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Pandan Enggarwati, examiner
Analisis praktik klinik keperawatan kesehatan masyarakat perkotaan pada pasien kanker payudara pasca mastektomi + tram flap di ruang rawat bedah Gedung A RSUPN Cipto Mangunkusumo Jakarta = The analysis of the clinical practice of urban health nursing Patient with Post Mastectomy following breast cancer + TRAM Flap in the surgical ward Building A RSUPN Cipto Mangunkusumo Jakarta
"[ABSTRAK
Kanker payudara merupakan masalah kesehatan yang semakin meningkat di daerah urban. Mastektomi radikal modifikasi (MRM) merupakan upaya pengangkatan kanker payudara yang dapat menimbulkan komplikasi berupa kekakuan bahu, penurunan rentang gerak lengan, dan limfedema. Transverse Rectus Abdominis Modification (TRAM) flap merupakan rekonstruksi payudara menggunakan sebagian besar otot abdomen yang berpotensi menyebabkan penurunan kemampuan otot perut dan hernia. Latihan gerak pada lengan dan abdomen bertujuan meningkatkan rentang gerak sehingga tidak terjadi kekakuan lengan dan abdomen, serta mencegah limfedema dan hernia. Perawat perlu mengedukasi latihan rentang gerak lengan dan abdomen pasca MRM dan TRAM flap agar kualitas hidup semakin meningkat.ABSTRACT Breast cancer is a health problem that the prevalence is increasing in urban areas. Modified radical mastectomy (MRM) is the treatment of breast cancer that can cause complications such as shoulder stiffness, decreased range of motion of the arms, and lymphedema. Modification transverse rectus abdominis (TRAM) flap is a breast reconstruction using abdominal muscles that potentially can cause a decrease in the ability of the abdominal muscle and hernia. The exercise of motion in the arm and abdomen aims to improve the range of motion in order to avoid stiffness of the arms and abdomen, as well as to prevent lymphedema and hernia. Nurses need to promote the range of motion exercises for the arms and abdomen following MRM and TRAM flap to improve the quality of life.;Breast cancer is a health problem that the prevalence is increasing in urban areas. Modified radical mastectomy (MRM) is the treatment of breast cancer that can cause complications such as shoulder stiffness, decreased range of motion of the arms, and lymphedema. Modification transverse rectus abdominis (TRAM) flap is a breast reconstruction using abdominal muscles that potentially can cause a decrease in the ability of the abdominal muscle and hernia. The exercise of motion in the arm and abdomen aims to improve the range of motion in order to avoid stiffness of the arms and abdomen, as well as to prevent lymphedema and hernia. Nurses need to promote the range of motion exercises for the arms and abdomen following MRM and TRAM flap to improve the quality of life., Breast cancer is a health problem that the prevalence is increasing in urban areas. Modified radical mastectomy (MRM) is the treatment of breast cancer that can cause complications such as shoulder stiffness, decreased range of motion of the arms, and lymphedema. Modification transverse rectus abdominis (TRAM) flap is a breast reconstruction using abdominal muscles that potentially can cause a decrease in the ability of the abdominal muscle and hernia. The exercise of motion in the arm and abdomen aims to improve the range of motion in order to avoid stiffness of the arms and abdomen, as well as to prevent lymphedema and hernia. Nurses need to promote the range of motion exercises for the arms and abdomen following MRM and TRAM flap to improve the quality of life.]"
Fakultas Farmasi Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Ria Febriyeni
Edukasi diet dan cairan pada pasien dengan batu cetak ginjal sebagai upaya pencegahan kekambuhan = Diet and fluid education for patients with staghron stones as recurrence prevention effort
"[ABSTRAK
Batu ginjal merupakan penyakit urologi yang banyak ditemukan di wilayah
perkotaan. Diet yang tidak sehat dan kurangnya asupan cairan merupakan
penyebab terbentuknya batu ginjal. Berulangnya penyakit sering terjadi pada klien
batu ginjal. Intervensi keperawatan berupa edukasi diet dan cairan perlu diberikan
kepada klien dengan batu ginjal. Hal ini dilakukan untuk mencegah kekambuhan
yang sering terjadi pada klien dengan batu ginjal karena ketidakpatuhan terhadap
pola diet dan asupan cairan setelah dilakukan pengangkatan batu. Rekomendasi
dari tulisan ini adalah pemberian edukasi khususnya terkait diet dan cairan dengan
menggunakan media edukasi dan prosedur yang jelas dapat dijadikan intervensi
rutin di rumah sakit untuk klien dengan batu ginjal untuk mencegah kekambuhan.
