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"Fatigue merupakan kondisi yang dimanifestasikan dengan perasaan lelah, kehilangan energi, dan tidak memiliki keinginan untuk mengerjakan apapun. Anak dengan kanker lebih sering mengalami fatigue yang dapat berdampak pada kualitas hidupnya. Karya Ilmiah Akhir ini mengaplikasikan Teori Kenyamanan dalam asuhan keperawatan anak dengan kanker yang menjalani kemoterapi. Fatigue menjadi masalah dalam konteks kenyamanan fisik yang berpengaruh terhadap konteks kenyamanan psikospiritual, sosiokultural, dan lingkungan. Intervensi dilakukan melalui inovasi pemberian relaksasi otot progresif dengan frekuensi 1x sehari pada pagi hari dengan durasi 15 menit selama 5 hari berturut-turut. Evaluasi secara klinis menunjukkan adanya penurunan fatigue setelah pemberian intervensi, meskipun penurunan skor fatigue tidak bermakna secara signifikan. Teori Kenyamanan dapat diaplikasikan dalam asuhan keperawatan untuk mengatasi fatigue pada anak dengan kanker melalui penerapan relaksasi otot progresif.

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Fatigue is a condition that is manifested by feeling tired, losing energy, and not having the desire to do anything. Children with cancer more often experience fatigue which can have an impact on their quality of life. This final scientific work applies the Theory of Comfort in nursing care for children with cancer undergoing chemotherapy. Fatigue becomes a problem in the context of physical comfort which affects the context of psychospiritual, sociocultural, and environmental comfort. The intervention was carried out through the innovation of providing progressive muscle relaxation with a frequency of 1x a day in the morning with a duration of 15 minutes for 5 consecutive days. Clinical evaluation showed a decrease in fatigue after the intervention, although the decrease in fatigue scores was not significant. Comfort theory can be applied in nursing care to overcome fatigue in children with cancer through the application of progressive muscle relaxation."

"Kanker menimbulkan masalah pada anak baik fisik maupun psikologis.Teori kenyamanan Kolcaba memberikan arahan dalam pemenuhan rasa nyaman pada pasien anak kanker dengan masalah fatigue. Karya ilmiah ini bertujuan untuk menganalisis penerapan teori kenyamanan Kolcaba pada 5 kasus kelolaan sebagai upaya mengoptimalisasi pemberian asuhan keperawatan pada anak kanker yang menjalani kemoterapi dengan masalah fatigue. Asuhan Keperawatan dilakukan berdasarkan tahapan kenyamanan, yaitu pengkajian (kenyamanan fisik, psikospiritual, sosiokultural dan lingkungan), merumuskan diagnose keperawatan, menetapkan intervensi (berdasarkan standard comfort, coaching dan comfort food for the soul), implementasi dan evaluasi. Teori kenyamanan Kolcaba dapat diterapkan pada anak kanker dengan masalah fatigue. Hal ini perlu diterapkan pada kasus yang lebih besar

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Cancer provokes physical and psychological problems. Kolcaba's comfort theory gives direction in fulfilling comfort feeling in children with cancer that have fatigue issue. This case study aims is to analyze application of Kolcaba comfort in 5 cases of management theory regarding optimizing nursing care for children with cancer that having chemotherapy and fatigue issue. Nursing care was applied based on comfort level such as assessment (physical comfort, psychospiritual, sociocultural and environmental), nursing diagnoses , determine interventions (based on comfort standards, coaching and comfort food for the soul), implementation and evaluation. Kolcaba comfort theory mau apply for children with cancer that having fatigue issue. Experience of children with cancer that have been hospitalized because of fatigue issue could be explored. This needs to be applied to a larger case."

"Karya ilmiah ini menjelaskan tentang aplikasi Comfort Theory (Kolkaba) pada anak dalam pemenuhan rasa nyaman nyeri di ruang non infeksi. Penerapan Comfort Theory Kolkaba ini dilaksanakan pada 5 kasus kelolaan yang berbeda untuk memenuhi kebutuhan rasa nyaman nyeri yang berfokus pada faktor fisik, psikospiritual, lingkungan dan sosial. Pemenuhan rasa nyaman nyeri sangat penting bagi anak yang di rawat dengan kanker. Tindakan keperawatan untuk memenuhi rasa nyaman tersebut di laksanakan secara mandiri, kolaborasi dan pendidikan kesehatan, sehingga diharapkan klien mencapai rasa nyaman relief, ease, dan transcendence. Ners spesialis keperawatan anak menerapkan tindakantindakan keperawatan pada klien, diperlukan dukungan dan kerjasama yang baik antara tim kesehatan, anak dan orang tua, sehingga pemberian asuhan keperawatan menjadi optimal.

