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"[Kanker kolorektal merupakan kondisi keganasan pada kolon dan rektum yang dapat menimbulkan masalah baik secara fisik maupun psikologis Karya ilmiah ini bertujuan untuk menggambarkan analisis praktik klinik keperawatan kesehatan masyarakat perkotaan pada pasien dengan kanker kolorektal Dalam karya ilmiah ini digunakan metode intervensi sesuai Nursing Intervention Classification dengan melibatkan satu pasien dengan kanker kolorektal Hasil analisis dari studi literatur dan intervensi yang dilakukan menunjukkan bahwa kanker kolorektal yang dapat dipicu oleh gaya hidup masyarakat perkotaan dapat menimbulkan masalah ansietas yang berdampak pada penurunan kualitas hidup pasien Teknik penurunan ansietas berupa pendidikan preoperatif dan peningkatan koping menjadi intervensi yang direkomendasikan dalam mengatasi masalah psikologis pasien dengan kanker kolorektal ;Colorectal cancer is malignant condition in colon and rectum that could cause problems in both physically and psychologically This study aimed to describe the analysis of clinical practice in urban health nursing This study used intervention methodes based on Nursing Intervention Classification which evaluated one patient The result of analysis that based on literature review and intervention indicated that colorectal cancer which could be the impact of urban community rsquo s life style could make anxiety problem and lead to decrease patient rsquo s quality of life Interventions of anxiety reduction such as teaching preoperative and coping enhancement were recommended to solve psychological problems ini patient with colorectal cancer ;Colorectal cancer is malignant condition in colon and rectum that could cause problems in both physically and psychologically This study aimed to describe the analysis of clinical practice in urban health nursing This study used intervention methodes based on Nursing Intervention Classification which evaluated one patient The result of analysis that based on literature review and intervention indicated that colorectal cancer which could be the impact of urban community rsquo s life style could make anxiety problem and lead to decrease patient rsquo s quality of life Interventions of anxiety reduction such as teaching preoperative and coping enhancement were recommended to solve psychological problems ini patient with colorectal cancer , Colorectal cancer is malignant condition in colon and rectum that could cause problems in both physically and psychologically This study aimed to describe the analysis of clinical practice in urban health nursing This study used intervention methodes based on Nursing Intervention Classification which evaluated one patient The result of analysis that based on literature review and intervention indicated that colorectal cancer which could be the impact of urban community rsquo s life style could make anxiety problem and lead to decrease patient rsquo s quality of life Interventions of anxiety reduction such as teaching preoperative and coping enhancement were recommended to solve psychological problems ini patient with colorectal cancer ]"

"Kanker kolorektal merupakan salah satu masalah kesehatan yang terjadi di daerah perkotaan. Salah satu bagian dari kanker kolorektal adalah kanker rekti. Pasien paska pembedahan kolostomi biasanya mengalami ketakutan menangani perawatan kolostomi. Edukasi perawatan kolostomi yang tidak optimal dapat menyebabkan obstruksi, infeksi, retraksi stoma, perdarahan stoma. Tujuan penulisan ini adalah menunjukkan pentingnya melakukan discharge planning edukasi perawatan kolostomi setiap kasus klien baru operasi kolostomi. Rekomendasi penulisan ini agar klien kanker kolorektal paska kolostomi terhindar dari resiko komplikasi dan klien menjadi lebih mandiri.

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Colorectal cancer is one of the health problems that occur in urban areas. One part of colorectal cancer is rectal cancer. Post-surgical patients usually experience fear to handle colostomy care. Lack of colostomy care education can causes obstruction, infection, retracted stoma, stoma bleeding.

The purpose of this paper is to show the importance of discharge planning education of colostomy care every new client post colostomy surgery. Recommendations of this paper is help the colorectal cance rpost colostomy avoids the risk of complications and become more independent."

