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Abstrak :
ABSTRAK
Analisis Praktik Residensi Keperawatan Medikal Bedah pada Pasien Gangguan Sistem Neurologi dengan Kasus Cedera Kepala Menggunakan Pendekatan Model Adaptasi Roy di Rumah Sakit Cipto MangunkusumoJakarta Megawati SibuloJanuari 2018 AbstrakPraktek residensi keperawatan kekhususan neurologi dalam penerapannya sebagai Clinical Care Manager CCM dimaksudkan sebagai pemberi perawatan langsung direct care , konsultan, edukator, kolaborator, dan pembuat keputusan klinis dalam memberikan asuhan keperawatan Model Adaptasi Roy pada pasien dengan gangguan sistem neurologi, berperan sebagai mentor coach dan peneliti researcher dalam penerapan Evidence Based Nursing EBN . Selain itu, spesialis keperawatan berperan sebagai pemimpin leader dalam penerapan proyek inovasi. Penerapan model adaptasi Roy pada pasien cedera kepala dan 30 pasien lainnya dengan berbagai gangguan sistem persarafan. Perilaku maladaptif paling banyak adalah mode adaptasi fisiologi, yaitu risiko ketidakefektifan perfusi jaringan serebral. Intervensi keperawatan berupa cerebral management dan cerebral perfusion promotion bertujuan meningkatkan adaptasi pasien dalam memperbaiki perfusi jaringan serebral. Pada penerapan EBN dengan menggunakan format Neurogenic Bowel Dysfunction NBD score terhadap 14 pasien dalam menilai gangguan defekasi pasien menunjukkan sensitifitas terhadap kejadian gangguan defekasi pada pasien. Program inovasi penerapan media edukasi melalui video diharapkan dapat meningkatkan kesadarn diri pasien dan keluarga terhadap kejadian stroke berulang dan membantu mempermudah perawat dalam melakukan edukasi. ABSTRACT
Analysis of Medical Surgical Nursing Residency Practice on NeurologicalSystem Disorders with Head Injury Case Using Roy Adaptation Model Approach at Cipto Mangunkusumo Hospital in Jakarta Megawati SibuloJanuary 2018 AbstractThe practice of nursing residency of neurological specificity in its application as Clinical Care Manager CCM are intended as a direct care provider, consultant, educator, collaborator, and clinical decision maker in providing Roy Adaptation Model nursing care in patients with neurological system disorders, mentors coach and researchers in the application of Evidence Based Nursing EBN. In addition, nursing specialists serve as leaders in implementing innovation projects. Applying Roy 39 s adaptation model to head injury patients and 30 other patients with various neural system disorders. The most maladaptive behavior is the physiological adaptation mode, ie the risk of perfusion of cerebral tissue perfusion. Nursing interventions of cerebral management and cerebral perfusion promotion aim at improving adaptation of patients in improving cerebral tissue perfusion. In the application of EBN using the format of Neurogenic Bowel Dysfunction NBD score of 14 patients in assessing defective disorder patients showed sensitivity to the incidence of defective disorders in patients. The innovative application program of educational media through video is expected to increase patient and family awareness of recurrent stroke incidents and help facilitate the nurse in doing the education.Keywords Defecation disorders, NBD score, neurological system disorders, head injury, Roy 39 s Adaptation Model.

