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"Penerapan teori self care Orem dan health promotion Pender yang telah dilakukan pada kelima kasus kelolaan ibu hamil dan melahirkan dengan PJT menunjukan adanya perubahan perilaku dalam meningkatkan kesehatan ibu dan janin serta meningkatnya pengetahuan ibu dalam melakukan perawatan secara mandiri untuk dapat memantau tanda-tanda bahaya selama kehamilan dan perawatan bayi dengan berat badan rendah. Uji coba evidence based practice nursing (EBPN) yang dapat dilakukan untuk menurunkan tekanan darah pada ibu post partum dengan preeklamsi adalah rendam kaki dengan air hangat, kelima ibu yang telah dilakukan intervensi, menunjukkan adanya penurunan tekanan darah sebesar 48,37% dan ibu dapat melakukan secara mandiri intervensi tersebut. Pencapaian target kompetensi yang harus dipenuhi oleh residensi maternitas telah memenuhi semua target yang harus dicapai dalam 2 semester yaitu pada pelayanan primer dan lanjutan serta laporan terhadap setiap target capaian telah diserahkan sebagai bukti pencapaian yang telah dilakukan oleh residensi maternitas.

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The application of Orem's self-care theory and Pender's health promotion that have been carried out in the five cases managed by pregnant women and childbirth with PJT shows a change in behavior in improving maternal and fetal health and increasing maternal knowledge in self-care to be able to monitor danger signs during pregnancy and care for low birth weight babies. Evidence based practice nursing (EBPN) trials that can be done to reduce blood pressure in post partum mothers with preeclampsia are foot soaks with warm water, the five mothers who have intervened, showed a decrease in blood pressure of 48.37% and mothers could perform the intervention independently. The achievement of competency targets that must be met by the maternity residency has met all the targets that must be achieved in 2 semesters, namely in primary and advanced services and reports on each achievement target have been submitted as evidence of the achievements made by the maternity residency."

"Penerapan teori self care Orem dan health promotion Pender yang telah dilakukan pada kelima kasus kelolaan ibu hamil dan melahirkan dengan PJT menunjukan adanya perubahan perilaku dalam meningkatkan kesehatan ibu dan janin serta meningkatnya pengetahuan ibu dalam melakukan perawatan secara mandiri untuk dapat memantau tanda-tanda bahaya selama kehamilan dan perawatan bayi dengan berat badan rendah. Uji coba evidence based practice nursing (EBPN) yang dapat dilakukan untuk menurunkan tekanan darah pada ibu post partum dengan preeklamsi adalah rendam kaki dengan air hangat, kelima ibu yang telah dilakukan intervensi, menunjukkan adanya penurunan tekanan darah sebesar 48,37% dan ibu dapat melakukan secara mandiri intervensi tersebut. Pencapaian target kompetensi yang harus dipenuhi oleh residensi maternitas telah memenuhi semua target yang harus dicapai dalam 2 semester yaitu pada pelayanan primer dan lanjutan serta laporan terhadap setiap target capaian telah diserahkan sebagai bukti pencapaian yang telah dilakukan oleh residensi maternitas.

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The application of Orem's self-care theory and Pender's health promotion that have been carried out in the five cases managed by pregnant women and childbirth with PJT shows a change in behavior in improving maternal and fetal health and increasing maternal knowledge in self-care to be able to monitor danger signs during pregnancy and care for low birth weight babies. Evidence based practice nursing (EBPN) trials that can be done to reduce blood pressure in post partum mothers with preeclampsia are foot soaks with warm water, the five mothers who have intervened, showed a decrease in blood pressure of 48.37% and mothers could perform the intervention independently. The achievement of competency targets that must be met by the maternity residency has met all the targets that must be achieved in 2 semesters, namely in primary and advanced services and reports on each achievement target have been submitted as evidence of the achievements made by the maternity residency."

