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"ABSTRAKKarya Ilmiah Akhir ini memberikan gambaran tentang pelaksanaan ProgramResidensi Ners Spesialis Keperawatan Anak dalam bentuk kegiatan praktikResidensi I dan II. Karya Ilmiah Akhir ini bertujuan untuk memberikan gambaranaplikasi Model Konservasi Myra E. Levine pada asuhan keperawatan anak denganpenyakit infeksi dan pencapaian kompetensi baik sebagai pemberi asuhan,advocator, conselor, educator, colaborator, dan agen perubah selama praktikresidensi. Ada lima kasus kelolaan yang menjadi pembahasan dalam karya ilmiah ini,dan dari kelima kasus terpilih ditemukan adanya masalah ketidakseimbangan nutrisikurang dari kebutuhan. Intervensi yang diberikan berdasarkan pinsip-prinsipkonservasi sudah mencakup semua masalah yang ditemukan pada klien, walaupuntidak semua masalah dapat terselesaikan Hasil evaluasi pada akhir perawatan daritrophicognosis ketidakseimbangan nutrisi kurang dari kebutuhan pada kelima kasusterpilih, menunjukkan ada yang teratasi, belum teratasi tetapi sudah menunjukkanperbaikan, dan ada juga yang belum teratasi

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Abstract This final assignment provides an overview about the implementation residencypractices of the specialist pediatric nurse program in the form practical activitiesresidency I and II. The aim of this final assignment is provide overview applicationConservation Model Myra E. Levine on nursing care of children with infectiousdiseases and the achievement of competencies such as a caregiver advocator,counselor, educator, collaborator, and change agents during practice. There are fivecases that discussed in this final assignment, and of the five selected cases found aproblem with imbalance nutrition less than demand. Interventions provided byconservation principles have covered all the problems found on the client, althoughnot all problems can be resolved. The evaluation results of trophicognosis imbalancenutrition less than the needs of the five selected cases, indicating there are resolved,not resolved but has shown improvement, and there are also unresolved"

"Karya Ilmiah Akhir ini memberikan gambaran tentang pelaksanaan Program Residensi Ners Spesialis Keperawatan Anak dalam bentuk kegiatan praktik Residensi I dan II. Karya Ilmiah Akhir ini bertujuan untuk memberikan gambaran aplikasi Model Konservasi Myra E. Levine pada asuhan keperawatan anak dengan penyakit infeksi dan pencapaian kompetensi baik sebagai pemberi asuhan, advocator, conselor, educator, colaborator, dan agen perubah selama praktik residensi. Menurut model konservasi Levin, trophicognosis peningkatan suhu tubuh (demam) merupakan gangguan pada integritas struktur. Intervensi keperwatan dilakukan untuk mengkonservasi integritas struktur tersebut, yang berdampak pada konservasi energi, integritas personal dan integritas sosial. Pada kondisi demam intervensi yang dilakukan adalah mempertahankan agar lingkungan tetap nyaman dan sejuk, mengurangi aktivitas yang melelahkan, meningkatkan istirahat, memberikan asupan nutrisi yang adekuat. Konsep lain yang diterapkan dalam asuhan keperawatan dengan demam ini adalah konsep family centered care (FCC), kemudian melaksanakan ners spesialis sebagai inovator, residen melaksanakan proyek inovasi berupa pembuatan format dischar planning dan optimalisasi ruang bermain. ......This final assignment provides an overview about the implementation residency practices of the specialist pediatric nurse program in the form practical activities residency I and II. The aim of this final assignment is provide overview application Conservation Model Myra E. Levine on nursing care of children with infectious diseases and the achievement of competencies such as a caregiver advocator, counselor, educator, collaborator, and change agents during practice residency. According to Levin conservation models, trophicognosis increase in body temperature (fever) is an interference with the integrity of the structure. Nursing interventions undertaken to conserve the integrity of these structures, which have an impact on energy conservation, personal integrity and social integrity. In the intervention condition of fever is to preserve the environment in order to stay comfortable and cool, reducing the exhausting activity, increased rest, providing adequate nutrition. Another concept that is applied in nursing care with a fever is the concept of family centered care (FCC), then carry out specialist nurses as an innovator, a resident carrying out innovation projects making planning and optimization dischar format playroom."

"ABSTRAKThalasemia adalah penyakit kronik yang memberi dampak fisik, psikologis dansosial budaya kepada anak. Penelitian ini menggunakan metode penelitiankualitatif dengan pendekatan fenomenologi deskriptif. Tujuan penelitian iniadalah mengeksplorasi secara mendalam tentang pengalaman anak yangmengidap thalasemia dalam menjalani pengobatan dan aktivitasnya sehari-hari.Partisipan penelitian ini adalah anak usia sekolah yang mengidap thalasemia.Data dikumpulkan dengan menggunakan wawancara semi struktur yangdianalisis dengan Metode Collaizi. Hasil penelitian mengidentifikasi lima temayaitu: anak mengetahui tentang penyakitnya, anak merasakan dampakpenyakitnya, aktivitas anak setelah dan sebelum transfusi, dampak pengobatanyang dirasakan anak, dan koping yang dilakukan anak. Hasil penelitian inidiharapkan dapat memberikan masukan kepada praktisi kesehatan khususnyaperawat anak, sehingga pelayanan keperawatan yang diberikan kepada anak yangmengidap thalasemia menjadi lebih optimal.