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This final assignment explains about the application of Kolkaba’s Comfort Theory in children with in the fulfillment of a sense of comfort in the pain of noninfectious pediatric ward. Application of Comfort Theory Kolkaba was held on 5 different cases managed to meet the comfort needs of pain that focus on physical factors, psikospiritual, environmental and social. Fulfillment of a sense of comfort is very important for the pain in hospitalized children with cancer. Nursing actions to meet the comfort is carried on independently, collaboration and health education, so expect the client to achieve a sense of comfort relief, ease, and transcendence. Specialist nurses apply the nursing child nursing actions on the client, required the support and good cooperation between the health teams, children and parents, thus providing nursing care to be optimal."

"[ABSTRAKNyeri merupakan salah satu masalah utama pada pasien kanker anak. Karya Ilmiah Akhir ini bertujuan memberikan gambaran penerapan, analisis Comfort Theory Kolcaba pada pasien kanker anak dengan nyeri, dan pencapaian kompetensi ners spesialis keperawatan anak. Penerapan teori dilakukan pada lima pasien, menggunakan pendekatan proses keperawatan. Pengkajian dan penetapan masalah keperawatan menggunakan struktur taksonomi Kolcaba. Intervensi dan implementasi menggunakan intervensi kenyamanan standar, coaching, dan comfort food for the soul. Evaluasi menggunakan comfort behavior scale menunjukkan hasil diakhir perawatan, nyeri berkurang, terkontrol, dan kenyamanan bertambah. Kompetensi tercapai sesuai target. Comfort Theory bisa menjadi pilihan dalam merawat pasien kanker anak dengan nyeri.

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ABSTRACTPain is one of main problems in children with cancer. This study aimed to describe and to analyze: (1) the application of Kolcaba's Comfort Theory on children with cancer who experience pain, and (2) the competencies achieved by pediatric clinical nurse specialist. The theory was applied to five patients using nursing process approach. The assessment and decision of the nursing problem was conducted using Kolcaba's taxonomic structure. The intervention and implementation using standard comfort intervention, coaching, and comfort food for the soul. Comfort behavior scale was used for the evaluation. The results showed that at the end of the nursing implementation, pain was reduced, controlled, and the comfort was increased. The targeted competencies were achieved. Comfort Theory can be recommended for caring children with cancer.;Pain is one of main problems in children with cancer. This study aimed to describe and to analyze: (1) the application of Kolcaba's Comfort Theory on children with cancer who experience pain, and (2) the competencies achieved by pediatric clinical nurse specialist. The theory was applied to five patients using nursing process approach. The assessment and decision of the nursing problem was conducted using Kolcaba's taxonomic structure. The intervention and implementation using standard comfort intervention, coaching, and comfort food for the soul. Comfort behavior scale was used for the evaluation. The results showed that at the end of the nursing implementation, pain was reduced, controlled, and the comfort was increased. The targeted competencies were achieved. Comfort Theory can be recommended for caring children with cancer., Pain is one of main problems in children with cancer. This study aimed to describe and to analyze: (1) the application of Kolcaba's Comfort Theory on children with cancer who experience pain, and (2) the competencies achieved by pediatric clinical nurse specialist. The theory was applied to five patients using nursing process approach. The assessment and decision of the nursing problem was conducted using Kolcaba's taxonomic structure. The intervention and implementation using standard comfort intervention, coaching, and comfort food for the soul. Comfort behavior scale was used for the evaluation. The results showed that at the end of the nursing implementation, pain was reduced, controlled, and the comfort was increased. The targeted competencies were achieved. Comfort Theory can be recommended for caring children with cancer.]"

