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Katuuk, Mario Esau
Analisis penerapan teori Self Care Orem dalam asuhan keperawatan pasien diabetes melitus dengan komplikasi congestive heart failure, efusi pleura, dan ulkus kaki diabetik = Application of Orem's theory of Self Care in caring for diabetes mellitus patient with complications of congestive heart failure, pleural effusion, and diabetic foot ulcer : An analysis
"[ABSTRAK
Diabetes melitus merupakan sekelompok gangguan metabolisme tubuh, ditandai
dengan hiperglikemik kronis yang dapat mengakibatkan komplikasi akut dan
kronis. Salah satu peran perawat sebagai pemberi asuhan adalah memberikan
asuhan keperawatan yang berkualitas melalui pendekatan Teori Self Care Orem.
Penggunaan pendekatan teori ini diharapkan dapat membantu perawat dalam
menanggulangi keterbatasan yang dimiliki pasien dan melibatkan pasien secara
aktif dalam proses perawatannya melalui peilaku perawatan mandiri. Tujuan
penulisan karya ilmiah akhir ini adalah menganalisis hasil proses belajar residensi
keperawatan medikal bedah melalui penerapan asuhan keperawatan, penerapan
evidence based nursing practice, dan inovasi keperawatan. Data yang diperoleh
selama praktik klinik menunjukkan sebagian besar pasien diabetes melitus
mengalami komplikasi ulkus kaki diabetik yang disebabkan oleh perilaku
perawatan kaki mandiri belum optimal. Hasil penerapan evidence based nursing
practice berupa kegiatan edukasi perawatan kaki mandiri dapat meningkatkan
pengetahuan dan membentuk perilaku perawatan kaki sebagai tindakan
pencegahan dini. Hasil kegiatan inovasi keperawatan melalui pengkajian
kesehatan mandiri adalah pasien dapat melakukan pengkajian mandiri terhadap
kebutuhan edukasi dan mendapatkan edukasi sesuai kebutuhan mereka.
Kesimpulan dari karya ilmiah akhir ini adalah perlunya peningkatan kualitas
asuhan keperawatan pada pasien diabetes melitus melalui pendekatan teori keperawatan untuk meningkatkan kemandirian pasien dalam pengelolaan penyakitnya.ABSTRACT Diabetes mellitus is a metabolic disorder that characterized by chronic
hyperglycemia which could lead to acute and chronic complications. One of nurse
roles in managing diabetes mellitus is deliver nursing care using Orem?s Theory
of Self Care as guide of nursing practice. With this theoretical approach, nursing
is expected to be able to overcome the limitations and inability of the patients and
actively involve patients in the treatment process through self-care behaviors. The
aims of this paper is to analyze the implementation of nursing care, application of
evidence based nursing practice, and innovation program which integrated to
clinical practice. Based on patient collective data, that was found that the majority
of diabetes mellitus patients had been hospitalized with diabetic foot ulcers
complications that caused by non-optimal foot self-care behavior. The results of
evidence based nursing practice showed that the diabetic foot care education
program can improve the knowledge and build the foot self-care behavior as early
prevention action. The results of innovation program through self-health
assessment program are patients could assess their needs of educations and get
health education according to assessment results. In conclusion, it?s needed to
improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. ;Diabetes mellitus is a metabolic disorder that characterized by chronic
hyperglycemia which could lead to acute and chronic complications. One of nurse
roles in managing diabetes mellitus is deliver nursing care using Orem?s Theory
of Self Care as guide of nursing practice. With this theoretical approach, nursing
is expected to be able to overcome the limitations and inability of the patients and
actively involve patients in the treatment process through self-care behaviors. The
aims of this paper is to analyze the implementation of nursing care, application of
evidence based nursing practice, and innovation program which integrated to
clinical practice. Based on patient collective data, that was found that the majority
of diabetes mellitus patients had been hospitalized with diabetic foot ulcers
complications that caused by non-optimal foot self-care behavior. The results of
evidence based nursing practice showed that the diabetic foot care education
program can improve the knowledge and build the foot self-care behavior as early
prevention action. The results of innovation program through self-health
assessment program are patients could assess their needs of educations and get
health education according to assessment results. In conclusion, it?s needed to
improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. ;Diabetes mellitus is a metabolic disorder that characterized by chronic
hyperglycemia which could lead to acute and chronic complications. One of nurse
roles in managing diabetes mellitus is deliver nursing care using Orem?s Theory
of Self Care as guide of nursing practice. With this theoretical approach, nursing
is expected to be able to overcome the limitations and inability of the patients and
actively involve patients in the treatment process through self-care behaviors. The
aims of this paper is to analyze the implementation of nursing care, application of
evidence based nursing practice, and innovation program which integrated to
