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"Praktek klinik lanjut selama praktek residensi keperawatan pada sistem imunologi dimaksudkan untuk mampu memberikan asuhan keperawatan, menerapkan Evidence Based Nursing (EBN) serta mampu berperan sebagai inovator di ruang perawatan. Residen melakukan asuhan keperawatan dengan kasus kelolaan utama menggunakan pendekatan teori adaptasi Roy dan 30 kasus resume menggunakan pendekatan teori Bandura. Dari hasil kasus kelolaan utama, diagnosa keperawatan utama yang muncul adalah defisit nutrisi sehingga intervensi utama keperawatan fokus pada manajemen nutrisi. Dari kasus resume masalah keperawatan yang paling banyak ditemukan yaitu ketidakpatuhan pengobatan. Intervensi keperawatan dukungan kepatuhan program pengobatan ditujukkan untuk meningkatkan kepatuhan pengobatan. Selain itu, intervensi yang dilakukan adalah melakukan proyek inovasi keperawatan berupa penerapan konseling pengobatan ART terstruktur dalam meningkatkan kepercayaan diri perawat serta kepatuhan pengobatan pasien. Evidence Based Nursing yang telag dilakukan residen adalah melakukan uji validitas dan reliabilitas PHQ-9 untuk skrining depresi yang menunjukkan bahwa PHQ-9 valid dan reliabel dalam mendeteksi depresi pada pasien dengan HIV.

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Advanced clinical practice during nursing residency practice in the immunology system is intended to be able to provide nursing care, implement Evidence Based Nursing (EBN) and as an innovator. Resident conducts nursing care with main cases using Roy's adaptation theory approach and 30 cases resumes using Bandura theory approach. From the results of the main case, the main nursing diagnosis was nutritional deficit so nursing interventions focused on nutritional management. From the case of resume, the most common nursing problem found was non-adherence. Nursing interventions is adherence support are aimed to improve treatment adherence. In addition, the nursing intervention was innovation project structured ART treatment counseling to increase nurse confidence and patient treatment compliance. Evidence Based Nursing that has been done by residents is to test the validity and reliability of PHQ-9 for depression screening which shows that PHQ-9 is valid and reliable in detecting depression in patients with HIV."

"Immunotoxicology is a highly specialized discipline that addresses potential adverse effects on the immune system, including immunosuppression, immunogenicity, hypersensitivity and other immune system functional disorders. A broad spectrum of xenobiotics, including agents present in our environment as well as pharmaceutical molecules may adversely affect the immune system."

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