ABSTRACT
Kidney stones are urologic diseases commonly found in urban areas. Unhealthy
diets and lack of fluid intake are the cause of kidney stones formation. Recurrence
of the disease is common in clients with kidney stones. Nursing interventions
such as diet and fluid intake education should be given to clients with kidney
stones. This is done to prevent a recurrence that often occurs in clients with
kidney stones because of poor adherence to diet and fluid intake after the removal
of the stone. This paper recommend to provide education, especially related to
diet and fluid by using educational media and a clear procedure can be used as a routine intervention in the hospital for clients with kidney stones to prevent
recurrence.;Kidney stones are urologic diseases commonly found in urban areas. Unhealthy
diets and lack of fluid intake are the cause of kidney stones formation. Recurrence
of the disease is common in clients with kidney stones. Nursing interventions
such as diet and fluid intake education should be given to clients with kidney
stones. This is done to prevent a recurrence that often occurs in clients with
kidney stones because of poor adherence to diet and fluid intake after the removal
of the stone. This paper recommend to provide education, especially related to
diet and fluid by using educational media and a clear procedure can be used as a
routine intervention in the hospital for clients with kidney stones to prevent
recurrence., Kidney stones are urologic diseases commonly found in urban areas. Unhealthy
diets and lack of fluid intake are the cause of kidney stones formation. Recurrence
of the disease is common in clients with kidney stones. Nursing interventions
such as diet and fluid intake education should be given to clients with kidney
stones. This is done to prevent a recurrence that often occurs in clients with
kidney stones because of poor adherence to diet and fluid intake after the removal
of the stone. This paper recommend to provide education, especially related to
diet and fluid by using educational media and a clear procedure can be used as a
routine intervention in the hospital for clients with kidney stones to prevent
recurrence.]"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Risma Nurmayanti
Perawatan kebersihan mulut dan bibir dengan madu untuk perbaikan nutrisi pada pasien kanker kolorektal = Oral hygiene and lip care with honey liquid to repaire nutritional status for patient cancer colorectal
"[ABSTRAK
Kanker kolorektal merupakan kanker yang muncul di sekitar kolon dan rektum. Salah satu dampak kanker kolorektal adalah kekurangan nutrisi atau malnutrisi. Padahal asupan nutrisi yang adekuat sangat diperlukan untuk meningkatkan sistem imun melawan sel kanker dan mempersiapkan jaringan dalam proses penyembuhan pasca pembedahan. Kebersihan mulut dan perawatan bibir dengan madu menjadi salah satu implementasi keperawatan yang dapat dilakukan untuk memperbaiki status nutrisi pasien kanker kolorektal. Hasil implementasi selama kurang lebih dua minggu menunjukkan dampak yang positif terhadap status nutrisi pasien yang ditunjukkan dengan peningkatan nafsu makan dan perbaikan manifestasi klinis yang berhubungan dengan status nutrisi. Kebersihan mulut dan perawatan bibir dengan madu dapat direkomendasikan untuk implementasi keperawatan pada pasien kanker kolorektal terutama yang mengalami malnutrisi.;ABSTRACT Cancer colorectal is cancer that located at around colon and rectum, one of effect cancer colorectal is malnourished. Adequat nutrition is very important to enhance immunity systems to against cancer cells and heal the wound after surgery. Oral hygiene and lip care with honey liquid can be done to repaire the nutritional status. The results of these implementations showed the positive impact which indicated by enhancement of appetite and improvement of clinical manifestations related to nutritional status for two weeks. So, oral hygiene and lip care with honey are recommended to repaire the nutritional status for patient cancer colorectal.;Cancer colorectal is cancer that located at around colon and rectum, one of effect cancer colorectal is malnourished. Adequat nutrition is very important to enhance immunity systems to against cancer cells and heal the wound after surgery. Oral hygiene and lip care with honey liquid can be done to repaire the nutritional status. The results of these implementations showed the positive impact which indicated