Hasil Pencarian  ::  Simpan CSV :: Kembali

"Perawat memiliki potensi dalam pencegahan primer dan melakukan pendidikan di masyarakat, ietapi dalam implementasi beberapa program utama rencana aksi percepatan penurunan angka kematian ibu di Indonesia peran perawat hanyalah sebagai pendukung bahkan pelibatannya sangat minimal. Penelitian ini bertujuan mengoptimalkan kompetensi perawat dalam program perawat kesehatan masyarakat (Perkesrnas) terintegrasi pelayanan maternitas pada ibu hamil berisiko di Kabupaten Cianjur melalui pengembangan program pelatihan p~rkesmas maternitas. Penelitian tahap satu merupakan penelitian kualitatif fenomenologi. Penelitian tahap dua yaitu pengembangan program pelatihan dan modul perkesmas yang dilanjutkan dengan pelatihan pada 10 perawat puskesmasPenelitian tahap tiga, penelitian kuasi eksperimen menggunakan metode consecutive sampling dengan jumlah sampel 66 orang (33 orang kelompok intervePsi dan 33 orang kelompok kontrol). Hasil penelitian kualitatif teridentifikasi tiga tema dan lima subtema yang dinyatakan partisipan. Hasil penelitian kuantitatif membuktikan bahwa pelatihan modul perkesmas mampu meningkatkan pengetahuan, sikap, keterampilan dan kegiatan perawat dalam implementasi perkesmas dengan nilai kemaknaan 0,00. Implementasi modul mampu meningkatkan pengetahuan, sikap dan perilaku ibu hamil berisiko paska intervensi dengan nilai kemaknaan 0,00. Melalui analisis regresi logistik dibuktikan ada pengaruh variabel pengetahuan , sikap dan perilaku ibu hamil berisiko kelompok interverisi terhadap pemanfaatan fasilitas kesehatan. Kesimpulan bahwa melalui pelatihan perkesmas maternitas, perawat puskesmas mampu berkontribusi dalam pelayanan :maternitas pada ibu hamil berisiko.

---

Nurses have a potential role in primary prevention and health education in community. However their role in the main programs in planning to reduce mother's death number in Indonesia is only as a supporter, and even gives a minimum involvement.

This research was aimed to optimize nurse's competencies in community health nurses program (perkesrnas) which is integrated with maternity nursing care for high risk pregnant women in Cianjur Region through maternity perkesmas training program development. First stage of this research was a phenomenological qualitative. The second one was perkesmas training and module development which was followed by training for 10 primary health service nurses. The last stage was a quasi experiment research using consecutive sampling method with 66 respondents (33 each for intervention and controlled groups).

From the qualitative research, it was identified three themes and five subthemes. Meanwhile, the quantitative research proved that perkesmas module training was able to enhance nurse's knowledge, attitude and skills in perkesmas program with 0.00 significance. Module's implementation enhanced knowledge, attitude and skills among high risk pregnant women with 0.00 significance. Logistic regression analysis proved the influence of knowledge, attitude and skills variables among high risk pregnant women in intervention group on health facility usage.

In conclusion, through perkesmas maternity training, primary health service nurses were able to contribute in maternity nursing care for high risk pregnant women."

"Laporan ini merupakan rangkuman kegiatan praktek residensi ners spesialis keperawatan maternitas selama satu tahun untuk menerapkan peran dan fungsi perawat maternitas dengan mengambil contoh penerapan teori model keperawatan Self Care Orem dan Transkultural Nursing Leininger pada pasien dengan anemia selama hamil. Penerapan teori Self care Orem pada kelima kasus yang sudah dilakukan residen mencakup universal self care, developmental self care, health deviation dan conditioning factor. Kekuatan teori Self Care Orem pada klien dengan anemia selama hamil dapat membantu mengatasi klien untuk mencapai kemandirian baik dalam kondisi anemia ringan, sedang dan berat. Kelemahan teori Orem pada klien dengan anemia kurang dapat mendapatkan hasil pengkajian nutrisi. Disamping itu dilaporkan tentang kegiatan pencapaian kompetensi perawat spesialis keperawatan maternitas sebagai pemberi asuhan, konselor, pendidik, advokad, kolaborator, peneliti dan change agent serta proyek inovasi yang dilakukan di lahan praktek.

