Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
Perawatan pasca operasi adalah perawatan yang diterima pasien sesudah dilakukan tindakan pembedahan, dimulai setelah prosedur pembedahan hingga selesainya masa rawat inap pasien di rumah sakit. Dua puluh empat jam pertama pasca operasi adalah periode awal pemulihan pasien setelah menjalani anestesi umum atau regional yang membutuhkan pemantauan dan perawatan khusus. Selama periode ini, perawat bertanggungjawab dalam perencanaan dan pelaksanaan perawatan pasca operasi. Salah satu peran penting perawat adalah sebagai edukator yang mengedukasi pasien agar memahami kondisi pasca operasi dan hal- hal yang harus diperhatikan untuk mencegah komplikasi serta mencapai derajat kesehatan yang optimal. Laporan kasus ini menganalisis implementasi edukasi perawatan post operasi pada 24 jam awal pasca operasi oleh perawat serta rekomendasi untuk mengoptimalkan implementasi. Penilaian implementasi dilakukan dengan observasi partisipatif dan wawancara. Hasil wawancara didapatkan dalam 24 jam periode awal pasca operasi 40% perawat melakukan edukasi. Hambatan yang ditemukan perawat dalam mengimplemetasikan edukasi pasca operasi pada periode awal adalah beban kerja dan keterbatasan sumber daya manusia. Pembuatan tools edukasi periode awal pasca operasi dapat membantu meningkatkan implementasi edukasi perawatan post operasi oleh perawat. ......Postoperative care is the care that patients receive after surgery, starting from post surgical procedure until the end of the patient's care in the hospital. First twenty-four hours post-operative is the initial period of recovery for a patient after anesthesia which requires special monitoring and care. During this period, the nurse is responsible for planning and implementing postoperative care. One of the important roles of nurses is as educators who educate patients to understand postoperative conditions and things that must be considered to prevent complications and achieve optimal health status. This case report analyzes the implementation of postoperative care education in the first 24 hours after surgery by nurses and recommendations for optimizing implementation. Implementation assessment was carried out by participatory observation and interviews. The results of the interviews were obtained within 24 hours of the initial postoperative period, 40% of nurses provided education. Obstacles found by nurses in implementing postoperative education in the early period were workload and limited human resources. Making educational tools for the early postoperative period can help improve the implementation of postoperative care education by nurses.

Abstrak :
ABSTRAK
Ambulasi pascaoperasi penting dilakukan untuk mempercepat pemulihan pada pasien fraktur ekstremitas bawah. Ambulasi pascaoperasi sesuai dengan waktu yang direkomendasikan dapat memberikan manfaat klinis dan mencegah komplikasi pascaoperasi. Studi ini bertujuan untuk menguji efektifitas program konservasi keperawatan terhadap kemampuan ambulasi pascaoperasi. Metode penelitian yang digunakan yaitu uji klinis dengan kontrol tanpa randomisasi. Program konservasi keperawatan dirancang berdasarkan Model Konseptual Levine, yang terdiri dari; manajemen energi, latihan nafas dalam, latihan kekuatan otot, latihan rentang pergerakan sendi, terapi latihan; ambulasi, pendidikan kesehatan dan pemberdayaan keluarga. Populasi dalam penelitian yaitu: fraktur pinggul, fraktur femur, fraktur tibia/ fibula, dan fraktur pergelangan kaki. Penarikan sampel secara convenience sebanyak 54 responden, 30 responden kelompok kontrol dan 24 responden kelompok intervensi. Primary outcome yang dinilai, yaitu kemampuan ambulasi; waktu ambulasi, kemampuan fungsional dan tingkat ketergantungan. Sedangkan, secondary outcome yang dinilai yaitu: tingkat kelelahan, tingkat nyeri, keyakinan diri, dan dukungan keluarga. Hasil penelitian menunjukkan bahwa penerapan program konservasi keperawatan efektif mempercepat waktu ambulasi, meningkatkan kemampuan fungsional, menurunkan tingkat ketergantungan, menurunkan tingkat kelelahan, menurunkan tingkat nyeri, dan meningkatkan keyakinan diri p

---

ABSTRACT
Abstract Postoperative ambulation is an essential intervention to facilitate recovery in patients with lower extremities fracture. Regular post operative ambulation may contribute to the positive clinical outcomes and prevent post operative complications. This study aimed to examine the effectiveness of Nursing Conservation Program towards ambulation ability in patients with lower extremities fracture. A non randomized control clinical trial design was used in this study. Nursing Conservation Program was designed based on Levine rsquo s Conceptual Model which consisted of energy management, deep breathing exercise, muscle strength exercise, range of motion exercise, exercise therapy ambulation, health education, and family empowerment. Population in this study were patients with hip, femur, tibia fibula, and ankle fracture. The samples were recruited using convenience sampling technique, yielding 54 respondents, 30 respondents were in the control group and 24 respondents were in the intervention group. Primary outcomes were included ambulation ability which consisted of time, functional ability, and dependency level. Meanwhile, secondary outcomes were assessed from the level of fatigue, pain level, self confidence, and family support. This study found that the application of Nursing Conservation Program was effective to accelerate ambulation time, enhance functional ability, reduce self dependency, fatigue and pain level, and increase self confidence p