Abstrak :
ABSTRAK
Praktik residensi keperawatan neurologi bertujuan menerapkan peran perawat spesialissebagai pemberi asuhan keperawatan, agen pembaharu dan melakukan pembuktian ilmiah. Peran pemberi asuhan keperawatan dilakukan dalam mengelola kasus strokehemoragik dan 30 pasien dengan berbagai gangguan neurologi menggunakan modeladaptasi Roy. Perilaku mal adaptif terbanyak adalah mode adaptasi fisiologidiantaranya ketidakefektifan perfusi jaringan otak, hambatan mobilitas fisik dan risikojatuh. Intervensi keperawatan yang diberikan adalah manajemen edema serebral,ambulasi dan pencegahan jatuh.Tujuan intervensi untuk meningkatkan adaptasi pasiendalam meningkatkan perfusi jaringan otak, mobilisasi dan pencegahan jatuh. PenerapanEvidence Based Nursing EBN pemberian Positioning in Neutral LiN pada 12 pasiengangguan saaraf pusat yang mengalami hambatan mobilisasi fisik untuk meningkatkanrentang gerak sendi bahu dan panggul. Program inovasi yang dilakukan adalahpembuatan video edukasi faktor risiko stroke berulang untuk meningkatkan kesadaran diri pasien dan keuarga. Rekomendasi perlu dilakukan penelitian lebih lanjut tentangpengaruh LiN terhadap dekubitus dan kualitas hidup pasien stroke. ABSTRACT
AbstractThe practice of neurological nursing residency aims at applying the role of specialistnurse as nurse care provider, reforming agent and doing scientific proof. The role of nursing care providers was done in managing cases of hemorrhagic stroke and 30 patients with various neurological disorders using Roy 39's adaptation model. Most adaptive malevolent behavior is the mode of adaptation of physiology such as ineffective perfusion of brain tissue, physical mobility barriers and the risk of falling.The nursing orders provided are management of cerebral edema, ambulation and prevention of falls. The aim of intervention to improve adaptation of patients in improving brain tissue perfusion, mobilization and prevention falls. Application of Evidence Based Nursing EBN of Positioning in Neutral LiN administration in 12 patients with central nervous disorders who experienced physical mobilization barriersto increase the range of motion of the shoulders and hip joints. The innovation program undertaken is the production of educational videos of recurrent stroke risk factors to increase patient and family awareness. Recommendations need further research on the effect of LiN on decubitus and the quality of life of stroke patients.

Abstrak :
Developmental coordination disorder DCD merupakan gangguan koordinasi motorik yang mengganggu prestasi akademik dan kegiatan olahraga. Penelitian ini bertujuan mengetahui nilai diagnostik neurological soft signs NSS dalam mendiagnosis DCD. Subjek terdiri atas 86 anak usia sekolah dasar suspek DCD dan 20 subjek kontrol. Semua subjek menjalani pemeriksaan fisis dan neurologis, anamnesis riwayat perkembangan, prestasi akademik, kesulitan menulis atau olahraga, screen time, dan aktivitas fisis, pemeriksaan antropometri, pemeriksaan NSS, serta pemeriksaan baku Bruininks-Oseretsky Test 2 Short Form BOT-2 SF . Subjek dengan skor BOT-2 SF below average dan well below average didiagnosis DCD. Median usia subjek 10,05 rentang 6,3 sampai 12,5 tahun; 67 adalah lelaki. DCD ditemukan pada 28,3 subjek. Sebanyak 67 subjek memiliki ge;1 NSS positif dan 41,5 memiliki ge;2 positif. NSS berhubungan bermakna dengan DCD apabila ge;2 positif p=0,047 . Nilai cut-off NSS optimal adalah ge;2 positif, dengan sensitivitas 57 dan spesifisitas 64 [area under the curve 0,639 IK95 0,512-0,767 ; p=0,026]. Dengan nilai cut-off ge;4, pemeriksaan ini memiliki sensitivitas 16,7 dan spesifisitas 99 . Pada 20 subjek DCD didapatkan komorbiditas neurodevelopmental lainnya. Sebagai simpulan, pemeriksaan NSS pada DCD merupakan pemeriksaan yang spesifik namun kurang sensitif. Diperlukan penelitian lebih lanjut untuk karakterisasi NSS pada komorbiditas yang dapat menyertai DCD. ...... Developmental coordination disorder DCD is a disorder of motor coordination impairing academic and sports performance. We aimed to determine the value of neurological soft signs NSS in diagnosing DCD. Subjects were 86 DCD suspected elementary school children and 20 controls. All underwent physical and neurological examination, interview on developmental and academic history, difficulties in writing or sports, screen time, and physical activity, anthropometric measurement, NSS examination, and the standardized Bruininks Oseretsky Test 2 Short Form BOT 2 SF . Below average and well below average BOT 2 SF scores were classified as DCD. Subjects rsquo median age was 10.05 range 6.3 to 12.5 years 67 were male. DCD was found in 28.3 of subjects. Sixty seven percent and 41.5 of subjects had ge 1 and ge 2 positive NSS, respectively. More than 2 positive NSS was significantly associated with DCD p 0.047 . The optimal NSS cut off value was ge 2 sensitivity 57 specificity 64 area under the curve 0.639 95 CI 0.512 0.767 p 0.026 . Using a cut off value of ge 4, NSS had a sensitivity and specificity of 16.7 and 99 , respectively. Neurodevelopmental comorbidities were found in 20 of DCD subjects. In conclusion, NSS is a specific, but less sensitive, diagnostic test for DCD. Further studies are needed to characterize NSS in comorbid conditions.