"Kanker pada anak merupakan masalah kesehatan utama dengan angka kesakitan dan kematian yang tinggi. Masalah yang ditimbulkan oleh kanker diantaranya masalah tidur dan kelelahan. Karya Ilmiah Akhir Spesialistik ini bertujuan untuk menganalisis gambaran aplikasi teori comfort Kolcaba pada anak kanker dengan gangguan tidur dan kelelahan dan penerapan edukasi tidur sehat serta terapi musik untuk mengatasi masalah tersebut. Penerapan asuhan keperawatan diterapkan dengan metode studi kasus yang didapatkan dari lima kasus terpilih. Lima kasus tersebut, semua mengalami gangguan tidur dan kelelahan. Teori comfort mampu memfasilitasi perawat untuk menggali masalah dan kebutuhan anak kanker secara sistematis. Penerapan edukasi tidur sehat dan terapi musik sebagai salah satu intervensi keperawatan juga terbukti dapat mengatasi gangguan tidur dan kelelahan. Penerapan teori kenyamanan dan pemberian edukasi tidur sehat serta terapi musik diharapkan dapat menjadi komponen pemberian asuhan keperawatan anak kanker dengan gangguan tidur dan kelelahan.

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Cancer in children is a major health problem with high morbidity and mortality. Problems caused by cancer include sleep problems and fatigue. This Specialist Final Scientific work aims to analyze the application of Kolcaba's comfort theory on sleep problems and fatigue in children with cancer by implementing sleep hygiene  and music therapy, which aims to overcome these problems. The application of nursing care was applied with the case study method from five selected cases. With the same symptoms, they were namely sleep problems and fatigue. The theory of comfort could facilitate nurses to find problems and needs of cancer in children systematically. The application of sleep hygiene and music therapy as one of the nursing interventions had proven to be able to overcome sleep problems and fatigue. And this was expected to be a component in providing cancer nursing care to children with sleep problems and fatigue."

"Dispnea, batuk, demam, tersedak dan peningkatan frekuensi pernapasan merupakan beberapa tanda pneumonia yang menyebabkan terjadinya distres pernapasan pada anak yang dihospitalisasi sehingga memerlukan manajemen yang akurat agar anak tidak jatuh ke dalam kondisi gagal napas. Tujuan dari karya ilmiah akhir ini adalah untuk memberikan gambaran aplikasi teori comfort Kolcaba pada asuhan keperawatan melalui pemberian positioning (posisi semi pronasi dan semi recumbent) untuk memperbaiki saturasi oksigen dan laju pernapasan pada anak pneumonia dengan masalah gangguan pernapasan. Teori comfort Kolcaba mampu memberikan manfaat secara holistik dan memberikan panduan bagi perawat dalam melakukan pengkajian secara sistematis. Penerapan pemberian posisi semi pronasi dan semi recumbent sebagai salah satu intervensi dalam asuhan keperawatan dapat memberikan rasa nyaman dan terbukti meningkatkan saturasi oksigen dan menurunkan laju pernapasan. Penerapan teori Kolcaba dan pemberian posisi semi pronasi dan semi recumbent diharapkan dapat diterapkan dalam asuhan keperawatan anak pneumonia dengan gangguan pernapasan.

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Dyspnea, cough, fever, choking and increased respiratory rate are some of the signs of pneumonia which cause respiratory distress in hospitalized children, requiring accurate management so that the child does not fall into a state of respiratory failure. The purpose of this final scientific work is to provide an overview of the application of Kolcaba's comfort theory to nursing care through positioning (semi-pronated and semi-recumbent positions) to improve oxygen saturation and respiratory rate in children with pneumonia with respiratory problems. Kolcaba's comfort theory is able to provide benefits holistically and provide guidance for nurses in carrying out systematic assessments. The application of semi-pronation and semi-recumbent positions as an intervention in nursing care can provide a sense of comfort and is proven to increase oxygen saturation and reduce respiratory rate. It is hoped that the application of Kolcaba's theory and the provision of semi-pronate and semi-recumbent positions can be applied in the nursing care of children with pneumonia with respiratory problems."