"ABSTRAKAngka kematian perinatal di Indonesia masih tergolong tinggi, yaitu 45 per 1000 kelahiran (tahun 1994 ) bila dibandingkan dengan negara-negara ASEAN lainnya. Penyebab utama kematian perinatal adalah asfiksia, komplikasi BBLR (Bayi Berat Lahir Rendah ), infeksi dan trauma kelahiran. RSUD Serang sebagai Rumah Sakit Kelas B di Wilayah Keresidenan Banten mempunyai kematian perinatal cukup tinggi yaitu 226 dari 1531 kelahiran (tahun 1997), sehingga perlu diperoleh informasi faktar-faktor yang berhubungan dengan kematian perinatal itu. Faktor-faktor tersebut adalah faktor ibu (umur, paritas, komplikasi kehamilan dan persalinan, jarak kelahiran dan kondisi kesehatan ibu), faktor janin (berat bayi, asfiksia, infeksi dan trauma lahir) dan juga diketahui faktor manajemen rumah sakit dan manajemen medik.Tujuan dari penelitian ini adalah untuk mendapatkan gambaran dari faktor-faktor yang berhubungan dengan kematian perinatal. Disain penelitian adalah survey, retrospektif selama satu tahun dari Januari sampai Desember 1997 dengan mengambil penelitian seluruh kematian perinatal sejumlah 226. Untuk mengetahui hubungan antara kematian perinatal dilakukan analisis "chi square". Untuk mendapatkan data kualitatif dilakukan dengan wawancara mendalam.Hasil penelitian menunjukkan dari 9 variabel, 5 menunjukkan arah perbedaan yang bermakna dalam proporsi kematian perinatal menurut :1. Umur ibu, (p<0,05)2. Paritas ibu, (p<0,05)3. Komplikasi kehamilan, (p<0,05)4. Kondisi kesehatan ibu, (p<0,05)5. Berat bayi, (p<0,05).Dari wawancara mendalam diperoleh bahwa sarana dan prasarana dibagian perinatologi sangat terbatas. Lahir mati menunjukkan proporsi yang paling besar yaitu 63,3 % dari seluruh kematian perinatal, lahir mati ini terjadi sebelum masuk rumah sakit, penulis menyarankan agar Puskesmas didalam pelayanan medik khususnya untuk kesehatan ibu hamil dan bayi terus dibina oleh RSUD Serang bersama Dinas Kesehatan Serang dalam kegiatan Rumah Sakit Sayang bayi dan Rumah Sakit Sayang Ibu. Penyebab kematian Neonatal dini di RSUD Serang Proporsinya yang terbesar adalah BBLR ( berat bayi Lahir rendah ) sebesar 66,23 % , hal ini merupakan tuntutan dan disarankan agar RSUD Serang khususnya bagian perimatologi meningkatkan kemampuan untuk dapat merawat BBLR dengan sarana, prasarana dan kemampuan tenaga yang memadai. Untuk Dinas Kesehatan dan Instansi lintas Sektor disarankan untuk meningkatkan peranannya dalam cakupan pemeriksaan antenatal di Puskesmas Daftar Kepustakaan : 26 ( 1984 - 1998 )

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ABSTRACT

Analysis of Perinatal : Death in General Public Hospital of Serang 1997 Perinatal death rate in Indonesia is still high (i_e 45 per 1000 of birth a year 1994 ) if it's compared to other ASEAN countries. It is making caused by asphyxia, complication of low birth weight, infection and trauma during delivery.

General Public Hospital Serang is a class B Hospital in Banten area, where perinatal death is 226 out of 1531 births ( year 1997 ). 1nforniation is needed to learn about factors that are factors related to perinatal death.

They are maternal factors ( age, parities, complication of pregnancy and childbirth, childbirths, distance and health condition ), Fetal factors ( baby's weight, aspphyxia, infection and trauma during delivery) and also hospital management and medical management factors.

The purpose of this research is to get descriptive information of factors related to perinatal death . The methode of research is survey, based on one year deliveries from January to December 1997, of which have a total of 226 perinatal death. To learn the ralationship betwen variables " Chi Square " analysis was aplied to collect qualitatif information in depth interview was caned out.

The result of research shows that 5 out of 9 variables have relationship with perinatal death namely :

1. Mother's age (pc0,05 )

2. Mother's parities (p<0,05 )

3. Complication of pregnancy (p<0,05 )

4. Health condition of mother and weight of each baby (p<0,05 )

From the interview , it is know that perinatology departement has only got limited facilities . Still birth shows a great proportion ( 63,3 % from all perinatal death ). This still birth ins happened before mother was hospitalized . The writer suggest that health centers should be developed constantly, with regard to it, medical service especially that of health service for pregnant woman and baby, by General Public Hospital and Health office Serang related to program that of Hospital loves mother and baby friendly . The cause o great proportion premature Neonatal death in General Public Hospital Serang is low birth weight, i.e 66,23 %. It's suggested to General Public Hospital Serang, especially its perinatology department to increase its capability in providing service for low birth weight babies by using improved facilities. It is sugested to Health office, to improve it's function in antenatal service in every Health Center.