---

This report is a summary of the activities of specialist nursing practice residency maternity nurses for a year to implement the roles and functions of maternity care by taking the example of the application of theoretical models of nursing Orem Self Care and Leininger Transcultural Nursing in patients with anemia during pregnancy. Application of Orem's theory of self-care in the five cases that have been made resident includes universal self care, developmental self care, health deviation and conditioning factor. Strength theory of Orem Self Care on the client with anemia during pregnancy can help to overcome the client to achieve independence either in a mild anemia, moderate and severe. Weaknesses of the theory of Orem on the client with anemia are less able to get the nutrition assessment. Besides, it was reported on activities of achievement of competencies as a maternity nurse specialist nursing care providers, counselors, educators, Advocates, collaborator, researcher and change agent and innovation projects undertaken in the field of practice."

"Program residensi spesialis keperawatan maternitas dilakukan dalam rangka menerapkan peran dan fungsi perawat maternitas pada asuhan keperawatan secara profesional. Laporan ini bertujuan memberi gambaran pelaksanaan praktik residensi ners spesialis keperawatan maternitas, meliputi asuhan keperawatan sistem reproduksi perempuan normal dan resiko tinggi di klinik dan komunitas. Adapun kasus focus of interest yang dikelola selama melakukan praktik residensi adalah penerapan teori model keperawatan self care dan comfort pada ibu post partum dengan payudara bengkak, dengan tujuan kenyamanan disertai kemampuan merawat diri. Dengan demikian, penerapan teori model self care dan comfort merupakan pendekatan tepat untuk kenyamanan dan memandirikan klien. Residen membahas kesenjangan asuhan keperawatan dibandingkan teori, menguraikan peran dan fungsi perawat, mengemukakan hambatan serta dukungan pelaksanaan praktek residensi.

---

Specialist maternity nursing residency program conducted in order to implement the roles and functions of nurses in the maternity nursing care in a professional manner. This report aims to illustrate the implementation of specialist nursing practice residency for nurses in maternity nursing specialist namely the nursing care for normal and high risk female reproductive system in clinic and community. The focus of interest case administered during a residency practice is the application of the theory of self care and comfort model of nursing in postpartum mothers with breast engorgement, with the goal of comfort with selfcare skills. Thus, the application of theoretical models of self care and comfort is the right approach to client’s convenience and self help. Resident discusses the gaps in nursing care compared to the theory, outlines the roles and functions of nurses, and exposes the barriers and support in the implementation of residency practice."

"Kehamilan merupakan bagian dari proses reproduksi, kehamilan akan berkualitas jika ibu maupun ayah dalam keadaan sehat, oleh sebab itu program spesialis keperawatan maternitas dibentuk bertujuan untuk memberikan pelayanan yang profesional. Laporan ini bertujuan untuk memberikan gambaran praktek residensi keperawatan maternitas selama satu tahun, meliputi asuhan keperawatan pada masa child bearing normal dan resiko tinggi, bayi baru lahir normal dan resiko tinggi, perempuan yang mengalami masalah reproduksi dan ginekologi, yang dilaksanakan selama menjalankan praktek residensi baik pada tatanan klinik maupun di komunitas. Residen juga melakukan asuhan keperawatan pada kasus focus of interest dengan mengaplikasikan teori model keperawatan adaptasi Roy dan Health Belief Model dalam asuhan keperawatan ibu hamil HIV positif, membahas kesenjangan asuhan keperawatan ibu hamil HIV positif dibandingkan teori, menguraikan peran perawat, mengemukakan hambatan serta dukungan pada pelaksanaan praktek residensi. Hasil asuhan keperawatan di dapatkan, klien mampu memahami penatalaksanaan kehamilan dengan HIV positif, meningkatkan penerimaan terhadap kehamilan dan mendapatkan dukungan keluarga. Dalam mencapai tujuan tersebut dibutuhkan perawat profesional yang mampu menerapkan perannya secara komprehensif.