"Karya ilmiah ahkir ini memberikan gambaran tentang aplikasi teori comfort Kolcaba dalam asuhan keperawatan pada anak dengan peningkatan suhu tubuh dan aplikasi warm water sponge pada anak dengan peningkatan suhu tubuh. Tujuan karya ilmiah akhir ini untuk memberikan gambaran aplikasi teori comfort Kolcaba dalam asuhan keperawatan pada anak dengan masalah peningkatan suhu tubuh dan penerapan proyek inovasi berdasarkan evidence based practice yaitu penerapan warm water sponge pada pasien anak dengan peningkatan suhu tubuh. Menurut comfort Kolcaba, peningkatan suhu tubuh merupakan salah satu gangguan pemenuhan kebutuhan rasa nyaman fisik yang berkaitan erat dengan kebutuhan rasa nyaman psikospiritual, sosiokultural dan lingkungan. Intervensi yang dilakkukan adalah memonitor status hemodinamik, mennganjurkan keluarga untuk selalu berada di samping pasien, mengajarkan keluarga dalam pemberian kompres hangat menggunakan teknik warm water sponge. Salah satu inovasi yang dilakukan adalah dengan memberikan warm water sponge sesuai evidence based practice untuk menurunkan suhu tubuh sekaligus memberikan kebutuhan rasa nyaman dan mencegah trauma pada anak.

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This final scientific work provides an overview of the application of Kolcaba's comfort theory in nursing care for children with increased body temperature and the application of warm water sponge to children with increased body temperature. The purpose of this final scientific paper is to provide an overview of the application of Kolcaba's comfort theory in nursing care for children with increased body temperature problems and the application of innovation projects based on evidence based practice, namely the application of warm water sponges in pediatric patients with increased body temperature. According to Comfort Kolcaba, an increase in body temperature is one of the disorders of fulfilling the need for physical comfort which is closely related to the need for psychospiritual, sociocultural and environmental comfort. The interventions carried out were monitoring hemodynamic status, encouraging the family to always be by the patient's side, teaching the family to give warm compresses using the warm water sponge technique. One of the innovations made is to provide a warm water sponge according to evidence-based practice to reduce body temperature while providing comfort and preventing trauma to children."

"Karya ilmiah ahkir ini memberikan gambaran tentang aplikasi teori comfort Kolcaba dalam asuhan keperawatan pada anak dengan peningkatan suhu tubuh dan aplikasi warm water sponge pada anak dengan peningkatan suhu tubuh. Tujuan karya ilmiah akhir ini untuk memberikan gambaran aplikasi teori comfort Kolcaba dalam asuhan keperawatan pada anak dengan masalah peningkatan suhu tubuh dan penerapan proyek inovasi berdasarkan evidence based practice yaitu penerapan warm water sponge pada pasien anak dengan peningkatan suhu tubuh. Menurut comfort Kolcaba, peningkatan suhu tubuh merupakan salah satu gangguan pemenuhan kebutuhan rasa nyaman fisik yang berkaitan erat dengan kebutuhan rasa nyaman psikospiritual, sosiokultural dan lingkungan. Intervensi yang dilakkukan adalah memonitor status hemodinamik, mennganjurkan keluarga untuk selalu berada di samping pasien, mengajarkan keluarga dalam pemberian kompres hangat menggunakan teknik warm water sponge. Salah satu inovasi yang dilakukan adalah dengan memberikan warm water sponge sesuai evidence based practice untuk menurunkan suhu tubuh sekaligus memberikan kebutuhan rasa nyaman dan mencegah trauma pada anak.

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This final scientific work provides an overview of the application of Kolcaba's comfort theory in nursing care for children with increased body temperature and the application of warm water sponge to children with increased body temperature. The purpose of this final scientific paper is to provide an overview of the application of Kolcaba's comfort theory in nursing care for children with increased body temperature problems and the application of innovation projects based on evidence based practice, namely the application of warm water sponges in pediatric patients with increased body temperature. According to Comfort Kolcaba, an increase in body temperature is one of the disorders of fulfilling the need for physical comfort which is closely related to the need for psychospiritual, sociocultural and environmental comfort. The interventions carried out were monitoring hemodynamic status, encouraging the family to always be by the patient's side, teaching the family to give warm compresses using the warm water sponge technique. One of the innovations made is to provide a warm water sponge according to evidence-based practice to reduce body temperature while providing comfort and preventing trauma to children."

