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"ABSTRAKTeknik laparoskopi kolesistektomi merupakan baku emas untuk penanganan kolelitiasis simptomatik. Angka kejadian rawat inap ulang merupakan representasi dari kualitas perawatan yang diberikan Rumah Sakit. Kejadian rawat inap ulang dapat dipengaruhi oleh berbagai macam faktor, baik faktor fisik, sosial budaya, dan medikal pasien. Tujuan penelitian: Menganalisis faktor-faktor yang berhubungan dengan kejadian rawat inap ulang pada pasien paska laparoskopi kolesistektomi. Penelitian ini menggunakan desain cross-sectional dengan pendekatan retrospektif dan memilih 80 responden dengan tehnik consecutive sampling. Metode pengumpulan data dengan kuesioner dan lembar pengumpulan data. Analisis hasil penelitian menggunakan uji korelasi Spearman dan Coefficient contingency, serta uji komparasi Mann-Whitney. Analisis multivariat menggunakan regresi linier. Hasil penelitian menunjukkan bahwa faktor kejadian rawat inap ulang pasien paska laparoskopi kolesistektomi ditentukan usia, tingkat ekonomi, kepatuhan diet, dan tingkat aktivitas pasien sebesar 54,1%, sedangkan sisanya ditentukan oleh faktor lain. Faktor yang paling dominan berhubungan dengan kejadian rawat inap ulang paska laparoskopi kolesistektomi adalah tingkat aktivitas (β= -0,383).

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ABSTRACT

Laparoscopic cholecystectomy is the gold standard for the treatment of symptomatic cholelithiasis. The incidence of readmission is a representation of the quality of care provided by the Hospital. Readmission can be influenced by various factors, both physical, socio-cultural, and medical factors. Objective: To analyze factors associated with readmission patients with laparoscopic cholecystectomy. This study used cross-sectional design with retrospective approach and recruited 80 respondents by consecutive sampling technique. Methods of data collection with questionnaires and data collection sheets. Analysis used Spearman and Contingency coefficient correlation, and Mann-Whitney comparison test. Multivariate analysis used linear regression. The results showed that readmission patients pasca laparoscopic cholecystectomy determined by age, economic level, diet adherence, and activity level amounted to 54.1%, while the rest is determined by other factors. The most dominant factor associated with the incidence of readmission pasca laparoscopic cholecystectomy is the level of activity (β = -0,383)."

"[ABSTRAKMasyarakat di perkotaan sering mengkonsumsi makanan cepat saji/fast food yang menurut mereka lebih praktis serta juga menyukai makanan yang cenderung berminyak seperti makanan yang di goreng dan bersantan karena tidak sulit untuk mendapatkannya. Hal ini sudah merupakan menjadi gaya hidup. Makanan tersebut banyak mengandung lemak dan berkolesterol. Makanan yang mengandung lemak kolesterol dapat sebagai pemicu untuk timbulnya kolelitiasis. Penatalaksanaannyasaat ini ada yang dengan laparaskopi kolesistektomi. Klien yang akan menjalanitindakan laparaskopi membutuhan preoperative teaching. Klien yang mendapatkan preoprative teaching dapat menurunkan stress dan meningkatkan kemampuan koping klien terhadap tindakan laparaskopi kolesistektomi.

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ABSTRACTPeople in urban area eat fast food frequently which consider as simple choice and love fatty food such as deep fry food and coconut milk contained food because it's easy to get. This is a lifestyle. Those food contain a lot of fat and cholesterol. Fatty food can trigger a cholelithiasis. Treatment to cholelithiasis ischolelitectomy laparoscopy. Client going on laparoscopy need a preoperativeteaching. This kind teaching will reduce stress and improve client's coping ability to cholelitectomy laparoscopy., People in urban area eat fast food frequently which consider as simple choice andlove fatty food such as deep fry food and coconut milk contained food because it’seasy to get. This is a lifestyle. Those food contain a lot of fat and cholesterol.Fatty food can trigger a cholelithiasis. Treatment to cholelithiasis ischolelitectomy laparoscopy. Client going on laparoscopy need a preoperativeteaching. This kind teaching will reduce stress and improve client’s coping ability to cholelitectomy laparoscopy.]"