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ABSTRACTThalassemia is a chronic disease that has a physical, psychological and socioculturalimpact on children. This study uses qualitative research methods withdescriptive phenomenological approach. The purpose of this study is to explore indepth about the experience of children with thalassemia in treatment and dailyactivities. Participants of this study were school-age children suffering fromthalassemia as many as seven people. Semi-structure interview was used to collectthe data. Data was analyzed using Collaizi methods. The results identified fivethemes, namely: children learn about the disease, children feel the impact of thedisease, after and before transfusion activities, the impact of perceived childtreatment, and coping son had done. Results of this study are expected to providefeedback to the particular health practitioner pediatric nurse, so the nursing caregiven to children who suffer from thalassemia become more optimal."

"Diare merupakan penyebab utama kematian balita di Indonesia. Kejadian diare pada balita dapat dicegah dengan pemberian pendidikan kesehatan. Penelitian ini bertujuan untuk mengidentifikasi pengaruh pendidikan kesehatan diare terhadap kemampuan ibu merawat area perineal anak balita. Desain penelitian menggunakan quasi eksperimen dengan rancangan pre test and post test control group. Pengambilan sampel menggunakan consecutive sampling dari 44 responden di RSUD Budhi Asih Jakarta. Hasil penelitian menunjukkan ada pengaruh pendidikan kesehatan diare terhadap kemampuan ibu pengetahuan, sikap dan keterampilan kelompok intervensi (p < 0,05) dibandingkan kelompok kontrol. Ada hubungan bermakna antara karakteristik pendidikan dan pengetahuan responden merawat anak diare. Disarankan pendidikan kesehatan dilakukan terus menerus dan terstruktur untuk meningkatkan kemampuan keluarga merawat anak balita diare.......Diarrhea is the first cause of mortality among children in Indonesia. In fact, the incidence of diarrhea can be prevented by providing health education. The purpose of this research was to identify the impact of health education about diarrhea on mother’s ability caring for child’s perineal area. This research used quasi experimental design with pretest and post-test control group. Total sample was 44 respondents in District Hospital Budi Asih Jakarta and the data was collected with consecutive sampling technique. The results found that health education showed more influence on mother’s knowledge, attitude, and skill among intervention group than those of control group (p value < 0.05). There was also a significant relationship between mother’s level of education and knowledge with mother’s ability caring for children experiencing diarrhea. It is suggested to provide more structured health education and simultaneously to improve the ability of family caring for diarrhea among their children."

"ABSTRAKMual muntah dan gangguan pengecapan merupakan efek samping kemoterapiyang dialami oleh pasien kanker yang berdampak terhadap gangguan nutrisi.Edukasi dengan metode dan media yang efektif dapat membantu meningkatkanpengetahuan dan self care pasien untuk mengurangi mual muntah dan gangguanpengecapan. Tujuan: untuk mengetahui cost effectiveness edukasi berulang danbooklet dengan edukasi tunggal dalam mengurangi mual muntah dan gangguanpengecapan pasca kemoterapi. Metode: Desain penelitian quasi eksperimendengan pre-post test design dan pengukuran dilakukan pada hari kedua setelahkemoterapi. Pengambilan sampel menggunakan consecutive sampling denganjumlah sampel sebanyak 38 pasien kanker ginekologi di RS. Kanker DharmaisJakarta. Analisa data menggunakan wilcoxon test dan paired t test. Hasil:Penelitian menunjukkan adanya perbedaan bermakna (p value < 0,05) setelahdiberikan edukasi baik pada kelompok edukasi berulang dan booklet maupunkelompok edukasi tunggal dalam membantu meningkatkan kemampuan pasienuntuk mengurangi keluhan mual muntah dan gangguan pengecapan.Rekomendasi : pemberian edukasi dengan frekuensi satu kali denganmenggunakan media penyuluhan lembar balik lebih efektif dibandingkan denganpemberian edukasi berulang dan booklet. Perawat sebaiknya dapat memberikanedukasi dengan metode dan media yang tepat serta cost effectivenes dalammeningkatkan kemampuan perawatan diri pasien.

