Hasil Pencarian

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Hasil Pencarian

Ditemukan 3 dokumen yang sesuai dengan query
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Siti Nurhayati
"ABSTRAK
Kasus pembedahan pada anak cenderung mengalami peningkatan tiap tahunnya. Nyeri paska bedah merupakan pengalaman traumatik yang memerlukan penatalaksanaan farmakologis dan nonfarmakologis. Karya Ilmiah Akhir ini bertujuan untuk memberikan gambaran manajemen nyeri secara nonfarmakologis dalam bentuk bermain terapeutik, sebagai tata laksana nyeri paska bedah dengan pendekatan model Konservasi Levine. Asuhan keperawatan pada lima kasus terpilih yang diuraikan dalam karya ilmiah ini mengalami masalah nyeri paska bedah. Trophicognosis nyeri ditegakkan berdasarkan pengkajian yang meliputi: konservasi energi, integritas struktur, integritas personal dan integritas sosial. Anak yang mendapatkan permainan terapeutik mampu mencapai penurunan nyeri dan proses adaptasi lebih cepat. Tatalaksana bermain terapeutik memerlukan kerjasama antar tim pemberi layanan kesehatan.

ABSTRACT
Surgery still remains in a great number among children each year. Post operative pain is a traumatic experience that become general problem among children with surgery. Pain treatment, including farmakologic and nonfarmakologic management is needed. The aim of this study is to provide an overview of therapeutic play as a nonfarmakologic management of post operative pain with Levine?s Conservation Model approach. There were five managed cases that discussed in this study, and all of those experiencing post operative pain problems. The trophicognosis of pain, based on assessment incuding: energy conservation, structural, personal and social integrity. Children with therapeutic play showed decreased of pain and adaptation faster. Therapeutic play as therapy need a good cooperation among health care providers."
Lengkap +
2016
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Lita Nurlita
"Soiling dan inkontinensia feses adalah masalah yang sering terjadi pada anak pascaoperasi Pullthrough yang menyebabkan terjadinya perineal dermatitis dan gangguan integritas kulit. Karya ilmiah akhir ini bertujuan untuk menggambarkan efektifitas penggunaan VCO untuk mengoptimalkan integritas kulit pada anak post pullthrough. Sebanyak 5 anak pascaoperasi Pullthrough yang mengalami risiko kerusakan integritas kulit diberikan intervensi berupa perawatan perineal dan pemberian VCO. Empat dari lima pasien menunjukkan respon adaptif. Rekomendasi hasil karya ilmiah ini adalah mengaplikasikan model adaptasi Roy dan penggunaan VCO dalam proses keperawatan pada anak dengan masalah integritas kulit.

Soiling and fecal incontinence is a common problem among children with postoperative Pullthrough that cause perineal dermatitis and impaired skin integrity. This final scientific research aimed to describe the effectivity of VCO to optimize skin integrity among children with post pullthrough. Five children with postoperative Pullthrough were managed as Clients were at risk for impaired skin integrity and were cared with VCO application. Four out of five child showed an adaptive response. This research recomends the application of Roy adaptation model and VCO application into nursing process in caring children with skin integrity problem.
"
Lengkap +
2016
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Novi Kurnia
"Latar belakang: Malnutrisi rumah sakit (MRS) adalah penurunan berat badan selama perawatan di rumah sakit. MRS diketahui memperpanjang lama rawat, meningkatkan morbitas dan mortalitas, namun faktor-faktor yang berasosiasi dengan terjadinya MRS pada pasien bedah anak, masih belum diketahui.
Metode penelitian: Penelitian ini dilakukan untuk mengetahui angka kejadian MRS pada pasien bedah anak, dan mengetahui faktor-faktor yang berasosiasi dengan terjadinya MRS. Dilakukan pengamatan terhadap 50 pasien bedah anak yang dirawat di ruang rawat BCh RSUPN dr. Cipto Mangukusumo Jakarta selama Juli-Desember 2015. Data usia, jenis penyakit, status gizi awal, jenis perawatan, lama puasa, lama operasi, lama rawat, dan jenis operasi dicatat. Dilakukan analisis untuk mencari asosiasi antara variabel-variabel tersebut dengan MRS.
Hasil penelitian: Didapatkan angka kejadian MRS sebesar 40%. Dari variabel kategorik (usia, jenis perawatan, jenis diagnosis, status gizi awal dan jenis operasi) hanya jenis operasi yang berasosiasi dengan MRS (p = 0,013). Sedangkan antara variabel numerik (lama puasa, lama operasi, lama rawat) hanya lama rawat pascaoperasi yang berasosiasi dengan MRS (p = 0,009).
Kesimpulan: Dapat disimpulkan bahwa beban tindakan operatif berasosiasi dengan angka kejadian MRS, MRS berasosiasi dengan peningkatan masa rawat pascapembedahan.

Background: Hospital malnutrition is defined as weight loss during hospitalization. Hospital malnutrition is known to increase length of stay, mortality and morbidity, however the factors associated with the development of hospital malnutrition, especially in pediatric surgery patient population, has not been clearly recognized.
Method: This study was done to evaluate the occurence of hospital malnutrition in pediatric surgery population and to identify the factors associated with hospital malnutrition. Primary data was gathered from 50 pediatric surgery patients hospitalized in BCh ward of Dr. Cipto Mangunkusumo National General Hospital (CMNGH) within July-December 2015. Data on age, diagnoses, nutrition status at admission, whether any procedure was done during hospital stay, fasting duration, operation duration, length of stay and classification of surgical procedure done were compiled. Analysis was done to identify the association between these variables and hospital malnutrition.
Result: The occurence of hospital malnutrition among pediatric surgery population in 2015 was 40%. Among the categorical variables (age, diagnoses, nutrition status at admission, whether any procedure was done during hospital stay, classification of surgical procedure) only the classification of surgical procedure was found to be significantly associated with hospital malnutrition (p = 0,013). Meanwhile, among the numerical variables (fasting duration, operation duration, length of stay) only postoperative length of stay was associated with hospital malnutrition (p = 0,009).
Conclusion: It can be inferred that the burden of surgery is associated with hospital malnutrition, and in turn hospital malnutrition is associated with increased postoperative length of stay.
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Lengkap +
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library