Bibliography 26 ( 1984 - 1998 )."

"[ABSTRAK Nama WidiaWatiNPM 1206195810Program Studi Ners Spesialis Keperawatan Medikal BedahJudul Penerapan Asuhan Keperawatan Model Self Care Orem pada Pasien Diabetes Melitus dengan Ulkus di RSUPN Cipto Mangunkusumo Diabetes melitus merupakan penyakit metabolik yang terjadi karena kelainan sekresi insulin kerja insulin atau keduanya yang ditandai dengan Hiperglikemia Kondisi hiperglikemia yang tidak teratasi dapat menimbulkan berbagai komplikasi baik komplikasi akut maupun kronik Salah satu komplikasi kronik adalah ulkus diabetes Seiring dengan meningkatnya jumlah kejadian DM maka prevalensi ulkus diabetes akan meningkat juga Di Indonesia ulkus diabetes dan ganggren merupakan komplikasi diabetes yang paling banyak dirawat di rumah sakit Penanganan ulkus diabetes yang tidak optimal menyebabkan meningkatnya hari rawat inap Kondisi luka menimbulkan gangguan pemenuhan kebutuhan perawatan diri bagi pasien Perawat berperan penting dalam membantu pemenuhan Self Care pasien Untuk itu penerapan asuhan keperawatan model Self Care Orem berfokus pada kemampuan individu dalam melakukan tindakan perawatan mandiri mengenali dan mengatur kebutuhan perawatannya Penerapan Evidence Based Nursing adalah terapi Progressive Muscle Relaxation PMR dan latihan nafas merupakan latihan untuk meningkatkan kontrol glikemik dan menurunkan tingkat stress pada pasien DM tipe 2 Sedangkan Inovasi Keperawatan yang diberikan bertujuan meningkatkan Self Care dengan cara meningkatkan kemampuan pasien dalam Self Health Assessment Kata kunci Diabetes melitus Ulkus diabetes Model Self Care Orem ABSTRAK Nama WidiaWatiNPM 1206195810Program Studi Ners Spesialis Keperawatan Medikal BedahJudul Penerapan Asuhan Keperawatan Model Self Care Orem pada Pasien Diabetes Melitus dengan Ulkus di RSUPN Cipto Mangunkusumo Diabetes melitus merupakan penyakit metabolik yang terjadi karena kelainan sekresi insulin kerja insulin atau keduanya yang ditandai dengan Hiperglikemia Kondisi hiperglikemia yang tidak teratasi dapat menimbulkan berbagai komplikasi baik komplikasi akut maupun kronik Salah satu komplikasi kronik adalah ulkus diabetes Seiring dengan meningkatnya jumlah kejadian DM maka prevalensi ulkus diabetes akan meningkat juga Di Indonesia ulkus diabetes dan ganggren merupakan komplikasi diabetes yang paling banyak dirawat di rumah sakit Penanganan ulkus diabetes yang tidak optimal menyebabkan meningkatnya hari rawat inap Kondisi luka menimbulkan gangguan pemenuhan kebutuhan perawatan diri bagi pasien Perawat berperan penting dalam membantu pemenuhan Self Care pasien Untuk itu penerapan asuhan keperawatan model Self Care Orem berfokus pada kemampuan individu dalam melakukan tindakan perawatan mandiri mengenali dan mengatur kebutuhan perawatannya Penerapan Evidence Based Nursing adalah terapi Progressive Muscle Relaxation PMR dan latihan nafas merupakan latihan untuk meningkatkan kontrol glikemik dan menurunkan tingkat stress pada pasien DM tipe 2 Sedangkan Inovasi Keperawatan yang diberikan bertujuan meningkatkan Self Care dengan cara meningkatkan kemampuan pasien dalam Self Health Assessment Kata kunci Diabetes melitus Ulkus diabetes Model Self Care Orem ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model;ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model;ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model;ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model, ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model]"