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"Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan, asupan serat, asupan cairan, dan gaya hidup (aktivitas fisik, stres, konsumsi kopi, konsumsi minuman probiotik, dan posisi saat buang air besar) dengan konstipasi fungsional. Penelitian ini menggunakan desain studi cross sectional dan dilakukan pada 99 orang mahasiswi FKM UI tahun 2013. Penelitian ini dilakukan pada bulan April sampai Mei 2013. Pengumpulan data dilakukan melalui pengisian kuesioner, Food Recall 2 x 24 jam, dan Food Frequency Questionnaire (FFQ). Analisis data dilakukan dengan menggunakan uji Chi-square. Pengambilan sampel dilakukan dengan metode acak stratifikasi. Hasil penelitian menunjukkan bahwa prevalensi kejadian konstipasi fungsional di FKM UI sebesar 52,5%. Hasil analisis bivariat menunjukkan ada hubungan yang bermakna antara pengetahuan dengan kejadian konstipasi fungsional (p value = 0,014), ada hubungan yang bermakna antara asupan serat dengan kejadian konstipasi fungsional (p value = 0,045), dan ada hubungan yang bermakna antara posisi saat buang air besar dengan kejadian konstipasi fungsional (p value = 0,043). Diharapkan mahasiswi dapat meningkatkan kualitas kesehatannya sehingga dapat mengurangi kejadian konstipasi fungsional.

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This study aim’s to know the relationship between knowledge, fiber intake, fluid intake, and lifestyle (physical activity, stress, coffee consumption, probiotic consumption and body position on defecation) with functional constipation. This study used cross sectional design and the data were collected from 99 FKM UI students in 2013. The study was conducted from April to Mei 2013. Data collected with self administered questionnaire, Food Recall 2 x 24 hour, dan Food Frequency Questionnaire (FFQ). Data was analyzed by Chi-square. Sample was selected by stratified random sampling method. The result showed that the prevalence of functional constipation was 52,5%. The results of bivariate analysis showed that there was a significant association between knowledge with incidence of functional constipation (p value = 0,014), there was a significant association between fiber intake with incidence of functional constipation (p value = 0,045), and there was a significant association between body position on defecation with incidence functional constipation (p value = 0,043). Students is expected to further improve the quality of their health so as to reduce the incidence of functional constipation."

"Konstipasi fungsional merupakan salah satu masalah gastrointestinal yang paling umum terjadi. Penelitian baru-baru ini menunjukkan bahwa konstipasi fungsional juga banyak dialami oleh kelompok mahasiswa. Dampak konstipasi fungsional pada mahasiswa tidak dapat diabaikan, seperti menimbulkan perasaan tidak nyaman secara fisik dan psikososial yang berakibat pada menurunnya produktivitas dan kualitas hidup. Penelitian ini bertujuan untuk megetahui proporsi kejadian konstipasi fungsional dan hubungan antara beberapa faktor risiko dengan kejadian konstipasi fungsional pada mahasiswa S1 Reguler FKM UI tahun 2023. Variabel dependen dalam penelitian ini yaitu kejadian konstipasi fungsional. Variabel independen dalam penelitian ini antara lain asupan serat pangan, asupan cairan, aktivitas fisik, jenis kelamin, stres, dan kualitas tidur. Penelitian ini dilakukan mulai Juli-Desember 2023 dengan metode penelitian kuantitatif dan desain studi cross-sectional. Responden penelitian ini merupakan mahasiswa aktif S1 Reguler FKM UI angkatan 2020-2022 sejumlah 122 orang yang dipilih melalui teknik simple random sampling. Data diperoleh melalui pengisian kuesioner secara daring melalui Google Form. Data dianalisis secara univariat dan bivariat menggunakan uji Chi-Square dan Fisher-Exact. Berdasarkan hasil analisis, didapatkan proporsi konstipasi fungsional sebesar 18,9%. Hasil analisis bivariat menunjukkan tidak ada hubungan bermakna antara asupan serat pangan, asupan cairan, aktivitas fisik, jenis kelamin, stres, dan kualitas tidur dengan kejadian konstipasi fungsional pda mahasiswa S1 Reguler FKM UI 2023. Meskipun begitu, terdapat kecenderungan bahwa kejadian konstipasi fungsional lebih banyak dialami oleh mahasiswa yang memiliki asupan serat pangan kurang dan asupan cairan kurang. Oleh karena itu, mahasiswa diharapkan meningkatkan konsumsi serat pangan dan cairan serta menerapkan gaya hidup yang lebih sehat.