---

Pregnancy is part of reproduction process. Healthy pregnancy can be achieved if mother and her spouse is in healthy condition. Therefore, maternity nursing specialist can provide professional nursing care to these couples. The purpose of this report is to have a documentation of comprehensive clinical practice in residency from nursing care of normal and high risk child bearing, normal and high risk newborn, women with reproduction and gynecological problem, from clinical to community setting. Implementation of nursing care concentrating on “focus of interest” concept with implementation of adaptation theory by Roy and Health Belief Model in HIV positive pregnant mother were also had been done in this practice. This report was documenting the gap of the implementation of nursing care in the clinic and the theory, describing the role of the nurses, obstacles and support during residency clinical practice. The result shows that the clients able to understand the management of HIV positive pregnancy, improving acceptance to the pregnancy, and had family support. In fulfilling this goal, nurse should be professional who able to apply all of her role comprehensively."

"

Retensi urin postpartum merupakan ketidakmampuan mengosongkan kandung kemih secara spontan setelah melahirkan dengan residu urin lebih dari 200 ml. Komplikasi yang dapat terjadi yaitu distensi kandung kemih, kontraksi uterus terhambat, perdarahan, otot detrusor melemah, kateterisasi intermiten dan disfungsi berkemih permanen. Penatalaksanaan keperawatan pada retensi urin postpartum dengan memberikan asuhan keperawatan secara holistik menggunakan studi kasus dan penerapan teori keperawatan. Penerapan teori self care Orem dan comfort Kolcaba pada lima kasus retensi urin postpartum dengan membahas permasalahan yang dialami dan menguraikan peran perawat pada kasus tersebut, dengan tujuan kebutuhan kenyamanan dan kemandirian pasien dapat terpenuhi. Kejadian retensi urin dapat diatasi dengan menerapkan evidence based nursing practice kegel excercise dan bladder training. Studi kasus yang dilakukan pada lima ibu postpartum yang mengalami retensi urin didapatkan bahwa kegel exercise dan bladder training mampu mengatasi retensi urin secara signifikan, menurunkan tingkat nyeri, dan meningkatkan self care.

---

Postpartum urinary retention is the inability to empty the bladder spontaneously after giving birth with more than 200 ml urine residue. Complications that can occur are distention of the bladder, obstructed uterine contractions, bleeding, weak detrusor muscles, intermittent catheterization and permanent voiding dysfunction. Nursing management in postpartum urinary retention by providing nursing care holistically uses case studies and the application of nursing theory. Application of self care Orem and Comfort Kolcaba theory in five cases of postpartum urine retention by discussing the problems experienced and outlining the role of nurses in the case, with the aim of comfort and independence of patients can be fulfilled. Urinary retention can be overcome by applying evidence based nursing practice kegel excercise and bladder training. Case studies conducted on five postpartum mothers who experienced urinary retention found that kegel exercise and bladder training were able to overcome urinary retention significantly, reduce pain levels, and improve self care.

"

"[ABSTRAKAngka kematian ibu saat ini masih tinggi yang disebabkan karena komplikasi pada kehamilan dan persalinan, oleh karena itu perlunya peran tenaga kesehatan yang terkait termasuk perawat maternitas untuk memberikan pelayanan kesehatan profesional. Perawat spesialis maternitas dituntut mampu menjalankan perannya secara komprehensif. Laporan ini bertujuan untuk menggambarkan praktik residensi ners spesialis maternitas meliputi asuhan keperawatan pada masa prenatal, intranatal, dan postnatal normal dan berisiko serta bayi baru lahir normal dan berisiko, serta perempuan dengan masalah reproduksi dan ginekologi. Residen juga melakukan asuhan keperawatan dengan focus penerapan teori need for help dan comfort pada ibu bersalin dengan persalinan memanjang. Hasil menunjukkan bahwa kedua model efektif dapat diterapkan pada keenam kasus ibu bersalin dengan persalinan memanjang. Pencapaian kompetensi perawat spesialis maternitas dilakukan dengan penerapan peran perawat secara komprehensif.

