabkan karena hipertensi pada kehamilan yang merupakan urutan kedua penyebab kematian ibu di Indonesia setelah pendarahan. Angka kematian ibu akibat preeklamsia di Indonesia adalah antara 9,8 - 25 . Perawat sebagai bagian dari tenaga kesehatan memiliki peran untuk memberikan asuhan keperawatan yang komprehensif untuk memantau dan memonitor kondisi ibu.Kasus kelolaan ada lima, namun dijelaskan secara terperinci pada satu kasus kelolaan. Hasil yang diperoleh dari keempat klien berusia < 20 tahun, satu kasus kehamilan yang kedua dan empat kasus kehamilan pertama, dua kasus dengan eklampsia, dan tiga kasus dengan preeklampsia berat, terdapat edema, dan protein urin lebih dari positif satu. Kelima kasus dilakukan pembedahan seksio sesaria, tiga kasus beresiko tinggi mengalami post partum blues. Fase akut menggunakan pengkajian dengan model konsep need for help Wiedenbach, sedangkan fase pemulihan menggunakan teori self care Orem dan caring Swanson. Pada fase akut pasien mengalami masalah gangguan perfusi jaringan serebral, intoleransi aktivitas, resiko cidera pada janin dan kecemasan. Sedangkan pada fase pemulihan pasien mengalami gangguan rasa nyaman nyeri, hambatan mobilitas fisik, defisit perawatan diri, kecemasan, dan resiko tinggi koping individu tidak efektif.Ketiga teori keperawatan ini dapat diterapkan pada pasien dengan preeklampsia untuk penanganan masalah emergensi pada fase akut dan peningkatan kenyamanan, perawatan diri setelah operasi dan peningkatan koping yang efektif untuk penanganan pada masa pemulihan bagi ibu dan bayinya. Kata Kunci: preeklampsia, need for help Wiedenbach, self care Orem, caring Swanson ABSTRACT
Report Of Specialist Practice Residency Maternity Nursing Theory And Concept With The Application Of Need For Help Wiedenbach, Self Care Orem Dan Caring Swanson In Mother With Preeklampsia. Abstract Maternal mortality rate in Indonesia is 359 100,000 live births. On 2013 the prevalence of maternal mortality rate cause of on the pregnant woman is 27,1 . This is the second maternal death in Indonesia after bleeding. Maternal mortality death caused by preeclampsia in Indonesia is between 9.8 25 . Nurse as a part of the health workers has a role to give comprehensive nursing care to monitor the condition of the motherFrom five cases founded, only one case was explain in details. There are four clients with age less than 20. On that case it was found one case on the second second pregnancy, four cases on the first pregnancy, two cases with eclampsia, and three cases with severe preeclampsia, five with cases with high blood pressure, edema, and urine protein more than positive one . Five cases were done section cesarean, three high risk caused post partum blues. The acute phase using assessment with the model concept of Wiedenbach, while the recovery phase using Orem self care and caring Swanson theory. On the acute phase the clients having a problems with tissue perfusion problems, activity intolerance, fetal risk and anxiety. While in the recovery phase of patients experiencing painful discomfort, physical imobility, self care deficit, anxiety, and high risk of ineffective individual coping.These nursing theories can be applied to patients with preeclampsia for the emergency problems in the acute phase and improved self care after surgery and effective coping enhancement for recovery treatment for mother and baby. Keywords reeclampsia, concept of Wiedenbach, self care Orem, caring Swanson"
Jakarta: Fakultas Ilmu Keperawatan Universitas Indonesia, 2018
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Ermawati Uki
"Dispnea, batuk, demam, tersedak dan peningkatan frekuensi pernapasan merupakan beberapa tanda pneumonia yang menyebabkan terjadinya distres pernapasan pada anak yang dihospitalisasi sehingga memerlukan manajemen yang akurat agar anak tidak jatuh ke dalam kondisi gagal napas. Tujuan dari karya ilmiah akhir ini adalah untuk memberikan gambaran aplikasi teori comfort Kolcaba pada asuhan keperawatan melalui pemberian positioning (posisi semi pronasi dan semi recumbent) untuk memperbaiki saturasi oksigen dan laju pernapasan pada anak pneumonia dengan masalah gangguan pernapasan. Teori comfort Kolcaba mampu memberikan manfaat secara holistik dan memberikan panduan bagi perawat dalam melakukan pengkajian secara sistematis. Penerapan pemberian posisi semi pronasi dan semi recumbent sebagai salah satu intervensi dalam asuhan keperawatan dapat memberikan rasa nyaman dan terbukti meningkatkan saturasi oksigen dan menurunkan laju pernapasan. Penerapan teori Kolcaba dan pemberian posisi semi pronasi dan semi recumbent diharapkan dapat diterapkan dalam asuhan keperawatan anak pneumonia dengan gangguan pernapasan.

Dyspnea, cough, fever, choking and increased respiratory rate are some of the signs of pneumonia which cause respiratory distress in hospitalized children, requiring accurate management so that the child does not fall into a state of respiratory failure. The purpose of this final scientific work is to provide an overview of the application of Kolcaba's comfort theory to nursing care through positioning (semi-pronated and semi-recumbent positions) to improve oxygen saturation and respiratory rate in children with pneumonia with respiratory problems. Kolcaba's comfort theory is able to provide benefits holistically and provide guidance for nurses in carrying out systematic assessments. The application of semi-pronation and semi-recumbent positions as an intervention in nursing care can provide a sense of comfort and is proven to increase oxygen saturation and reduce respiratory rate. It is hoped that the application of Kolcaba's theory and the provision of semi-pronate and semi-recumbent positions can be applied in the nursing care of children with pneumonia with respiratory problems."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2023
TA-Pdf
UI - Tugas Akhir  Universitas Indonesia Library