Hasil Pencarian  ::  Simpan CSV :: Kembali

"Spinal Cord Injury (SCI) adalah kerusakan sumsum tulang belakang yang mengakibatkan gangguan neurologis, yang disebabkan oleh cedera tulang belakang taumatik (TSCI) dan cedera tulang belakang non-traumatik (NTSCI). SCI mengakibatkan gangguan fisik jangka panjang, gangguan fungsi tubuh, status psikologis dan sosial ekonomi. SCI secara drastis mempengaruhi independensi dan kualitas kehidupan. Salah satu penyebab utama cedera medulla spinalis secara non-trauma adalah adanya tumor yang dapat menekan medula spinalis. Klasifikasi tumor di medulla spinalis berdasarkan lokasi tumor pasien yakni intradural-intramedullary, intradural-extramedullary dan extradural. Tumor medulla spinaliis secara garis besar terbagi dua jenis yakni Benign Spinal Cord Tumors, dan Malignant Spinal Cord Tumor. Tujuan: Menganalisis praktik residensi keperawatan medikal bedah dengan menerapkan peran sebagai pemberi asuhan keperawatan dan melakukan analisis pemberian asuhan keperawatan pada pasien dengan masalah muskuloskeletal khususnya SCI dengan pendekatan konsep Need Theory Virginia Henderson. Metode: Studi kasus yang dilakukan pada praktik residensi spesialis keperawatan medikal bedah terhadap pasien spinal cord injury dengan pendekatan teori kebutuhan Virginia Henderson. Hasil: Penulis melakukan asuhan keperawatan kepada 17 (dari total 30 kasus resume) pasien dengan SCI yang disebabkan oleh trauma dan non trauma. Proses asuhan keperawatan menurut Henderson berfokus pada pasien dan keluarga. Virginia Henderson memandang pasien sebagai individu yang membutuhkan bantuan dalam pemenuhan kebutuhannya untuk mencapai kebebasan dan keutuhan tubuh serta pikiran.

---

SCI is spinal cord damage that results in neurological disorders, caused by traumatic spinal cord injury (TSCI) and non-traumatic spinal cord injury (NTSCI). SCI results in long-term physical impairment, impaired bodily function, psychological and socioeconomic status. Due to functional limitations in the sensory and motor systems, involving lower and upper extremity function, SCI drastically affects independence and quality of life. One of the main causes of non-traumatic spinal cord injury is the presence of tumors that can compress the spinal cord in patients (New et al., 2017). The classification of tumors in the spinal cord is based on the location of the patient's tumor, namely intradural-intramedullary, intradural-extramedullary and extradural (Kumar et al., 2020). Spinal cord tumors are broadly divided into two types, namely benign spinal cord tumors and malignant spinal cord tumors.

Objectives: To analyze the practice of medical surgical nursing residency by applying the role as a nursing care provider and to perform a nursing analysis of providing nursing care to patients with musculoskeletal problems, especially SCI with Virginia Henderson's Need Theory concept approach.

Methods: The author's case study was carried out in this medical surgical nursing specialist residency practice for spinal cord injury patients with a virginia Henderson needs theory approach.

Results: The author provided nursing care to 17 (out of a total of 30 cases resumed) patients with SCI caused by trauma and non-trauma. The nursing care process according to Henderson focuses on the patient and family. Virginia Henderson views patients as individuals who need assistance in meeting their needs to achieve freedom and wholeness of body and mind."

"Praktik residensi keperawatan medical bedah memberikan kesempatan kepada residen untuk mengimplementasikan fungsi implementator, educator, innovator dan peneliti asuhan keperawatan spesialistik pada gangguan kardiovaskular. Residen menerapkan proses keperawatan dengan pendekatan teori konservasi Levine pada 30 kasus kelolaan resume dan satu kasus kelolaan utama. Implementasi asuhan keperawatan berbasis bukti dengan intervensi akupresur pada acupoints Shenmen dan Yengchuan untuk meningkatkan kualitas tidur pada pasien acute coronanry syndrome. Sebagai inovator residen menginovasi awakening and spontaneous breathing trial protocol untuk memandu perawat dalam mengkaji kesiapan weaning ventilator pada pasien post operasi jantung yang tersedasi dan menggunakan ventilator. Akupresur pada acupoins Shenmen dan Yengchuan secara significant meningkatkan kualitas tidur pada kelompok intervensi (p = 0,009). Awakening and spontaneous breathing trial protocol mudah diterapkan sebagai prosedur pengakajian kesiapan weaning ventilator, mudah dipahami dan memberikan manfaat bagi perawat dan pasien.

---

The practice of surgical and medical nursing residency provides an opportunity for resident to implement the functions of implementer, educator, innovator and researcher in specialistic nursing care in cardiovascular disorders.Resident applyed the nursing process using Levine's conservation theory approach by managing 30 resume cases and one main case. Implementation of evidence-based nursing care by applying of acupressure intervention on Shenmen and Yengchuan acupoints to improve sleep quality in patients with acute coronary syndrome. As an innovator, resident innovated the awakening and spontaneous breathing trial protocol to guide nurses in assessing weaning ventilator readiness in sedated and ventilated postoperative cardiac patients. Applying acupressure on the Shenmen and Yengchuan acupoints significantly improved sleep quality in the intervention group (p = 0.009). Awakening and spontaneous breathing trial protocols are easy to implement as a procedure to assess weaning ventilator readiness beside easy to understand and beneficial for nurses and patients."