"Pola hidup masyarakat perkotaan yang tidak sehat seperti jarang melakukan aktivitas fisik serta kurang mengkonsumsi sayur dan buah-buahan menyebabkan masyarakat di kawasan perkotaan rentan terkena kanker kolorektal. Kanker kolorektal merupakan salah satu penyebab pasien harus menjalani operasi kolostomi. Tindakan kolostomi menyebabkan penurunan kualitas hidup pasien. Dengan pemberian edukasi tentang perawatan kolostomi serta penyesuaian terhadap perubahan pada pasien pasca kolostomi dapat mencegah penurunan kualitas hidup pasien. Tujuan penulisan ini adalah menunjukkan pentingnya edukasi tentang perawatan kolostomi serta penyesuaian terhadap perubahan pasca kolostomi. Evaluasi dari edukasi tentang perawatan kolostomi pada pasien kelolaan menunjukkan setelah diberikan edukasi pasien mampu memahami tentang cara perawatan stoma serta penyesuaian diet, aktivitas seksual, dan aktivitas ibadah pasca kolostomi. Rekomendasi dari penulisan ini agar pasien pasca kolostomi dapat melakukan perawatan kolostomi secara mandiri serta dapat menyesuaikan perubahan pasca kolostomi sehingga tidak terjadi penurunan kualitas hidup.

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lifestyles of urban communities such as rarely physical activity and less consumption of vegetables and fruits cause people in urban areas susceptible to colorectal cancer. Colorectal cancer is one of the causes of patients having to undergo colostomy surgery. Colostomy action leads to decreased quality of life of the patient. With the provision of education on colostomy care as well as adjustment to changes in post colostomy patients can prevent deterioration of patient's quality of life.

The purpose of this paper is to show the importance of education on colostomy care and adjustment to post colostomy changes. Evaluation of education on colostomy care in patients under management showed that after being educated the patient was able to understand colostomy care and dietary adjustments, sexual activity, and post colostomy religious activities.

Recommendation from this writing that post colostomy patients can do colostomy care independently and can adjust post colostomy changes so that there is no decrease in quality of life."

"[ABSTRAKHirschsprung merupakan kelainan konginetal yang dapat menimbulkan gangguan eliminasi feses dan membutuhkan tindakan operasi yang disertai dengan nyeri akut pada anak. Manajemen nyeri yang tepat diperlukan untuk mengatasi respon nyeri pada anak, sehingga perlu dilakukan studi yang bertujuan untuk mengetahui pengaruh terapi musik terhadap respon nyeri anak dengan studi kasus pada satu pasien dan penilaian skor nyeri anak dilakukan dengan menggunakan skala ukur nyeri FLACC. Terapi musik dilakukan selama empat hari secara stimultan dengan durasi terapi tidak kurang dari 20 menit. Hasil studi menunjukkan bahwa terjadi penurunan skor respon nyeri anak dari 5 menjadi 3. Hasil studi juga memberikan rekomendasi bahwa perlu dilakukannya studi lebih lanjut tentang hubungan pemberian terapi musik terhadap anak dengan post operasi Duhamel dengan metode yang berbeda.

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ABSTRACTHirschsprung disease is defined as conginetal absence that causes feces elimination failure which requires sugery that characterized with acute pain among children. The appropriate pain management is required to decrease the pain, so that the study was aimed to identify effect of music therapy on post Duhamel surgery pain is required. This metodology of this study was case study on one patient and used FLACC as a pain assesment scale. Music therapy was conducted for 4 days, simultaneously, and its long duration of music therapy is not less than 20 minutes. Results showed that FLACC score decreased from 5 to 3. This study also give a recommendation that the relationship of music therapy on postoperative pain in patients with Duhamel prosedure in the hospital is required for further research with a different methodology, Hirschsprung disease is defined as conginetal absence that causes feces elimination failure which requires sugery that characterized with acute pain among children. The appropriate pain management is required to decrease the pain, so that the study was aimed to identify effect of music therapy on post Duhamel surgery pain is required. This metodology of this study was case study on one patient and used FLACC as a pain assesment scale. Music therapy was conducted for 4 days, simultaneously, and its long duration of music therapy is not less than 20 minutes. Results showed that FLACC score decreased from 5 to 3. This study also give a recommendation that the relationship of music therapy on postoperative pain in patients with Duhamel prosedure in the hospital is required for further research with a different methodology]"

"Penyakit Demam berdarah dengue (DBD) merupakan salah satu masalah kesehatan yang sering terjadi di daerah perkotaan. Pasien DBD biasanya mengalami demam tinggi selama 4 sampai 5 hari. Tanda lainnya ialah nyeri ulu hati, mual, petekie, gusi berdarah dan melena. Untuk memantau kondisi pasien perlu dilakukan pemeriksaan nilai laboratorium secara teratur. Prosedur pengambilan darah dan pemasangan infus dapat memberikan rasa nyeri pada pasien. Tujuan penulisan ini ialah melakukan analisis evidence based practice mengenai pemberian terapi madu pada anak. Hasil dari pemberian madu terbukti dapat menurunkan skala nyeri pada pasien anak yang berusia satu sampai lima tahun. Oleh karena itu, sebaiknya perawat memberikan terapi madu kepada pasien anak sebelum dilakukan tindakan invasif.