by enhancement of appetite and improvement of clinical manifestations related to nutritional status for two weeks. So, oral hygiene and lip care with honey are recommended to repaire the nutritional status for patient cancer colorectal.;Cancer colorectal is cancer that located at around colon and rectum, one of effect cancer colorectal is malnourished. Adequat nutrition is very important to enhance immunity systems to against cancer cells and heal the wound after surgery. Oral hygiene and lip care with honey liquid can be done to repaire the nutritional status. The results of these implementations showed the positive impact which indicated by enhancement of appetite and improvement of clinical manifestations related to nutritional status for two weeks. So, oral hygiene and lip care with honey are recommended to repaire the nutritional status for patient cancer colorectal.;Cancer colorectal is cancer that located at around colon and rectum, one of effect cancer colorectal is malnourished. Adequat nutrition is very important to enhance immunity systems to against cancer cells and heal the wound after surgery. Oral hygiene and lip care with honey liquid can be done to repaire the nutritional status. The results of these implementations showed the positive impact which indicated by enhancement of appetite and improvement of clinical manifestations related to nutritional status for two weeks. So, oral hygiene and lip care with honey are recommended to repaire the nutritional status for patient cancer colorectal., Cancer colorectal is cancer that located at around colon and rectum, one of effect cancer colorectal is malnourished. Adequat nutrition is very important to enhance immunity systems to against cancer cells and heal the wound after surgery. Oral hygiene and lip care with honey liquid can be done to repaire the nutritional status. The results of these implementations showed the positive impact which indicated by enhancement of appetite and improvement of clinical manifestations related to nutritional status for two weeks. So, oral hygiene and lip care with honey are recommended to repaire the nutritional status for patient cancer colorectal.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Vilna Octiariningsih
Analisis intervensi fisioterapi dada pada pasien dengan community acquired pneumonia cap di ruang rawat penyakit dalam lantai 7 zona a rumah sakit umum pusat nasional dr. cipto mangunkusumo = Analysis of chest physiotherapy intervention in patient with community acquired pneumonia cap in internal medicine room 7th floor of zone a dr cipto mangunkusumo national general hospital
"Community-Acquired Pneumonia CAP adalah penyakit sistem pernapasan yang menyerang jaringan parenkim paru. Penyakit ini banyak mengancam individu dewasa dengan penurunan sistem imun. Penderita CAP mengalami peningkatan setiap tahunnya akibat peningkatan polusi udara yang berada di wilayah perkotaan, terutama pada kawasan industri. Penderita CAP akan mengalami peningkatan produksi sputum yang berujung pada kesulitan dalam mengeluarkan sputum. Pasien dengan CAP sering mengalami penurunan refleks batuk yang membuat sputum terakumulasi di jalan napas sehingga menyebabkan peningkatan usaha untuk bernapas. Fisioterapi dada merupakan salah satu teknik pembersihan jalan napas pada pasien dengan penurunan refleks batuk.
Karya Ilmiah Akhir Ners ini bertujuan untuk menganalisis intervensi fisioterapi dada untuk mengurangi gejala serta mencegah perburukan pada pasien dengan CAP. Metodologi yang digunakan adalah metode studi kasus dan analisa penelitian yang telah ada. Hasil analisa yang didapatkan menunjukkan fisioterapi dada dapat menurunkan usaha napas pasien, pengurangan episode demam, perubahan karakteristik sputum, serta penuruan persentase mortalitas melalui skoring CURB-65.
Community Acquired Pneumonia CAP is a respiratory disease that attacks the pulmonary parenchymal tissue. This disease threatens many adults with decreased immune system. CAP sufferers are increasing every year due to increasing air pollution in urban areas, especially in industrial areas. CAP sufferers will experience an increase in sputum production that leads to difficulties in removing sputum. Patients with CAP often have decreased cough reflexes that make sputum accumulate in the airway causing increased effort to breathe. Chest physiotherapy is one of the airway cleansing techniques in patients with decreased cough reflexes.