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Functional constipation is one of the most common gastrointestinal disorders. Recent research shows that funstional constipation also occurs in student groups. The impact of functional constipation on students cannot be ignored, as it causes feelings of physical and psychosocial discomfort, resulting in decreased productivity and quality of life. This study aims to determine the proportion of functional constipation and the relationship between several risk factors with functional constipation among undergraduate students of the Faculty of Public Health, University of Indonesia, in 2023. The dependent variable of this study is functional constipation. The independent variables in this study include dietary fiber intake, fluid intake, sex, physical activity, stress level, and sleep quality. This research was conducted from July to December 2023 using quantitative methods and a cross-sectional study design. Respondents for this study were 122 active regular undergraduate students of FKM UI form the class of 2020-2022, selected through a simple random sampling technique. Data were obtained by filling out online questionnaires via Google Forms. Data were analyzed through univariate and bivariate analyses using the Chi-Square test and Fisher-Exact test. Based on the results, it was found that the proportion of functional constipation was 18,3%. The results of bivariate analysis showed that there was no significant relationship between dietary fiber intake, fluid intake, sex, physical activity, stress level, and sleep quality with functional constipation in regular undergraduate students at FKM UI in 2023. However, this research suggests that there is a tendency for functional constipation to be more frequent in students with lower dietary fiber intake and less fluid intake. Therefore, students are encouraged to increase their consumption of dietary fiber and fluids and adopt a healthier lifestyle. "

"Konstipasi mengganggu aktivitas harian penderita namun tidak dianggap sebagai masalah yang serius walaupun kenyataannya menimbulkan komplikasi kesehatan yang dapat mengancam nyawa. Penelitian ini bertujuan untuk mengetahui gambaran kejadian konstipasi fungsional pada mahasiswa S1 Reguler Fakultas Ilmu Keperawatan Universitas Indonesia. Desain yang digunakan adalah deskriptif cross sectional dengan sampel mahasiswa berjumlah 86 orang, diperoleh dengan menggunakan teknik stratified random sampling. Instrumen dari penelitian ini adalah kriteria ROME III yang telah dimodifikasi. Hasil analisis menunjukkan bahwa sebesar 55,8% mahasiswa mengalami konstipasi fungsional. Promosi kesehatan dengan meningkatkan intake cairan dan asupan serat pada mahasiswa direkomendasikan untuk menurunkan angka kejadian konstipasi fungsional.

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Most people overlook constipation despite the fact that It may disrupt daily life. It, furthermore, can lead to serious health problems that will threaten life. This study aimed to identify the incidence of functional constipation amongst undergraduate nursing students at faculty of Nursing Universitas Indonesia. The study employed cross sectional design, involving 86 respondents who were selected by using stratified random sampling. The instrument of the study was modified ROME III criteria. The results showed that 55,8% of total respondents had functional constipation. This study recommended health promotion by increasing fluid intake and fiber intake targeting students to reduce the incidence of functional constipation."

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Konstipasi fungsional merupakan salah satu gangguan saluran cerna fungsional yang cukup sering ditemukan pada bayi dengan prevalensi 0,7% - 29,6%. Tidak jarang ibu membawa bayinya ke dokter karena gangguan buang air besar. Indonesia juga merupakan sebuah negara multikultur dan memiliki populasi yang beragam. Pengetahuan dan perilaku ibu mengenai konstipasi fungsional juga masih belum banyak diteliti. Penelitian ini bertujuan untuk mengetahui prevalensi konstipasi fungsional serta tingkat pengetahuan dan perilaku ibu terhadap konstipasi fungsional juga faktor-faktor yang memengaruhinya. Data pada penelitian ini didapat dari kuesioner yang disebarkan secara daring kepada seratus ibu yang telah dipilih secara acak yang melahirkan atau berkunjung ke Poliklinik Anak RS Premier Bintaro, Tangerang Selatan. Analisis yang digunakan adalah analisis bivariat antara masing-masing faktor terhadap pengetahuan atau perilaku ibu. Peneliti mendapatkan 51 dari 100 bayi (51%) mengalami gangguan buang air besar dan 24 diantaranya (24%) terdiagnosis konstipasi fungsional berdasarkan Kriteria Roma IV. Nilai median untuk pengetahuan dan perilaku ibu terhadap konstipasi fungsional secara berurutan adalah 10 dan 12 dari nilai maksimal 12 dan 14. Peneliti tidak menemukan hubungan bermakna antara faktor usia ibu, pendidikan ibu, status sosioekonomi keluarga, dan jumlah anak dengan pengetahuan dan perilaku ibu terhadap konstipasi fungsional. 