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Dengue hemorrhagic fever (DHF) is one of diseases that often occur in urban areas. DHF patients usually experience high fever for 4 to 5 days, accompanied by signs such as heart burn, nausea, petechiae, bleeding gums and melena. The result of labolatory diagnostic test related to the disease is necessary to be observed regularly. Blood sampling procedures and the procedure of setting up the intravein catheter can give pain for pediatric patients. The aim of this paper is to analyze evidence based practice on the effectiveness of honey therapy for overcome the pain. This paper proved that honey treatment is effective to lower the pain scale in pediatric patients aged one to five years. Therefore, honey therapy is necessary to be given by nurse to pediatric patient before doing invasive procedures."

"[ABSTRAKPerubahan gaya hidup masyarakat perkotaan dapat memacu meningkatnyapenyakit degeneratif salah satunya kanker kolorektal. Perubahan gaya hidupseperti diet, aktifitas, merokok, minum alkohol, stress merupakan faktor risikoterjadinya kanker kolorektal. Salah satu pengobatan kanker kolorektal adalahpembuatan stoma. Stoma merupakan merupakan masalah serius yangmempengaruhi kualitas hidup pada pasien kanker. Salah satu jenis stoma yaitukolostomi. Penulisan ini bertujuan untuk mengidentifikasi persiapan perioperatifpada klien yang akan dilakukan operasi kolostomi. Konseling pre operasi amatsangat penting diberikan kepada pasien yang akan menjalani tindakanpembedahan kolostomi. Konseling ini diberikan oleh perawat spesialis stoma atauEnterostomal therapy nurse (ET Nurse). Informasi yang jelas dan penjelasanmengenai stoma, perubahan gaya hidup akan memberikan keuntungan padaproses penyembuhan.;

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ABSTRACT

Change of lifestyle among urban community can increase the risk of degenerative

diseases, such as a colorectal cancer. Lifestyle changes in diet, activity, smoking,

alcohol consumption and stress are few among risk factors of colorectal cancer.

One treatment of colorectal cancer is stoma. Stoma is a serious issue that affects