This Final Scientific Work of Ners aims to analyze the interventions of chest physiotherapy to reduce symptoms and prevent worsening of patients with CAP. The methodology used is the case study method and the existing research analysis. The results obtained showed chest physiotherapy can decrease the patient 39 s breathing effort, reduction of febrile episodes, changes in sputum characteristics, as well as the percentage of mortality by scoring CURB 65."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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UI - Tugas Akhir  Universitas Indonesia Library
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Pipit Lestari
Analisis peningkatan selfcare pada pasien end stage renal disease (ESRD) on hemodialisis melalui metode therapeutic patient education di Rumah Sakit Umum Pusat dr. Cipto Mangunkusumo = Analysis of selfcare improvement in patient with end stage renal disease (ESRD) on hemodialysis using therapeutic patient education at Rumah Sakit Umum Pusat dr. Cipto Mangunkusum
"ABSTRAK
Manajemen yang paling sering dilakukan pada penyakit gagal ginjal kronik tahap akhir atau End stage renal Disease ESRD adalah hemodialisis. Hemodialisis merupakan manajemen kompleks yang dapat menimbulkan banyak permasalahan seperti ketidakseimbangan caran dan elektrolit, malnutrisi dan sepsis. Peningkatan selfcare dibutuhkan untuk meningkatkan status cairan, kepatuhan regimen pengobatan dan outcome HD secara psikosial. Selfcare dapat ditingkatkan menggunakan Therapeutic Patient Education TPE , suatu metode edukasi yang terdiri dari pemberian motivasi dan pemberian edukasi sesuai dengan kebutuhan pasien. Studi kasus ini bertujuan untuk menganalisis peningkatan selfcare melalui edukasi. Indikator dari peningkatan selfcare adalah hasil nilai selfcare yang dikaji menggunakan Selfcare agency scale dan IDWG Interdialitic Weight Gain atau berat badan antar dialisis pasien. Hasil menunjukkan bahwa TPE dapat meningkatkan skor SCAS sebesar 26 dari total skor 50 . Poin penting dalam SCAS yang meningkat dalam diri pasien adalah kemampuan untuk melakukan monitoring terhadap berat badan, monitor intake output cairan, tekanan darah, nadi, dan akses vaskuler. Peningkatan selfcare pada pasien juga meningkatkan kemampuan pasien dalam menikmati hidup dan kemampuan untuk kembali bersosialisasi. Secara klinis pasien menunjukkan perbaikan nilai IDWG sesuai dengan anjuran yaitu 3 -5 BB kering pasien. Nilai IDWG menunjukkan kepatuhan pasien dalam diet dan restriksi cairan. Hasil ini menunjukkan bahwa TPE merupakan metode efektif untuk meningkatkan selfcare. Faktor yang mempengaruhi keberhasilan edukasi pada pasien adalah tingkat pendidikan, dukungan sosial, kesesuaian materi edukasi dengan kebutuhan dan kesiapan pasien untuk menerima edukasi. Perawat perlu meningkatkan kemampuan selfcare pasien ESRD on HD untuk meningkatkan kepatuhan dan kemampuan pasien mengevaluasi kondisinya, serta psikososial pasien. Kata Kunci: Asuhan Keperawatan, Edukasi klien terapetik, ESRD, Hemodialisis, IDWG ,Indonesia, Selfcare
ABSTRACT The most frequent management of end stage renal disease ESRD is hemodialysis. Hemodialysis HD is a complex management that may raise problems such as fluid and electrolyte imbalances, malnutrition and sepsis. Increased in selfcare is required to improve the balance of fluid status, medication regimen adherence and HD outcomes psychologically. Selfcare can be improved using Therapeutic Patient Education TPE , the TPE is an educational method consisting of motivation and educational provision accords to patient needs. This case study aims to analyze the improvement of selfcare through therapeutic patient education program. Indicators of selfcare improvements are increase of SCAS score Selfcare agency scale and IDWG Interdialytic Weight Gain . The results showed that the TPE increased the SCAS scores by 26 of the total score 50 . Important ability in SCAS which increased were the ability to monitor weight gain daily, monitor fluid intake output, blood pressure, pulse, and vascular