---

ABSTRACTMaternal mortality rate is still high due to pregnancy and labor complication, therefore the role of health professionals including maternity nurses is needed to provide a professional health care. Maternity nursing specialists are demanded to be able to perform their roles comprehensively. This report aimed to describe the residency practice of maternity nursing specialist including nursing care of normal and high risk prenatal, intranatal, and postnatal as well as normal and high risk newborns, and women with reproductive and gynecological problems. Resident also performed nursing care focused on the application of Wiedenbach Need for Help and Kolcaba Comfort Theory on intrapartum mothers with prolonged labor. Results showed that both models could be applied effectively to the six cases of intrapartum mothers with prolonged labor. The achievement of maternity nursing specialist competencies was conducted by the implementation of the nurse's roles comprehensively., Maternal mortality rate is still high due to pregnancy and labor complication, therefore the role of health professionals including maternity nurses is needed to provide a professional health care. Maternity nursing specialists are demanded to be able to perform their roles comprehensively. This report aimed to describe the residency practice of maternity nursing specialist including nursing care of normal and high risk prenatal, intranatal, and postnatal as well as normal and high risk newborns, and women with reproductive and gynecological problems. Resident also performed nursing care focused on the application of Wiedenbach Need for Help and Kolcaba Comfort Theory on intrapartum mothers with prolonged labor. Results showed that both models could be applied effectively to the six cases of intrapartum mothers with prolonged labor. The achievement of maternity nursing specialist competencies was conducted by the implementation of the nurse's roles comprehensively.]"

"[ABSTRAKPelayanan keperawatan merupakan bagian integral dari pelayanan kesehatan dan masalah kesehatan reproduksi perempuan menjadi bagian yang tak terpisahkan dari sistim pelayanan kesehatan secara keseluruhan. Residen keperawatan maternitas dalam melaksanakan perannya dituntut mampu memberikan asuhan keperawatan sesuai dengan kebutuhan masyarakat di berbagai tatanan pelayanan kesehatan. Dalam upaya memberikan asuhan keperawatan, residen mengelola tujuh pasien dengan kista ovarium di dua rumah sakit yang berbeda dengan menggunakan pendekatan teori Adaptasi Roy. Dari ketujuh kasus tersebut, lima kasus jenis kista coklat dengan karakteristik munculnya keluhan dipengaruhi oleh siklus menstruasi dan dua kasus lain berjenis kista denoma. Dengan adanya berbagai perubahan dalam diri penderita kista ovarium, maka teori keperawatan Adaptasi Roy dianggap tepat diterapkan pada pasien dengan kista ovarium. Laporan akhir residensi juga memapartkan capaian 100% untuk target kompetensi pada tiga lahan praktek dan berusaha memodifikasi setiap hambatan yang ada selama pelaksanaan praktik residensi.

---

ABSTRACTNursing service is an integral part of healthcare services and women's reproductive health problems become an integral part of the overall healthcare system. Maternity nursing resident in performing its role is demanded to provide nursing care in accordance with the needs of the community in a variety of healthcare structures. In providing nursing care, resident managed seven patients with ovarian cysts at two different hospitals using Roy Adaptation Theory approach. Of the seven cases, five cases were chocolate cyst type characterized by the emergence of complaints influenced by menstrual cycle and two other cases were denoma cyst. Since ovarian cysts patients experienced various changes, Roy Adaptation Nursing Theory was considered appropriate to be applied on patients with ovarian cysts. The final report also described the achievement of 100% of the target competencies in the three fields of practice and try to modify any existing obstacles during the residency practice., Nursing service is an integral part of healthcare services and women's reproductive health problems become an integral part of the overall healthcare system. Maternity nursing resident in performing its role is demanded to provide nursing care in accordance with the needs of the community in a variety of healthcare structures. In providing nursing care, resident managed seven patients with ovarian cysts at two different hospitals using Roy Adaptation Theory approach. Of the seven cases, five cases were chocolate cyst type characterized by the emergence of complaints influenced by menstrual cycle and two other cases were denoma cyst. Since ovarian cysts patients experienced various changes, Roy Adaptation Nursing Theory was considered appropriate to be applied on patients with ovarian cysts. The final report also described the achievement of 100% of the target competencies in the three fields of practice and try to modify any existing obstacles during the residency practice.]"