the quality of life in cancer patients. One type of stoma is a colostomy. This

research aims to identify perioperative preparation for client who will undergo

colostomy surgery. Preoperative counseling is extremely important for patients

who will undergo colostomy surgery. Counseling was provided by specialist

nurses or Enterostomal stoma therapy nurse (ET Nurse). Clear information and

an explanation regarding the stoma and lifestyle improvement will benefit the

healing process.;Change of lifestyle among urban community can increase the risk of degenerativediseases, such as a colorectal cancer. Lifestyle changes in diet, activity, smoking,alcohol consumption and stress are few among risk factors of colorectal cancer.One treatment of colorectal cancer is stoma. Stoma is a serious issue that affectsthe quality of life in cancer patients. One type of stoma is a colostomy. Thisresearch aims to identify perioperative preparation for client who will undergocolostomy surgery. Preoperative counseling is extremely important for patientswho will undergo colostomy surgery. Counseling was provided by specialistnurses or Enterostomal stoma therapy nurse (ET Nurse). Clear information andan explanation regarding the stoma and lifestyle improvement will benefit thehealing process;Change of lifestyle among urban community can increase the risk of degenerativediseases, such as a colorectal cancer. Lifestyle changes in diet, activity, smoking,alcohol consumption and stress are few among risk factors of colorectal cancer.One treatment of colorectal cancer is stoma. Stoma is a serious issue that affectsthe quality of life in cancer patients. One type of stoma is a colostomy. Thisresearch aims to identify perioperative preparation for client who will undergocolostomy surgery. Preoperative counseling is extremely important for patientswho will undergo colostomy surgery. Counseling was provided by specialistnurses or Enterostomal stoma therapy nurse (ET Nurse). Clear information andan explanation regarding the stoma and lifestyle improvement will benefit thehealing process;Change of lifestyle among urban community can increase the risk of degenerativediseases, such as a colorectal cancer. Lifestyle changes in diet, activity, smoking,alcohol consumption and stress are few among risk factors of colorectal cancer.One treatment of colorectal cancer is stoma. Stoma is a serious issue that affectsthe quality of life in cancer patients. One type of stoma is a colostomy. Thisresearch aims to identify perioperative preparation for client who will undergocolostomy surgery. Preoperative counseling is extremely important for patientswho will undergo colostomy surgery. Counseling was provided by specialistnurses or Enterostomal stoma therapy nurse (ET Nurse). Clear information andan explanation regarding the stoma and lifestyle improvement will benefit thehealing process, Change of lifestyle among urban community can increase the risk of degenerativediseases, such as a colorectal cancer. Lifestyle changes in diet, activity, smoking,alcohol consumption and stress are few among risk factors of colorectal cancer.One treatment of colorectal cancer is stoma. Stoma is a serious issue that affectsthe quality of life in cancer patients. One type of stoma is a colostomy. Thisresearch aims to identify perioperative preparation for client who will undergocolostomy surgery. Preoperative counseling is extremely important for patientswho will undergo colostomy surgery. Counseling was provided by specialistnurses or Enterostomal stoma therapy nurse (ET Nurse). Clear information andan explanation regarding the stoma and lifestyle improvement will benefit thehealing process]"

"Kanker payudara merupakan adanya tumor pada sel-sel jaringan payudara. Secara umum kanker payudara belum dapat dipastikan penyebab utamanya, namun pola hidup masyarakat perkotaan yang tidak sehat dapat menjadi salah satu faktor yang dapat mengakibatkan terjadinya kanker payudara. Kanker payudara dapat menimbulkan komplikasi apabila telah terjadi metastasis atau penyebaran ke organ lain, salah satunya adalah ke organ paru-paru sehingga akan menimbulkan efusi pleura. Efusi pleura merupakan adanya akumulasi cairan dalam rongga pleura. Salah satu dampak efusi pleura adalah sistem pernapasan. Salah satu intervensi keperawatan dalam menangani masalah pernapasan adalah pemberian posisi tidur yang sesuai. Pemberian posisi yang sesuai dapat membantu ekspansi paru dalam proses bernapas. Karya Ilmiah Akhir Ners ini bertujuan untuk menganalisis intervensi pemberian posisi semi fowler pada klien kanker payudara dengan efusi pleura di Ruang Rawat Inap Lantai 4 Selatan Gedung Irna Teratai RSUP Fatmawati. Hasil analisis menunjukkan adanya peningkatan saturasi oksigen dan frekuensi napas menjadi optimal saat klien diberikan posisi semi fowler. Perlu dilakukan sosialisasi terkait manfaat pemberian posisi semi fowler pada perawat ruangan agar oksigenasi pada klien dengan masalah pernapasan menjadi lebih maksimal.

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Breast cancer is the presence of tumor cells in breast tissue. Generally the cause of breast cancer is uncertain, but the lifestyle of urban community which is not healthy can be one of the factors that may lead to the occurrence of breast cancer. Breast cancer can cause complications when metastasis has occurred or spread to other organs, one of them is to the lungs so that the organ will cause pleural effusion. The presence of pleural effusion is an accumulation of fluid in the pleural cavity. One of the impacts of pleural effusion is the respiratory system. The nursing interventions in dealing with respiratory problems is the awarding of appropriate semi fowler positioning. The granting of the corresponding position can help in the process of breathing lung expansion.

Scientific works on this research aims to analyse the intervention of giving a semi fowler position on clients of breast cancer with pleural effusion in South Section of 4th floor Fatmawati Hospital. The results of the analysis show an increase in oxygen saturation and frequency of breath be optimal when the client is given the position of semi fowler. Socialisation related of the benefits of semi fowler position in nurses room in order for oxygenation on the client with respiratory problems being more maximum."