access. Increased self care in patients also improved the patient 39 s ability to enjoy life and the ability to re socialize with patient rsquo s family. Clinically patients showed an improvement in IDWG values according to the recommendation which was 3 5 of the patient rsquo s dry weight. The IDWG value indicates the patient compliance in diet and fluid restriction. This showed that TPE was effective methodes to increase selfcare of the patient. Factors that affect the success of education in the patients were the level of patient rsquo s education, social support, suitability of educational materials to the needs and the readiness of patients to receive education. Nurses need to improve the selfcare abilities of ESRD patients on HD to enhance adherence and the ability of patients to evaluate their condition, as well as patients psychosocial in order to increase their HD outcome. Keywords ESRD, Hemodialysis, IDWG, Indonesia, Nursing Care, Selfcare, Therapeutic Patient Education"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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UI - Tugas Akhir  Universitas Indonesia Library
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Mira Andriyani
Analisis praktik klinik keperawatan kesehatan masyarakat perkotaan terhadap intervensi terapi musik pada klien dengan HIV/AIDS yang mengalami nyeri di ruang rawat penyakit dalam lantai 7 zona a rumah sakit umum pusat nasional Dr. Cipto Mangunkusumo Jakarta = Analysis of clinical practice of urban public health nursing on the music therapy interventions in client with HIV/AIDS who experience pain in internal medicine ward 7th floor zone a Dr. Cipto Mangunkusumo National General Hospital in Jakarta
"Acquired Immune Deficiency Syndrome AIDS merupakan penyakit tahap lanjut dari Human Immunodeficiency Virus HIV yang menyebabkan terjadinya penurunan pada sistem imun. AIDS dapat berdampak pada sistem saraf dengan salah satu manifestasi klinis yang muncul berupa nyeri. Nyeri yang tidak tertangani dapat menimbulkan dampak, diantaranya mengganggu aktivitas, gangguan tidur, dan meningkatkan kecemasan yang dapat menurunkan kualitas hidup penderita. Studi kasus ini bertujuan untuk menganalisis intervensi terapi musik klasik dan instrumental untuk mengurangi nyeri pada pasien dengan HIV/AIDS. Metodologi yang digunakan adalah metode studi kasus dan analisis intervensi keperawatan. Terapi musik diberikan selama 7 hari dengan frekuensi 2 kali sehari selama 30 menit. Hasil intervensi menunjukkan adanya penurunan skala nyeri dari skala nyeri 6 menjadi 4. Hasil penelitian ini menunjukkan bahwa terapi musik dapat menjadi salah satu penatalaksanaan nonfarmakologi yang dapat menurunkan nyeri. Rekomendasi dari penelitian ini adalah pentingnya perawat untuk memberikan manajemen nyeri nonfarmakologi seperti terapi musik sebagai salah satu upaya dalam menurunkan masalah nyeri pada pasien.
Human Immunodeficiency Virus HIV that damage the immune system. AIDS can affected the nervous system with pain as the symptom. Uncontrolled pain can cause various effects, such as impaired activity, sleep disorders, and increased anxiety, which reduce the quality of life. This case study aimed to analyze nursing interventions to reduce pain on patient with HIV AIDS. This study conducted by the case study method and evidence based practice intervention. Patient was administered the classical and instrumental music twice a day with 30 minutes long in each session for 7 days. The results showed a decrease in pain scale from 6 to 4 out of 10 by using numerical rating scale. The result of this study indicates that music therapy can be one of non pharmacological intervention to reducing pain. The recommendation of this study is the importance of nurses to provide non pharmacological pain management such as music therapy in order to reducing pain in patients with HIV AIDS."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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Suluh Tri Utomo
