[Karya ilmiah akhir ini merupakan laporan praktik residensi keperawatan medikal
bedah yang telah dilaksanakan selama dua semester. Pelaksanaan praktik
residensi meliputi praktikan sebagai pemberi asuhan keperawatan langsung,
sebagai peneliti dimana melaksanakan tindakan keperawatan mandiri dengan
basis pembuktian ilmiah serta melakukan proyek inovasi sebagai upaya
pengembangan intervensi keperawatan. Asuhan keperawatan pasien yang
mengalami gangguan sistem perkemihan menerapkan teori adaptasi Roy
dikarenakan gangguan sistem perkemihan yang dikelola memunculkan perubahan
perilaku pasien sehingga memerlukan pengelolaan asuhan keperawatan yang
profesional agar pasien mampu beradaptasi dengan adaptif sesegera mungkin.
Masalah keperawatan yang sering ditemukan pada yaitu kelebihan volume cairan
tubuh aktual/resiko, ketidakseimbangan nutrisi kurang, gangguan mobilitas fisik,
kerusakan integritas kulit aktual, nyeri, cemas dan koping tidak efektif. Tindakan
keperawatan berbasis pembuktian ilmiah terapi musik dalam menurunkan
kecemasan pasien pre operatif urologi, hasil penerapan diperoleh terapi musik
menurunkan kecemasan dengan rata-rata penurunan kecemasan 5,7. Hasil proyek
inovasi menunjukan secara umum pasien memiliki persepsi terhadap edukasi
dengan booklet interaktif yang sudah dilakukan adalah sangat baik dan baik untuk
digunakan. Disarankan model adaptasi Roy dapat diterapkan pada pasien dengan
gangguan sistem perkemihan terutama penyakit kronis sistem perkemihan, terapi
musik dapat dilakukan untuk menurunkan kecemasan pasien pre operatif urologi
dan edukasi dengan booklet interaktif sebagai media penyampaian edukasi
perawatan diri pada pasien yang menjalani hemodialisis rutin adalah tepat
mengenai sasaran dan sesuai dengan yang dibutuhkan oleh pasien.;The purpose of this final scientific report is to describe series of activities in
clinical practice residency in medical surgical nursing that had been conducted for
2 semesters. Three main activities of residency practician were providng of direct
nursing care on urinary system disorders, implementing evidence based as a
researcher and innovating projects as the development of nursing intervention
efforts. Practician applied Roy's adaptation theory to manage nursing care of
patients with urinary system disorders due to run led to changes in patient
behavior that required professional management of nursing care so that the patient
was able to adapted as soon possible. The common nursing problems in patinet
with urinary system disorders were actual/risk excess fluid volume, imbalanced
nutrition: less than body requirements, impaired physical mobility, actual/risk
impaired skin integrity, pain, anxiety and ineffective coping. The implemntation
of evidence-based nursing practice that music therapy in reducing preoperative
anxiety urology patients, the result that grouping following music therapy reduced
anxiety score averages between the grouping with an average decline of 5,7. The
innovation projects was used interactive booklet for education patient undergoing
on hemodialysis. The result of innovation showed generally the perception of
patient was very well and good to be used interactive booklet for education to
improved management self. Suggested Roy adaptation model can be applied to
patients with chronic urinary diseases especially chronic kidney disease, music
therapy can be done to reduce preoperative anxiety urology and interactive
booklet is the right media to educate patients undergoing hemodialysis., The purpose of this final scientific report is to describe series of activities in
clinical practice residency in medical surgical nursing that had been conducted for
2 semesters. Three main activities of residency practician were providng of direct
nursing care on urinary system disorders, implementing evidence based as a
researcher and innovating projects as the development of nursing intervention
efforts. Practician applied Roy's adaptation theory to manage nursing care of
patients with urinary system disorders due to run led to changes in patient
behavior that required professional management of nursing care so that the patient
was able to adapted as soon possible. The common nursing problems in patinet
with urinary system disorders were actual/risk excess fluid volume, imbalanced
nutrition: less than body requirements, impaired physical mobility, actual/risk
impaired skin integrity, pain, anxiety and ineffective coping. The implemntation
of evidence-based nursing practice that music therapy in reducing preoperative
anxiety urology patients, the result that grouping following music therapy reduced
anxiety score averages between the grouping with an average decline of 5,7. The
innovation projects was used interactive booklet for education patient undergoing
on hemodialysis. The result of innovation showed generally the perception of
patient was very well and good to be used interactive booklet for education to
improved management self. Suggested Roy adaptation model can be applied to
patients with chronic urinary diseases especially chronic kidney disease, music
therapy can be done to reduce preoperative anxiety urology and interactive
booklet is the right media to educate patients undergoing hemodialysis.]
SP-Epi Rustiawati.pdf :: Unduh