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Functional constipation is one of functional gastrointestinal disorders that has high prevalence in baby with prevalence 0,7% - 29,6%. Mothers often bring their children to the practicer because of the defecation problems. In another side, Indonesia is a multicultural country that has different kinds of population. Information about mothers’ knowledge and therapeutic approach to functional constipation are still limited. Aim of this research is to discover the prevalence of functional constipation and mothers’ knowledge and theurapeutic approach to functional constipation with the related factors. The data is collected from online questionnaire that distributed to a hundred mothers that have been randomly selected from those who gave birth or visit children polyclinic. Researcher is using bivariate analysis to analyze each variable to knowledge and therapeutic approach. Researcher gets 51 from 100 baby (51%) have defecation problem and 24 among them (24%) diagnosed with functional constipation due to Rome Criteria IV. Median of mothers’ knowledge and therapeutic approach is 10 and 12 with maximum score is 12 and 14 respectively. There are no significant relationship between mothers’ and education, family sosioeconomic status, and number of children with mothers’ knowledge and therapeutic approach to functional constipation. 

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"ABSTRAK Penelitian mengenai asupan serat pangan dan air dan kejadian konstipasi pada remaja masih belum banyak Tujuan penelitian ini untuk mendapatkan profil jumlah asupan serat pangan dan air pada remaja serta hubungan antara asupan serat pangan dan air terhadap pola buang air besar konsistensi tinja dan konstipasi Studi potong lintang dilakukan pada 120 siswa SMU berusia 15 17 tahun dilakukan selama Oktober Desember 2015 Data jumlah asupan energi karbohidrat protein lemak air dan serat bahan makanan dan minuman dikumpulkan dengan menggunakan food record form selama 2x24 jam dan food frequency questionnaire FFQ Subjek terdiri dari 82 anak perempuan 68 3 dan 38 anak lelaki 31 7 sebagian besar dengan gizi baik dan perawakan normal Hanya dua subjek yang mengalami konstipasi Median asupan energi protein lemak dan karbohidrat air dan serat berturut turut sebanyak 1419 3 kalori 54 6 gram 48 4 gram dan 183 2 gram 2079 mL dan 5 1 gram Jumlah asupan energi karbohidrat dan air subjek lelaki secara bermakna lebih tinggi dibandingkan perempuan Tidak didapatkan hubungan bermakna antara asupan serat pangan dan air dengan kejadian konstipasi Data yang didapat menunjukkan jumlah asupan serat pangan remaja usia 15 17 tahun di bawah AKG yang dianjurkan Sebaliknya jumlah asupan air sesuai dengan AKG yang dianjurkan Data yang didapat diharapkan dapat dipergunakan sebagai dasar untuk penelitian selanjutnya ABSTRACT Indonesian children and adolescent are alleged not to consume sufficient fiber and water while studies show fiber and water affect defecation profile This cross sectional study records the amount of fiber and water intake of Indonesian adolescents aged 15 17 years and their defecation pattern Subjects are 120 SMU 68 students aged 15 17 years 82 girls and 38 boys The study was conducted between October and December 2015 We attempt to find any correlation between fiber and water intake and defecation profile Most of the subjects were well nourished and normal stature Median water and fiber intake were 2079 mL and 5 1 grams The median of energy protein fats and carbohydrates intake were 1419 3 calories 54 6 grams 48 4 grams and 183 2 grams consecutively Only two subjects who experienced constipation About 49 subjects had abdominal pain according to Rome III Criteria We found there is no significant association between dietary fiber intake and water consumption and constipation However we feel that future study should be carried out to encrich our data in this field ;Indonesian children and adolescent are alleged not to consume sufficient fiber and water while studies show fiber and water affect defecation profile This cross sectional study records the amount of fiber and water intake of Indonesian adolescents aged 15 17 years and their defecation pattern Subjects are 120 SMU 68 students aged 15 17 years 82 girls and 38 boys The study was conducted between October and December 2015 We attempt to find any correlation between fiber and water intake and defecation profile Most of the subjects were well nourished and normal stature Median water and fiber intake were 2079 mL and 5 1 grams The median of energy protein fats and carbohydrates intake were 1419 3 calories 54 6 grams 48 4 grams and 183 2 grams consecutively Only two subjects who experienced constipation About 49 subjects had abdominal pain according to Rome III Criteria We found there is no significant association between dietary fiber intake and water consumption and constipation However we feel that future study should be carried out to encrich our data in this field ;Indonesian children and adolescent are alleged not to consume sufficient fiber and water while studies show fiber and water affect defecation profile This cross sectional study records the amount of fiber and water intake of Indonesian adolescents aged 15 17 years and their defecation pattern Subjects are 120 SMU 68 students aged 15 17 years 82 girls and 38 boys The study was conducted between October and December 2015 We attempt to find any correlation between fiber and water intake and defecation profile Most of the subjects were well nourished and normal stature Median water and fiber intake were 2079 mL and 5 1 grams The median of energy protein fats and carbohydrates intake were 1419 3 calories 54 6 grams 48 4 grams and 183 2 grams consecutively Only two subjects who experienced constipation About 49 subjects had abdominal pain according to Rome III Criteria We found there is no significant association between dietary fiber intake and water consumption and constipation However we feel that future study should be carried out to encrich our data in this field "