clinical practice. Based on patient collective data, that was found that the majority
of diabetes mellitus patients had been hospitalized with diabetic foot ulcers
complications that caused by non-optimal foot self-care behavior. The results of
evidence based nursing practice showed that the diabetic foot care education
program can improve the knowledge and build the foot self-care behavior as early
prevention action. The results of innovation program through self-health
assessment program are patients could assess their needs of educations and get
health education according to assessment results. In conclusion, it?s needed to
improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. , Diabetes mellitus is a metabolic disorder that characterized by chronic
hyperglycemia which could lead to acute and chronic complications. One of nurse
roles in managing diabetes mellitus is deliver nursing care using Orem’s Theory
of Self Care as guide of nursing practice. With this theoretical approach, nursing
is expected to be able to overcome the limitations and inability of the patients and
actively involve patients in the treatment process through self-care behaviors. The
aims of this paper is to analyze the implementation of nursing care, application of
evidence based nursing practice, and innovation program which integrated to
clinical practice. Based on patient collective data, that was found that the majority
of diabetes mellitus patients had been hospitalized with diabetic foot ulcers
complications that caused by non-optimal foot self-care behavior. The results of
evidence based nursing practice showed that the diabetic foot care education
program can improve the knowledge and build the foot self-care behavior as early
prevention action. The results of innovation program through self-health
assessment program are patients could assess their needs of educations and get
health education according to assessment results. In conclusion, it’s needed to
improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. ]"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
TA-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Rinda Apriani
Efektivitas pemberian edukasi perawatan kaki melalui aplikasi Diary Monitoring terhadap pengetahuan dan perilaku perawatan kaki pada pasien diabetes melitus tipe 2 = The Effectiveness of providing foot care education through the Diary Monitoring Application on Knowledge and practice of foot care in patients diabetes mellitus type 2
"Latar Belakang.Pengetahuan dan perilaku perawatan kaki secara mandiri merupakan dasar yang harus dimiliki oleh pasien diabetes melitus. Tujuan penelitian ini bertujuan untuk mengetahui efektivitas pemberian edukasi perawatan kaki melalui aplikasi diary monitoring terhadap pengetahuan dan perilaku perawatan kaki pada pasien diabetes melitus tipe 2. Metode penelitian menggunakan kuasi eksperimen dengan pendekatan pre-post test dengan kelompok kontrol. Sampel dalam penelitian ini berjumlah 72 responden yang dibagi menjadi 36 respoden kelompok intervensi dan 36 responden kelompok kontrol. Kelompok intervensi diberikan perlakuan edukasi standar RS dan pemberian aplikasi diary monitoring perawatan kaki (penginstalan, penjelasan penggunaan), sedangkan kelompok kontrol hanya diberikan edukasi standar RS (leaflet). Hasil penelitian ini menunjukkan bahwa ada perbedaan yang signifikan rerata selisih skor tingkat pengetahuan perawatan kaki antara kelompok intervensi dan kelompok kontrol p value 0,003 (<0,05), ada perbedaan yang signifikan rerata selisih skor perilaku perawatan kaki antara kelompok intervensi dan kelompok kontrol p value 0,000 (<0,05). Aplikasi diary monitoring diharapkan dapat diterapkan pada pasien secara mandiri dan mudah dilakukan di rumah agar dapat meningkatan pengetahuan dan perilaku perawatan kaki pada pasien DM tipe 2.
Background.Knowledge and behavior of independent foot care are supposed to be the fundamental owned by diabetes mellitus patients. Objective this study aims to determine the effectiveness of providing foot care education through a diary monitoring application on knowledge and foot care behavior in type 2 diabetes mellitus patients. Methods uses a quasi-experimental approach with a pre-post test approach with a control group. The sample in this study consisted of 72 respondents who were divided into 36 respondents in the intervention group and 36 respondents in the control group. The intervention group was given standard hospital educational treatment and the foot care diary monitoring application (installation, explanation of use), while the control group was only given standard hospital education (leaflets). Results of this study show that there is a significant difference in the mean difference in foot care knowledge level scores between the intervention group and the control group p value 0.003 (<0.05), there is a significant difference in the mean difference in foot care behavior scores between the intervention group and the control group p value 0.000 (<0.05). It is hoped that the diary monitoring application can be applied to patients independently and is easy to do at home in order to increase knowledge and foot care behavior in type 2 DM patients."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
T-pdf
UI - Tesis Membership  Universitas Indonesia Library