Analisis praktik klinik asuhan keperawatan kesehatan masyarakat perkotaan pada pasien ulkus diabetes melitus yang mengalami gangguan pemenuhan nutrisi di RSUP dr Cipto Mangunkusumo Jakarta = Implementation analysis of urban health nursing clinical practice on diabetic food ulcer patient with nutrition intake disturbance in dr. Cipto Mangunkusumo National Hospital, Jakarta
"Karya ilmiah ini bertujuan untuk memberikan gambaran asuhan keperawatan pada klien DM tipe 2 dengan ulkus DM yang mengalami penurunan intake oral. Intervensi dilakukan dengan cara menerapkan pemberian nutrisi secara intermittent enteral feeding. Intervensi tersebut bertujuan membantu mengatasi gangguan pemenuhan nutrisi harian klien. Hasil yang tercapai melalui intervensi pemberian nutrisi secara bertahap adalah tercukupinya kebutuhan nutrisi harian klien dan kestabilan kadar gula darah klien. NGT yang terpasang pada klien selalu mebutuhkan evaluasi lebih lanjut untuk menjamin adekuasi nutrisi yang diberikan. Peran perawat selain memastikan kecukupan kebutuhan nutrisi klien yaitu mengevaluasi faktor yang beresiko mengakibatkan intoleransi penerimaan makanan pasien. Oleh karena itu pelayanan rumah sakit diharapkan senantiasa saling berkerjasama melakukan pengkajian dan analisa secara berkesinambungan mengatasi permasalahan kondisi klien setiap hari."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
PR-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Aulia Mufti Rahmawati
Analisis asuhan keperawatan kesehatan masyarakat perkotaan pada pasien gagal ginjal terminal dengan kelebihan volume cairan = Case study analysis of urban health nursing in end-stage renal disease patient with excess fluid volume
"Pada pasien gagal ginjal terminal GGT yang menjalani hemodialisis, masalah utama yang terjadi adalah kelebihan cairan. Salah satu intervensi keperawatan untuk mengontrol dan mencegah kelebihan volume cairan semakin parah adalah manajemen cairan berupa pembatasan cairan. Dalam penulisan Karya Ilmiah Akhir Ners KIAN , penulis menggunakan metode analisis studi kasus.
Analisis studi kasus ini bertujuan untuk menganalisis asuhan keperawatan pada pasien gagal ginjal terminal yang mengalami masalah kelebihan volume cairan dan analisis intervensi pembatasan cairan. Indikator dalam studi kasus ini adalah hasil pemeriksaan fisik berupa tanda-tanda kelebihan volume cairan.
Hasil menunjukkan bahwa selama periode interdialisis status edema tetap sama yaitu grade 3 pada kaki kanan dan grade 2 pada kaki kiri, tekanan darah mengalami perubahan yaitu dari 137/85mmHg menjadi 153/90mmHg. Setelah klien mendapatkan terapi dialisi, klien mengalami penurunan kelebihan volume cairan yang ditunjukan dari grade edema kaki kanan yang turun menjadi grade 2 dan penurunan tekanan darah menjadi 143/90mmHg.
Dari hasil tersebut menujukkan bahwa, pembatasan cairan mampu mencegah keparahan dan mengontrol kelebihan volume cairan selama periode interdialisi dan lebih optimal berkurang setelah mendapatkan terapi dialisis. Perawat perlu melakukan pembatasan cairan pada pasien GGT dalam periode interdialisis untuk mengontrol kelebihan volume cairan.
In End stage renal disease ESRD patients with heamodialysis, the main problem that persists is excess fluid. One of the nursing interventions to control and prevent excess fluid volume from getting worse is liquid management in the form of fluid restriction. The design of this study was case study analysis.
This case study aims to analyze nursing intervention in patients with terminal renal failure who have problems with fluid overload and analysis of fluid restriction interventions. The indicator in this case study is the result of physical examination in the form of signs of excess liquid volume.
The results showed that during the interdialysis period the edema status remained the same grade 3 on the right foot and grade 2 on the left leg, blood pressure changed from 137 / 85mmHg to 153 / 90mmHg. After the client receives dialysis therapy, the client experiences a decrease in excess fluid volume indicated from right-foot-edema grade that drops to grade 2 and decreases blood pressure to 143 / 90mmHg.