"ABSTRAKGastritis merupakan salah satu penyakit yang terjadi di saluran pencernaan. Beberapa penelitian mengidentifikasikan pola makan merupakan salah satu penyebab gastritis. Tujuan penelitian ini untuk mengetahui apakah pola makan baik atau buruk yang akan menimbulkan risiko gastritis. Desain yang digunakan adalah deskriptif korelasi dengan pendekatan potong lintang (survey cross-sectional). Sampel sebanyak 98 responden diambil menggunakan tehnik purposive sampling dengan ketentuan lolos tahap skrinning dan belum pernah terdiagnosa gastritis. Hasil menyatakan ada hubungan yang bermakna antara pola makan dengan risiko gastritis pada mahasiswa (p=0,026; =0,05; OR=0,327). Peneliti menyarankan pemberian edukasi terkait pola makan yang tepat sebagai motivasi gaya hidup lebih sehat bagi mahasiswa agar terhindar dari penyakit gastritis

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ABSTRACTGastritis is a disease that occurs in the gastrointestinal tract. Some studies suggest that one of the cause of gastritis is food pattern. Purpose this study will examine the relationship between student’s food pattern and risk of gastritis. Research design is descriptive correlation with cross sectional survey. Sample of 98 respondents that have not been diagnosed with gastritis based on screening test. It was taken by using puposive sampling technique. Result of test stating there is a significant relationship between food pattern and the risk of gastritis in student (p=0,026; =0,05; OR=0,327). Researcher suggesting the education program for students related to food pattern is needed to motivate and maintance student’s health out of gastritis"

"Penelitian ini bertujuan mengidentifikasi gambaran kejadian masalah gastrointestinal pada mahasiswa asing di Universitas Indonesia. Desain penelitian deskriptif dengan pendekatan potong lintang, melibatkan 64 sampel yang dipilih dengan teknik convenient sampling. Instrumen yang digunakan ialah kuesioner yang dimodifikasi dari penelitian sebelumnya. Analisis data univariat distribusi frekuensi.Hasil penelitian menunjukkan 82,8% mahasiswa asing di Universitas Indonesia pernah mengalami masalah gastrointestinal selama berada di Indonesia. 46,3% responden menyatakan sering mengalami keluhan sakit perut, yang merupakan manifestasi umum pada berbagai jenis gangguan gastrointestinal. Penelitian lebih lanjut diperlukan untuk mengeksplorasi berbagai faktor pola makan dan gaya hidup yang memengaruhi kejadian masalah gastrointestinal pada mahasiswa asing di Universitas Indonesia.

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This study aimed to identify the description of gastrointestinal problems on foreign students in Universitas Indonesia. Descriptive study with a cross-sectional design, involving 64 samples whom were selected with convenient sampling method. A questionnaire which was modified from previous research was used.

The result showed that 82,8% foreign students of Universitas Indonesia had experienced gastrointestinal problems during in Indonesia, which indicates high prevalence. 46,3% respondents often experience abdominal discomfort which is the common manifestation of various gastrointestinal disorders. A further research is needed to explore and elaborate the related factors such as consumption pattern and lifestyle which significantly affect the gastrointestinal problems finding on foreign students in Universitas Indonesia."