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ABSTRACTNausea, vomiting and disturbance of taste is a chemotherapy side effect which isexperienced by cancer patients that lead to nutritional deficiencies. Education witheffective methods and media can help to improve patient’s knowledge and selfcareto relieve nausea, vomiting and taste disturbance. Purpose: to determine thecost effectiveness recurrent education and booklet with single education inrelieving nausea, vomiting and taste disturbance after chemotherapy. Methods:The study design quasi-experimental with pre-post test design and themeasurement is performed on the second day after chemotherapy. Sampling testtaken by using Consecutive sampling with 38 cancer gynaecology patientsat Dharmais Cancer Hospital Jakarta. Data analysis uses Wilcoxon Test andPaired T Test. Results: The results showed significant differences (p value <0.05)after being given education both in recurrent education group and booklet alsosingle education group in helping to improve the patient's ability to relievecomplaints of nausea, vomiting and tasting disturbance. Recommendation:Education Provision with one frequency by using flipchart media counceling ismore effective than recurrent education and booklets. Nurses should be able toprovide education with appropriate methods and cost effectivenes in improvingpatient’s self care ability."

"Penulisan karya ilmiah akhir ini bertujuan untuk mengaplikasikan teori Konservasi melalui pendekatan asuhan perkembangan dalam perawatan tiga bayi berat lahir rendah (BBLR) yang mengalami penundaan pemberian nutrisi enteral dini. Nutrisi enteral dini memfasilitasi adaptasi saluran cerna sehingga tercapai maturasi yang penting bagi penerimaan nutrisi enteral bayi selanjutnya. Penyebab penundaan pemberian nutrisi enteral dini pada BBLR ini adalah intoleransi minum dan perdarahan saluran cerna. Kebutuhan nutrisi BBLR tetap terpenuhi melalui pemberian secara parenteral. Adapun pendekatan asuhan perkembangan yang digunakan bertujuan agar energi yang dimiliki bayi dapat digunakan secara optimal untuk tumbuh dan berkembang melalui pencapaian konservasi, dalam hal ini konservasi energi. Selama menjalani perawatan, BBLR dalam uraian karya ilmiah akhir ini menunjukkan status oksigenasi yang baik, instabilitas suhu tidak terjadi, dan penurunan berat badan masih dalam kisaran rentang normal yaitu 10-15% dari berat badan lahir. ......This scientific assignment aimed to applying the Conservation theory by approach of developmental care in nursing care of three cases of low birth weight (LBW) infants who experienced the delayed early enteral nutrition. Early enteral nutrition facilitated the adaptation of gastrointestinal tract in order to reach maturation which is important for LBW infants to receive enteral nutrition later. The causes of delayed early enteral nutrition in these LBW infants were feeding intolerance and gastrointestinal bleeding. Nutritional needs of these LBW infants was fulfilled by parenteral nutrition. The using of developmental care approach aimed to strive the energy of LBW infants could be optimally utilize for growth and development through attainment of energy conservation as one of conservation principles in Conservation theory. During treatments, LBW infants in this scientific assignment showed normal oxygenation status, stability of body temperature, and weight loss was still within normal range was 10-15% of birth weight."

"ABSTRAK Keperawatan respirasi merupakan salah satu area khusus dimana perawat memiliki peran dalam memberikan asuhan keperawatan berdasarkan kebutuhan pasien. Perawat spesialis respirasi memiliki peran lebih yang berbeda, dengan menerapkan konsep dan teori keperawatan dalam penanganan kasus pada pasien gangguan pernapasan. Peran ners spesialis sebagai klinisi ahli, pendidik, manajer kasus, konsultan, dan peneliti untuk merencanakan atau memperbaiki kualitas keperawatan bagi klien dan keluarganya. Teori keperawatan yang digunakan dalam merawat pasien (satu kasus kelolaan dan 30 kasus resume) dengan menggunakan model adaptasi Roy. Peran sebagai peneliti diterapkan dengan melakukan latihan breathing retraining pada pasien asma. Sementara peran untuk memperbaiki kualitas pelayanan salah satunya adalah menerapkan inovasi bagi pasien tuberkulosis dalam mencegah terjadinya putus obat.ABSTRACT Nursing respiration is one particular area where nurses have a role in providing nursing care based on the patient's needs. Respiratory specialist nurse has a more distinct role, to apply the concepts and theories of nursing in the handling of cases in patients with respiratory disorders. The role of specialist nurses as expert clinicians, educators, case managers, consultants, and researchers to plan or improve the quality of nursing for the client and his family. Nursing theory used in treating patients (one case of management and 30 cases of resume) using Roy adaptation model. Role as researchers applied by practicing breathing retraining in patients with asthma. While the role to improve the quality of service, one is applying innovation for tuberculosis patients in preventing drug withdrawal.;Nursing respiration is one particular area where nurses have a role in providing nursing care based on the patient's needs. Respiratory specialist nurse has a more distinct role, to apply the concepts and theories of nursing in the handling of cases in patients with respiratory disorders. The role of specialist nurses as expert clinicians, educators, case managers, consultants, and researchers to plan or improve the quality of nursing for the client and his family. Nursing theory used in treating patients (one case of management and 30 cases of resume) using Roy adaptation model. Role as researchers applied by practicing breathing retraining in patients with asthma. While the role to improve the quality of service, one is applying innovation for tuberculosis patients in preventing drug withdrawal."