From these results indicate that, fluid restriction is able to prevent severity and control fluid excess volume during the interdialysis period and more optimally decreased after getting dialysis therapy. Nurses needs to give fluid restriction for ESRD patients in their interdialysis periode to control the excess fluid volume and also the other intervention of management of dialysis patient."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2018
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UI - Tugas Akhir  Universitas Indonesia Library
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Tatu Meri Marwiyyatul Hasna
Analisis Asuhan Keperawatan Dengan Intervensi Monitoring Cairan Pada Pasien Penyakit Ginjal Kronik Dengan Overload di Ruang Rawat Gedung A Lantai VII Zona A RSUPN. Dr. Cipto Mangunkusumo Jakarta. = Nursing Case study analysis of the implementation of daily Fluid Monitoring In a Chronic Kidney Patient With Overload at 7 th Floor Of Zone A Of Building A Of Dr.Cipto Mangunkusumo General Hospital, Jakarta
"Penyakit ginjal kronik merupakan penyakit kronik yang bersifat irreversible dan progresif yang disebabkan oleh kerusakan vaskular seperti pada hipertensi dan diabetes mellitus. Kerusakan vaskular pada penyakit ginjal kronik dapat menyebabkan masalah kelebihan volume cairan tubuh yang dapat mengakibatkan komplikasi sistemik. Penulisan karya ilmiah ini menggunakan studi kasus dengan tujuan menganalisis intervensi pemantauan cairan pasien penyakit ginjal kronik dengan menggunakan lembar pemantauan intake dan output. Intervensi pemantauan cairan dilakukan selama 5 hari di ruang rawat gedung A lantai 7 zona A RSUPN. Dr. Ciptomangun Kusumo Jakarta. Rekomendasi dari kasus ini adalah penggunaan lembar pemantauan pada pasien yang beresiko mengalami ketidakseimbangan cairan seperti pada pasien penyakit ginjal kronik. Sehingga intervensi penggunaan lembar pemantauan efektif untuk mengatasi kelebihan volume cairan.
Chronic kidney disease is  a chronic, irreversible, and progressive disease resulting from vascular impairment such that occurs in hypertension and diabetes mellitus condition. Vascular impairment in chronic kidney disease may result in excess fluid volume which leads to systemic complications. The study design was case study and aimed to analyze fluid monitoring intervention in patient with chronic kidney disease by employing intake and output monitoring sheet. The intervention was conducted in Zone A ward of 7th floor Building A of RSUPN Dr. Cipto Mangunkusumo for 5 days long. The study recommends the use of fluid monitoring sheet in patient with risk for fluid imbalance such as in chronic kidney disease. Therefore, use of intake and output monitoring sheet is effective in managing excess fluid volume."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2018
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UI - Tugas Akhir  Universitas Indonesia Library
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Vika Endria
Analisis Asuhan Keperawatan Kesehatan Masyarakat Perkotaan Pada Pasien HIV/AIDS Koinfeksi TB Paru dengan Masalah Ketidakefektifan Bersihan Jalan Nafas = Analysis Nursing Care of Urban Public Health in HIV / AIDS Patients Co-infected Pulmonary TB with Problems Ineffective clearance of the Breathing
"Tuberkulosis (TB) Paru merupakan infeksi oportunistik (IO) yang paling banyak ditemukan dan penyebab kematian terbanyak pada HIV/AIDS. Infeksi bakteri TB yang menyerang paru menyebabkan gangguan pernafasan. Salah satu masalah keperawatan yang muncul adalah bersihan nafas tidak efektif akibat hipersekresi sputum dari proses inflamasi yang berulang. Karya ilmiah akhir keperawatan ini bertujuan menganalisis intervensi batuk efektif dan terapi nebulizer yang dilakukan secara bersamaan dalam menangani masalah ketidakefektifan jalan nafas pada pasien HIV/AIDS koinfeksi TB Paru. Intervensi batuk efektif dan terapi nebulizer diintegrasikan dalam asuhan keperawatan. Evaluasi didapat berupa berkurangnya frekuensi batuk, dan sesak nafas yang pasien keluhkan, serta pasien mampu melakukan batuk efektif disertai pengeluaran sputum yang sebelumnya sulit dikeluarkan.
Tuberculosis (TB) Lung is the most common opportunistic infection (IO) and the leading cause of death in HIV / AIDS. TB bacterial infections that attack the lungs cause respiratory problems. One of the nursing problems that arises is ineffective breathing due to sputum hypersecretion of the inflammatory repeated process. This final nursing paper aims to analyze effective cough interactions and nebulizer therapies performed simultaneously in dealing with airway ineffectiveness in HIV / AIDS patients coinfected with pulmonary tuberculosis. These interventions are integrated into nursing care. Evaluation was obtained in the form of reduced frequency of cough, and shortness of breath that patient complained, and patient able to perform effective cough with sputum expenditure which previously difficult to expend.

Keywords: effective cough, HIV / AIDS, nebulizer, nursing care, pulmonary TB, sputum."

Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2018
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UI - Tugas Akhir  Universitas Indonesia Library
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