"Karya ilmiah ahkir ini memberikan gambaran tentang aplikasi teori comfort Kolcaba dalam asuhan keperawatan pada anak dengan peningkatan suhu tubuh dan aplikasi warm water sponge pada anak dengan peningkatan suhu tubuh. Tujuan karya ilmiah akhir ini untuk memberikan gambaran aplikasi teori comfort Kolcaba dalam asuhan keperawatan pada anak dengan masalah peningkatan suhu tubuh dan penerapan proyek inovasi berdasarkan evidence based practice yaitu penerapan warm water sponge pada pasien anak dengan peningkatan suhu tubuh. Menurut comfort Kolcaba, peningkatan suhu tubuh merupakan salah satu gangguan pemenuhan kebutuhan rasa nyaman fisik yang berkaitan erat dengan kebutuhan rasa nyaman psikospiritual, sosiokultural dan lingkungan. Intervensi yang dilakkukan adalah memonitor status hemodinamik, mennganjurkan keluarga untuk selalu berada di samping pasien, mengajarkan keluarga dalam pemberian kompres hangat menggunakan teknik warm water sponge. Salah satu inovasi yang dilakukan adalah dengan memberikan warm water sponge sesuai evidence based practice untuk menurunkan suhu tubuh sekaligus memberikan kebutuhan rasa nyaman dan mencegah trauma pada anak.

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This final scientific work provides an overview of the application of Kolcaba's comfort theory in nursing care for children with increased body temperature and the application of warm water sponge to children with increased body temperature. The purpose of this final scientific paper is to provide an overview of the application of Kolcaba's comfort theory in nursing care for children with increased body temperature problems and the application of innovation projects based on evidence based practice, namely the application of warm water sponges in pediatric patients with increased body temperature. According to Comfort Kolcaba, an increase in body temperature is one of the disorders of fulfilling the need for physical comfort which is closely related to the need for psychospiritual, sociocultural and environmental comfort. The interventions carried out were monitoring hemodynamic status, encouraging the family to always be by the patient's side, teaching the family to give warm compresses using the warm water sponge technique. One of the innovations made is to provide a warm water sponge according to evidence-based practice to reduce body temperature while providing comfort and preventing trauma to children."

"Karya ilmiah ahkir ini memberikan gambaran tentang aplikasi teori comfort Kolcaba dalam asuhan keperawatan pada anak dengan peningkatan suhu tubuh dan aplikasi warm water sponge pada anak dengan peningkatan suhu tubuh. Tujuan karya ilmiah akhir ini untuk memberikan gambaran aplikasi teori comfort Kolcaba dalam asuhan keperawatan pada anak dengan masalah peningkatan suhu tubuh dan penerapan proyek inovasi berdasarkan evidence based practice yaitu penerapan warm water sponge pada pasien anak dengan peningkatan suhu tubuh. Menurut comfort Kolcaba, peningkatan suhu tubuh merupakan salah satu gangguan pemenuhan kebutuhan rasa nyaman fisik yang berkaitan erat dengan kebutuhan rasa nyaman psikospiritual, sosiokultural dan lingkungan. Intervensi yang dilakkukan adalah memonitor status hemodinamik, mennganjurkan keluarga untuk selalu berada di samping pasien, mengajarkan keluarga dalam pemberian kompres hangat menggunakan teknik warm water sponge. Salah satu inovasi yang dilakukan adalah dengan memberikan warm water sponge sesuai evidence based practice untuk menurunkan suhu tubuh sekaligus memberikan kebutuhan rasa nyaman dan mencegah trauma pada anak.

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This final scientific work provides an overview of the application of Kolcaba's comfort theory in nursing care for children with increased body temperature and the application of warm water sponge to children with increased body temperature. The purpose of this final scientific paper is to provide an overview of the application of Kolcaba's comfort theory in nursing care for children with increased body temperature problems and the application of innovation projects based on evidence based practice, namely the application of warm water sponges in pediatric patients with increased body temperature. According to Comfort Kolcaba, an increase in body temperature is one of the disorders of fulfilling the need for physical comfort which is closely related to the need for psychospiritual, sociocultural and environmental comfort. The interventions carried out were monitoring hemodynamic status, encouraging the family to always be by the patient's side, teaching the family to give warm compresses using the warm water sponge technique. One of the innovations made is to provide a warm water sponge according to evidence-based practice to reduce body temperature while providing comfort and preventing trauma to children."