"[ABSTRAK Kolelitiasis merupakan salah satu kasus keperawatan kesehatan masyarakatperkotaan yang prevalensinya cenderung meningkat. Hal ini berkaitan dengan faktorpola makan masyarakat perkotaan dalam mengkonsumsi makanan cepat saji yangcenderung tinggi lemak dan kolesterol. Karya ilmiah akhir ini menggambarkanpelaksanaan asuhan keperawatan pada pasien pasca laparoskopi kolesistektomi.Metode penelitiaan dari karya ilmiah akhir ini menggunakan studi kasus. Diet rendahlemak yaitu pembatasan asupan lemak karena pasien tidak memproduksi cairanempedu lagi dan jika diet pasien tidak tepat akan mengakibatkan gangguanmetabolisme lemak. Hasil yang diperoleh setelah pemberian edukasi diet rendahlemak pada klien kolelitiasis adalah peningkatan pemahaman klien yang akanmengubah pola makan klien setelah pulang dari rumah sakit. Perawat sebagaiedukator berperan penting dalam memberikan edukasi diet rendah lemak yangmerupakan salah satu asuhan keperawatan pada pasca laparaskopi kolesistektomi.ABSTRACT Cholelithiasis is one of the urban public health cases which the prevalence tends to

increase. This case related to the urban dietary habit in consumpting fast food which

contains high fat and cholesterol. This paper describes the implementation of nursing

care to post laparoscopic cholecystectomy patients. The method of this paper uses

case study. Low fat diet is the restriction of fat intake because the patient is not

produce bile again and if the patient?s diet is not right will result in fat metabolism

disorder. The result after low fat education is to enhanced understanding of the

patient that will change dietary habit of patients after discharge from the hospital.

Nurses as educator have an important role in educating low fat diet which one of

nursing care with post laparascopic cholecystectomy patients.;Cholelithiasis is one of the urban public health cases which the prevalence tends to

increase. This case related to the urban dietary habit in consumpting fast food which

contains high fat and cholesterol. This paper describes the implementation of nursing

care to post laparoscopic cholecystectomy patients. The method of this paper uses

case study. Low fat diet is the restriction of fat intake because the patient is not

produce bile again and if the patient?s diet is not right will result in fat metabolism

disorder. The result after low fat education is to enhanced understanding of the

patient that will change dietary habit of patients after discharge from the hospital.

Nurses as educator have an important role in educating low fat diet which one of

nursing care with post laparascopic cholecystectomy patients.;Cholelithiasis is one of the urban public health cases which the prevalence tends to

increase. This case related to the urban dietary habit in consumpting fast food which

contains high fat and cholesterol. This paper describes the implementation of nursing

care to post laparoscopic cholecystectomy patients. The method of this paper uses

case study. Low fat diet is the restriction of fat intake because the patient is not

produce bile again and if the patient?s diet is not right will result in fat metabolism

disorder. The result after low fat education is to enhanced understanding of the

patient that will change dietary habit of patients after discharge from the hospital.

Nurses as educator have an important role in educating low fat diet which one of

nursing care with post laparascopic cholecystectomy patients., Cholelithiasis is one of the urban public health cases which the prevalence tends to

increase. This case related to the urban dietary habit in consumpting fast food which

contains high fat and cholesterol. This paper describes the implementation of nursing

care to post laparoscopic cholecystectomy patients. The method of this paper uses

case study. Low fat diet is the restriction of fat intake because the patient is not

produce bile again and if the patient’s diet is not right will result in fat metabolism

disorder. The result after low fat education is to enhanced understanding of the

patient that will change dietary habit of patients after discharge from the hospital.

Nurses as educator have an important role in educating low fat diet which one of

nursing care with post laparascopic cholecystectomy patients.]"