"ABSTRAKPerubahan gaya hidup masyarakat perkotaan dapat meningkatkan risiko diabetes melitus yang berpengaruh terhadap terjadinya luka dan mengakibatkan luka cepat memburuk dan sulit sembuh. Luka tekan merupakan kondisi akibat dari tekanan pada daerah tertentu dalam jangka waktu yang cukup lama. Karya ilmiah ini bertujuan menggambarkan efektifitas perawatan luka dengan balutan lembab (moist) dan pencegahan risiko luka tekan dengan skala Braden, menggunakan metode studi kasus. Perawatan luka dengan konsep moist, dan pencegahan risiko luka tekan dengan menggunakan skala Braden terbukti efektif dalam perawatan luka tekan serta membantu mempercepat proses penyembuhan luka diharapkan menjadi upaya yang perlu dipertimbangkan dalam manajemen dan penangan luka tekan.

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ABSTRACTLifestyle changes in urban community could increase the risk of diabetes mellitus that caused a wound and make in faster wound deteriorating and difficult to heal. Pressure ulcer is caused by prolonged pressure in certain areas. The aim of this paper was to describe the effectiveness of moist wound care and prevention of pressure ulcer risk using Braden scale. The concept of moist wound care, and prevention the risk of pressure ulcer using the Braden scale proved to be effective in the treatment of pressure ulcer and help accelerate the wound healing process. Wound care with moist concept and prevention using Braden scale should be addressed for pressure ulcer management."

"Pembangunan fisik perkotaan yang semakin meningkat menyebabkan kejadian kecelakaan, terutama pada anak di daerah perkotaan, semakin meningkat dari tahun ke tahun. Kejadian kecelakaan ini menimbulkan berbagai masalah kesehatan, salah satunya adalah fraktur. Anak yang mengalami fraktur rentan mengalami kerusakan tumbuh kembang jika tidak diatasi segera mungkin. Salah satu manifestasi fraktur adalah nyeri akut. Karya ilmiah ini bertujuan untuk menggambarkan asuhan keperawatan pada anak yang mengalami fraktur. Karya ilmiah ini juga menerapkan terapi nonfarmakologis berupa terapi bacaan Al-Qur’an dengan media audio. Berdasarkan hasil penelitian, didapatkan hasil bahwa anak yang mengalami fraktur sering mengalami nyeri dan respon nyeri tersebut dapat dikurangi dengan mengaplikasikan terapi bacaan Al-Qur’an melalui media audio pada anak yang mengalami fraktur.

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The escalating of urban physical development cause many accidents, especially which involve children in urban areas, increase from years to years. Those accidents invoke a lot of health problems, one of the problem is fracture. Any child who gets fracture is vulnerable to experience growth damage if the problem is not handled as soon as possible. One impact of fracture is severe pain.

This thesis attempts to describe how nursing care is carried on to child who gets fracture. This thesis applies non-farmacology therapy by listening to Al-Qur’an recitation on audio media. Based on the research, any child who gets fracture tends to experience severe pain and such pain can be decreased by applying Al-Qur’an recitation therapy through audio media to the child."

"Kanker payudara banyak diderita masyarakat perkotaan. Salah satu penanganan dari kanker payudara ialah mastektomi. Mastektomi memiliki beberapa komplikasi, salah satunya ialah limfadema. Penulisan karya ilmiah akhir ini bertujuan untuk melakukan analisis terhadap intervensi mandiri keperawatan yaitu latihan mobilisasi lengan pada awal post operasi mastektomi untuk mengurangi edema transisi dan mencegah limfadema. Praktik dilakukan di ruang rawat gema tengah RSUP Persahabatan. Hasil dan evaluasi dari intervensi yang dilakukan yaitu berkurangnya edema transisi pada lengan klien dan meningkatnya kekuatan otot lengan klien. Perawat perlu melakukan intervensi mandiri keperawatan tersebut pada pasien kanker payudara post mastektomi untuk mengurangi edema transisi dan mencegah limfadema.

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Breast cancer occurs to many urban communities. One of the treatments of breast cancer is mastectomy. Mastectomy has few complications, one of which is lymphedema. This study aimed to analyze nursing implementation which is early arm mobilization for post mastectomy patient to reduce transition edema and prevent lymphedema. This practice is done in Gema Tengah Ward RSUP Persahabatan. Results and evaluation of this intervention are reducing patients arm transition edema and increasing her arm muscle strength. Nurses need to do these interventions in the post mastectomy breast cancer patients to reduce transition edema and prevent lymphedema."