"Salah satu stresor mahasiswa berkaitan dengan akademik. Respon terhadap stres akademik tersebut dapat berupa psikologis dan fisiologis. Salah satu respon fisiologis stres yaitu gejala gastrointestinal. Penelitian ini bertujuan untuk mengidentifikasi tingkat stres akademik dan prevalensi gejala gastrointestinal pada mahasiswa di FIK UI dan untuk mencari tahu hubungan keduanya menggunakan kuesioner Academic Stress Scale ASS dan Gastrointestinal Symptoms Rating Scale GSRS.Desain penelitian adalah cross sectional, teknik sampel menggunakan propotionate stratified random sampling dengan melibatkan 227 mahasiswa. Analisis data menggunakan analisis univariat dan bivariat uji chi-square . Hasil penelitian menunjukkan bahwa terdapat mahasiswa yang tingkat stresnya tinggi yaitu 44,9 dan mahasiswa yang mengalami gejala gastrointestinal berat sejumlah 33,5. Gejala yang banyak dilaporkan yaitu dismotilitas atas diikuti dengan gejala pada usus.Hasil uji korelasi yaitu terdapat hubungan yang signifikan antara stres akademik dengan gejala gastrointestinal pada mahasiswa FIK UI p value = 0,018; ? = 0,05 . Hasil uji odd ratio OR yaitu 2,037. Hal tersebut berarti mahasiswa dengan stres akademik tingkat tinggi lebih berpeluang mengalami gejala gastrointestinal 2,037 kali dibandingkan dengan mahasiswa yang memilik tingkat stres rendah. Untuk mengurangi tingkat stres akademik seperti ujian, perlu dikembangkan kegiatan diskusi diluar waktu kuliah untuk meningkatkan persiapan.

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One of the student stressors is related to academics. The response to academic stress can be psychological and physiological. One of the stressful physiological responses is gastrointestinal symptoms. This studi Aim to identify the level of academic stress and prevalence of gastrointestinal symptoms in students at FIK UI and to find out the relationship using the Academic Stress Scale ASS and Gastrointestinal Symptoms Rating Scale GSRS questionnaire.

A cross sectional study design was used, the sample technique using propotionate stratified random sampling involving 227 students. Data analysis used univariate and bivariate analysis chi square test . The results showed that there are students with high stress level that is 44.9 and students who experience symptoms of gastrointestinal weight of 33.5 . Most of the nursing student complained of upper dysmotility and bowel symptoms.

Correlation test result that there is a significant correlation between academic stress with gastrointestinal symptoms in FIK UI student p value 0,018 0,05 . Result of odd ratio test OR that is 2,037. This means that students with high level academic stress are more likely to complain of gastrointestinal symptoms 2,037 times compared to nursing students with lowest academic stress level. To reduce the level of academic stress such as exams, it is necessary to develop discussion activities outside of college time to improve preparation for exams. "

"Ibu dengan seksio sesarea akan menghadapi berbagai macam permasalahan kesehatan, baik masalah fisik maupun psikologis. Permasalahan fisik yang sering terjadi antara lain post operatif ileus yang menyebabkan nyeri "gas pain", distress yang memperlama hari rawat serta meningkatkan resiko infeksi. Hal ini terjadi akibat efek samping anestesi, operasi di abdomen, trauma dan stress operasi. Penelitian ini merupakan penelitian dengan design quasi experimental pretest posttest with control group yang bertujuan untuk mengetahui efektivitas mengunyah penmen karet dalam meningkatkan motilitas saluran cerna (frekuensi bising usus, mual/muntah, kembung dan flatus) di RSUD Koja. Populasi adalah semua ibu yang melahirkan dengan seksio sesarea di RSUD Koja. Jumlah sampel dalam penelitian ini 75 orang yang terdiri dari 37 orang kelompok perlakuan dan 38 orang kelompok kontrol yang pengambilannya dengan cara quota sampling. Uji homogenitas responden antara kelompok perlakuan dan kelompok kontrol didapatkan hasil kedua kelompok homogen (p> 0,05). Analisis efektivitas mengunyah permen karet terhadap frekuensi bising usus dilakukan dengan menggunakan uji t, sedangkan mual/muntah, kembung dan flatus diukur setiap 30 menit dan dianalisis dengan distribusi frekuensi. Hasil penelitian ini menunjukkan bahwa terdapat perbedaan rata-rata frekuensi bising usus diantara kedua kelompok setelah mengunyah permen karet (p=0,00, x 0,05) Baik pada kelompok perlakuan maupun kelompok kontrol tidak ditemukan kejadian mual/muntah dan kembung setelah intervensi, namun demikian pada kelompok perlakuan kejadian mual/muntah lebih cepat hilang satu jam. Mengunyah penmen karet juga memberi efek flatus lebih cepat (13,5%) dibanding dengan yang tidak mengunyah permen karet. Dengan demikian dapat disimpulkan bahwa mengunyah permen karet dapat meningkatkan motilitas saluran cerna. Berdasarkan hasil penelitian ini disarankan untuk memotivasi klien post operasi untuk mengunyah permen karet sebab mengunyah permen karet efektif dalam meningkatkan motilitas saluran cema, simple, mudah ditoleransi, aman dan murah.

