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"Risiko kerusakan integritas kulit perineal merupakan salah satu masalah keperawatan yang muncul pada balita dengan diare. Penelitian bertujuan mengetahui pengaruh perawatan kulit terhadap risiko kerusakan integritas kulit perineal balita dengan diare. Jumlah responden kelompok kontrol dan intervensi masing-masing 45. Desain penelitian quasi experiment dengan pre dan post test with control group. Hasil penelitian menunjukkan ada pengaruh yang bermakna dimana balita dengan diare yang mendapatkan perawatan kulit sesuai standar praktik dalam penelitian ini mengalami risiko kerusakan integritas kulit lebih rendah (17% atau 6 kali) daripada balita yang mendapatkan perawatan kulit sesuai kebiasaan rumah sakit. Perlunya disusun standar praktik perawatan kulit sebagai pedoman dalam pemberian asuhan keperawatan.

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The risk of impaired perineal skin integrity is one of the nursing problems which occurs among children under five years old with diarrhoea. The aim of this study was to identity the influence of skin care to the risk of the area perineal skin integrity among children under five years old with diarrhoea. The numbers of control group respondent and intervention group was 45 for each group. The research design used quasi experiment with pre and post test with control group.

The results identified that there was a significant different in which children under five years old with diarrhoea who recene skin care with standard practice recene lower risk of impaired skin integrity (17% or 6 times) than children under five who recened skin care based on hospital procedure. This research recommends that a standard practice for skin care is necessary as a guidance in providing nursing care."

"Karya Ilmiah Akhir ini memaparkan kegiatan praktik residensi spesialis keperawatan anak, mencakup pemberian asuhan keperawatan dan pencapaian kompetensi. Penerapan asuhan keperawatan berfokus pada perawatan anak dengan klien yang terpasang kolostomi. Masalah yang paling sering terjadi adalah risiko kerusakan integritas kulit. Masalah risiko kerusakan integritas kulit adalah berisiko mengalami perubahan kulit yang buruk. Aplikasi Model Adaptasi Roy dapat menyelesaikan masalah klien dengan risiko kerusakan integritas kulit untuk mencapai respon yang adaptif. Keberhasilan asuhan keperawatan ditunjang oleh kompetensi perawat anak melalui berbagai perannya, yaitu sebagai pemberi pelayanan, pendidik, manager, serta peneliti. Pelaksanaan asuhan keperawatan dengan pendekatan Model Adaptasi Roy diharapkan dapat diaplikasikan secara komprehensif dalam mengatasi masalah klien dengan kasus bedah dengan pendekatan konsep family centered care.

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The final Scientific paper describes activities specialist nursing practice residency of pediatric, includes the provision of nursing care and the achievement of competence. Application of nursing care focuses on treatment clients of children with colostomy bag attached. The most common problem is the risk of impairment to skin integrity. The risk of impairment to skin integrity problems are at risk of a bad skin changes. Roy Adaptation Model application can resolve the issue with the client's risk of damage to skin integrity to achieve the adaptive response. The success of nursing care supported by pediatric nurse competencies through a variety of roles, namely as service providers, educators, managers, and researchers. Implementation of nursing care by Roy Adaptation Model approach is expected to be applied comprehensively to address client issues with surgical cases involving the family as the embodiment of the concept of family centered care."

"Karya Ilmiah Akhir ini memaparkan kegiatan praktik residensi spesialis keperawatan anak, mencakup pemberian asuhan keperawatan dan pencapaian kompetensi. Penerapan asuhan keperawatan berfokus pada perawatan anak dengan klien yang terpasang kolostomi. Masalah yang paling sering terjadi adalah risiko kerusakan integritas kulit. Masalah risiko kerusakan integritas kulit adalah berisiko mengalami perubahan kulit yang buruk. Aplikasi Model Adaptasi Roy dapat menyelesaikan masalah klien dengan risiko kerusakan integritas kulit untuk mencapai respon yang adaptif. Keberhasilan asuhan keperawatan ditunjang oleh kompetensi perawat anak melalui berbagai perannya, yaitu sebagai pemberi pelayanan, pendidik, manager, serta peneliti. Pelaksanaan asuhan keperawatan dengan pendekatan Model Adaptasi Roy diharapkan dapat diaplikasikan secara komprehensif dalam mengatasi masalah klien dengan kasus bedah dengan pendekatan konsep family centered care

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The final Scientific paper describes activities specialist nursing practice residency of pediatric, includes the provision of nursing care and the achievement of competence. Application of nursing care focuses on treatment clients of children with colostomy bag attached. The most common problem is the risk of impairment to skin integrity. The risk of impairment to skin integrity problems are at risk of a bad skin changes. Roy Adaptation Model application can resolve the issue with the client's risk of damage to skin integrity to achieve the adaptive response. The success of nursing care supported by pediatric nurse competencies through a variety of roles, namely as service providers, educators, managers, and researchers. Implementation of nursing care by Roy Adaptation Model approach is expected to be applied comprehensively to address client issues with surgical cases involving the family as the embodiment of the concept of family centered care."

"Diare merupakan salah satu penyakit yang sering diderita oleh balita. Feses yang berbentuk cair pada anak dapat menyebabkan cedera kulit akibat seringnya kontak berulang, sehingga dapat merusak jaringan perianal. Penelitian ini bertujuan untuk mengidentifikasi dampak edukasi perawatan perianal dan pemberian VCO pada anak balita dengan diare terhadap risiko kerusakan integritas kulit di RSUD Lampung. Desain penelian yang digunakan dalam penelitian ini yaitu quasi experiment dengan pre-post test without control grup design dengan 48 responden dipilih menggunakan teknik consecutive sampling. Hasil penelitian menujukkan adanya perbedaan selisih yang bermakna antara pengetahuan dan risiko kerusakan integritas kulit setelah perlakuan pada kelompok kontrol dan kelompok intervensi (p<0,05). Berdasarkan hasil ini maka edukasi perawatan perianal dan pemberian VCO dapat direkomendasikan menjadi salah satu alternatif asuhan keperawatan dalam mengatasi masalah risiko kerusakan integritas kulit.

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Diarrhea is one of the diseases that are often suffered by toddlers. Liquid feces in children can cause skin injuries due to frequent repeated contact, which can damage the perianal tissue. This study aims to identify the impact of perianal care education and the provision of VCO in children under five with diarrhea against the risk of skin integrity damage in RSUD Lampung.

The research design used in this research is quasi experiment with pre-post test without control group design with 48 respondents selected using consecutive sampling technique.

The results showed a significant difference between the knowledge and the risk of skin integrity damage after treatment in the control group and the intervention group (p <0.05). Based on these results, perianal care education and VCO administration can be recommended to be an alternative nursing care in addressing the risk of skin integrity damage."