"[
ABSTRAKPrevalensi dan mortalitas gagal ginjal kronis pada masyarakat urban di indonesia mengalami
peningkatan dari tahun ke tahun. Penulisan karya ilmiah ini bertujuan untuk menganalisis asuhan
keperawatan dengan pendekatan Keperawatan Kesehatan Masyarakat Perkotaan pada area
Keperawatan Medikal Bedah pada klien dengan gagal ginjal kronis dengan komplikasi hipertensi.
Perawat dalam melakukan asuhan keperawatan melakukan tindakan preventif baik primer,
sekunder, ataupun tersier. Masalah keperawatan yang ditemukan meliputi kelebihan volume
cairan, penurunan curah jantung, nyeri akut, dan risiko perubahan nutrisi kurang dari kebutuhan
tubuh. Manajemen keperawatan terkait hipertensi yang dilakukan meliputi modifikasi gaya hidup
melalui diet, teknik relaksasi, dan aktivitas. Setelah dilakukan asuhan keperawatan pada pasien
gagal ginjal kronis, terdapat penurunan nilai tekanan darah pasien meskipun belum mencapai
target yang dianjurkan. Perawat dapat memberikan asuhan keperawatan menggunakan pendekatan
keperawatan kesehatan masyarakat perkotaan untuk dapat memperkirakan perilaku berisiko terkait
komplikasi yang dapat terjadi, seperti hipertensi dan penyakit kardiovaskular lainnya, serta tingkat
kepatuhan terhadap terapi yang diberikan. Asuhan keperawatan tersebut dilakukan guna
mendukung upaya pencegahan komplikasi dan peningkatan kualitas hidup pasien dengan gagal
ginjal kronis.
ABSTRACTThe prevalence and mortality of chronic renal failure in urban society in Indonesia has increased
from year to year. This paper aimed to analyze the nursing care with the approach of the Urban
Public Health Nursing in the Medical Surgical Nursing setting in clients with chronic renal failure
with complication of hypertension. Nurses performed preventive action both primary, secondary,
or tertiary. Various nursing problems were revealed including fluid volume excess, decreased
cardiac output, acute pain, and risk for imbalanced nutrition: less than body. The application of
nursing management related hypertension included lifestyle modification, diet, relaxation
techniques, and activity. The result of implementation of nursing intervention to the patients,
showed that there was a decrease in the patient's blood pressure despite not reaching the
recommended targets. Nurses can provide nursing care using urban nursing health care approach
to be able to estimate the risk behaviors of patients related complication that can happen, like
hypertension,and other cardiovascular disease and the level of adherence to therapy. The nursing
care is done in order to support efforts to prevent complications and improve the quality of life of
patients with chronic renal failure.;The prevalence and mortality of chronic renal failure in urban society in Indonesia has increased
from year to year. This paper aimed to analyze the nursing care with the approach of the Urban
Public Health Nursing in the Medical Surgical Nursing setting in clients with chronic renal failure
with complication of hypertension. Nurses performed preventive action both primary, secondary,
or tertiary. Various nursing problems were revealed including fluid volume excess, decreased
cardiac output, acute pain, and risk for imbalanced nutrition: less than body. The application of
nursing management related hypertension included lifestyle modification, diet, relaxation
techniques, and activity. The result of implementation of nursing intervention to the patients,
showed that there was a decrease in the patient's blood pressure despite not reaching the
recommended targets. Nurses can provide nursing care using urban nursing health care approach
to be able to estimate the risk behaviors of patients related complication that can happen, like
hypertension,and other cardiovascular disease and the level of adherence to therapy. The nursing
care is done in order to support efforts to prevent complications and improve the quality of life of
patients with chronic renal failure., The prevalence and mortality of chronic renal failure in urban society in Indonesia has increased
from year to year. This paper aimed to analyze the nursing care with the approach of the Urban
Public Health Nursing in the Medical Surgical Nursing setting in clients with chronic renal failure
with complication of hypertension. Nurses performed preventive action both primary, secondary,
or tertiary. Various nursing problems were revealed including fluid volume excess, decreased
cardiac output, acute pain, and risk for imbalanced nutrition: less than body. The application of
nursing management related hypertension included lifestyle modification, diet, relaxation
techniques, and activity. The result of implementation of nursing intervention to the patients,
showed that there was a decrease in the patient's blood pressure despite not reaching the
recommended targets. Nurses can provide nursing care using urban nursing health care approach
to be able to estimate the risk behaviors of patients related complication that can happen, like
hypertension,and other cardiovascular disease and the level of adherence to therapy. The nursing
care is done in order to support efforts to prevent complications and improve the quality of life of
patients with chronic renal failure.]"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