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Women with caesarean section will face many health problems physiologically and psychologically. One of the most common physical problems is post ileuses operative such as gas pain, distress and which may causes longer durations of inpatient stay, higher rates of hospital-acquired infection. This problem occurs due to side effect of the anesthesia, abdomen surgery, trauma and the surgical stress. This study used a quasi experimental pretest posttest with control group design to identify the effectiveness of chewing gum toward gastro intestinal tract motility (frequency of bowel wheezing, nausea/vomiting, bloating and flatus) at RSUD Koja. The study included all women in labor at RSUD Koja. A total of 75 women as sample were divided into two groups; 37 women as intervention group and 38 women as control group. They were taken by quota sampling. The result shown that the characteristic between both groups is equal (p 0, 05) it's mean that the both group are homogeny. The study of effectiveness of chewing gum towards bowel sounds frequencies was analyzed by using t test. Whereas, nausea/vomiting, bloating and flatus that has been taken observation every 30 minute were analyzed by distribution frequencies. The study has shown that there are any differences in average of bowel sounds frequencies between intervention group and control group (p.1.00, cc 0.05): Nausea/vomiting and flatus did not appear in both groups after intervention. However reducing the nausea/vomiting in intervention group faster one hour than groups control. The passage of flatus in the gum chewing groups is after intervention obtained 13,5% and than it did not happen in control groups. This study proved that the intervention increase gastro intestinal tract motility. The study recommends motivate post-operation clients to chewing gum because chewed gum speeds recovery post operatif ileus by stimulating bowel motility. The chewing gum is simple, easily tolerate no complication and inexpensive easy method of stimulating intestinal motility."

"Cairan berfungsi dalam penyerapan nutrisi, proses metabolisme, fungsi sel - sel tubuh, dan organ tubuh. Gangguan keseimbangan cairan pada sistem gastrointestinal dapat disebabkan oleh diare, muntah atau perdarahan. Aplikasi model adaptasi Roy bertujuan untuk mendukung pasien mampu berespon secara adaptif terhadap gangguan kesehatannya. Empat dari lima klien kelolaan yang mengalami gangguan keseimbangan cairan mengalami keberhasilan adaptasi terhadap gangguan keseimbangan cairan mereka. Sementara, satu klien kelolaan lainnya pada awalnya mengalami perbaikan tetapi adanya penyakit penyerta lainnya menyebabkan klien tidak dapat beradaptasi. Keberhasilan adaptasi individu dipengaruhi oleh usia klien, temperatur lingkungan, stress, dan tingkat keparahan penyakit. Kemampuan perawat mengelola stimulus yang mempengaruhi keseimbangan cairan akan meningkatkan kemampuan adaptasi klien dalam menghadapi gangguan kesehatannya.

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Fluid involves in nutrient absorption, metabolism process, and cell function. Disorder of fluid balance such as in gastrointestinal system can be caused by diarrhea, vomiting or bleeding. Roy adaptation model application aims to support the patient to be able to respond adaptively to their health problems. Four out of five clients with fluid imbalance responded adaptively to their fluid imbalance problem. Meanwhile, the other client initially experienced positive adaptation, however, he finally failed to adapt to his condition because he also suffered other diseases. Many things influence the successfulness of individual adaptation process such as: age, environment temperature, other stressors, and the severity of the disease. Nurse's ability to manage the stimulus that affects fluid balance will improve client’s ability to do adaptation on their health problems."