"Praktek Spesialis Keperawatan merupakan sebuah proses penting dari Pendidikan profesi dalam rangka mengaplikasikan peran perawat spesialis yang berdampak pada upaya peningkatan kualitas layanan keperawatan. Praktik ini dilakukan dan dikembangkan berdasarkan ilmu pengetahuan dan tekhnologi melalui berbagai penelitian. Tiga kompetensi yang harus dicapai dalam praktik residensi ini adalah memberikan asuhan keperawatan menggunakan pendekatan teori keperawatan, menerapkan implementasi keperawatan yang berbasis bukti ilmiah (evidence based practice) dan melakukan proyek inovasi keperawatan yang berguna bagi pelayanan keperawatan. Sebagai pemberi asuhan keperawatan, mahasiswa residensi telah memberikan asuhan keperawatan menggunakan pendekatan Teori Adaptasi Roy pada 1 kasus kelolaan utama dan 30 kasus resume pasien HIV/AIDS dengan berbagai infeksi oportunistik. Sebagai peneliti, mahasiswa residensi telah mengaplikasikan penerapan tindakan keperawatan yang berbasis bukti ilmiah “Pemberian buah pisang gepok hijau (green banana) pada motilitas usus pasien dengan Diare di RSUP Fatmawati”. Sedangkan sebagai peran inovator, telah dilakukan proyek “VOSIL SPARTAN” berupa pemberian edukasi pencegahan infeksi oportunistik pada ODHIV dengan hasil peningkatan pengetahuan dan sikap ODHIV guna pencegahan munculnya infeksi oportunistik.

---

Nursing Specialist Practice is an important process of professional education in order to apply the role of specialist nurses which has an impact on efforts to improve the quality of nursing services. This practice is carried out and developed based on science and technology through various studies. Three competencies that must be achieved in this residency practice are providing nursing care using a nursing theory approach, implementing evidence-based nursing practice and conducting nursing innovation projects that are useful for nursing services. As a nursing care provider, residency students have provided nursing care using the Roy Adaptation Theory approach in 1 main management case and 30 resume cases of HIV/ AIDS patients with various opportunistic infections. As a researcher, residency students have applied the application of scientific evidence-based nursing actions "Giving green banana to the intestinal motility of patients with diarrhea at Fatmawati General Hospital". While as an innovator role, the "VOSIL SPARTAN" project has been carried out in the form of providing education on the prevention of opportunistic infections in ODHIV with the result of increasing the knowledge and attitude of ODHIV to prevent the emergence of opportunistic infections."

"Asuhan keperawatan yang komprehensif memerlukan fungsi dan peran profesi ners spesialis untuk meningkatkan kualitas pelayanan di bidang keperawatan. Pendidikan profesi ners spesialis keperawatan medikal bedah peminatan imunologi melatih kompetensi dalam pengelolaan asuhan keperawatan kasus gangguan sistem imunologi HIV yang disertai infeksi oportunistik, melatih pengembangan intervensi keperawatan berbasis fakta ilmiah melalui implementasi Evidence based Nursing (EBN), melatih penyusunan dan pelaksanaan proyek inovasi keperawatan. Pengelolaan asuhan keperawatan pada 1 kasus utama pasien Efusi Pleura dengan TB Paru pada HIV dan 30 resume kasus HIV dengan infeksi oportunistik dimana presentase paling banyak ditemukan secara berurutan adalah Candidiasis oral, Diare, TB Paru, Pneumonia, TB limfadenopathy, Kondiloma akuminata, dan Anemia. Penerapan teori model adaptasi Roy pada asuhan keperawatan pasien HIV meningkatkan mekanisme koping yang adaptif dalam merespon perubahan stimulus mode adaptasi. Penerapan teori model kognitif sosial Bandura menekankan pengkajian pada faktor individu, perilaku dan lingkungan yang saling mempengaruhi dalam perawatan HIV/ AIDS. Sedangkan pada evaluasi implementasi EBN, didapatkan intervensi breathing exercise yang dapat meningkatkan kualitas tidur pasien HIV/AIDS secara efektif. Proyek inovasi VOSIL SPARTAN dilaksanakan sebagai upaya pencegahan infeksi oportunistik (IO) dan peningkatan perilaku hidup bersih sehat (PHBS) pada pasien HIV/ AIDS. Hasil inovasi keperawatan berupa edukasi memanfaatkan teknologi QR code meningkatkan pengetahuan dan sikap dalam pencegahan infeksi oportunistik dan PHBS secara efektif.

---

Comprehensive nursing care requires the function and role of the specialist nurse profession to improve the quality of services in the nursing field. Professional education for nurses specializing in medical surgical nursing specializing in immunology trains competency in managing nursing care in cases of HIV immunological system disorders accompanied by opportunistic infections, trains the development of nursing interventions based on scientific facts through the implementation of Evidence Based Nursing (EBN), trains the organization and implementation of nursing innovation projects. Management of nursing care in 1 main case of Pleural Effusion patient with Pulmonary TB in HIV and 30 resumes of HIV cases with opportunistic infections where the highest percentages found in sequence were Oral Candidiasis, Diarrhea, Pulmonary TB, Pneumonia, TB lymphadenopathy, Condyloma acuminata, and Anemia. The application of Roy's adaptation model theory to nursing care for HIV patients increases adaptive coping mechanisms in response to changes in adaptation mode stimuli. The application of Bandura's social cognitive model theory emphasizes the study of individual, behavioral and environmental factors that influence each other in HIV/AIDS care. Meanwhile, in the evaluation of EBN implementation, it was found that breathing exercise interventions could effectively improve the sleep quality of HIV/AIDS patients. The VOSIL SPARTAN innovation project was implemented as an effort to prevent opportunistic infections (OI) and improve clean and healthy living behavior (PHBS) in HIV/AIDS patients. The results of nursing innovation in the form of education utilizing QR code technology increase knowledge and attitudes in preventing opportunistic infections and PHBS effectively."