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"ABSTRAK Dehidrasi dapat menyebabkan terjadinya hipovolemia, kegagalan organ, danbahkan berakhir dengan kematian. Asuhan keperawatan yang berkualitas sangatdiperlukan dalam mengatasi masalah gangguan cairan pada anak. Karya ilmiahakhir ini bertujuan untuk memberikan gambaran aplikasi Model KonservasiMyra E. Levine dalam memberikan asuhan keperawatan pada anak dengan kankeryang mengalami ketidakseimbangan cairan. Intervensi berdasarkan modelkonservasi Levine yaitu mengkaji tanda-tanda dehidrasi, memantau adanyamuntah, diare dan demam, mengukur tanda-tanda vital, mengukur intake outputcairan dan melakukan analisis terhadap balance cairan. Evaluasi setelahdilakukan intervensi keperawatan pada kasus 1, 2, dan 3 masalah risikokekurangan volume cairan tubuh tidak terjadi, sedangkan pada kasus 4 sampaidengan 5, masalah ketidakseimbangan cairan teratasi. Rekomendasi karya ilmiahini adalah dalam memberikan asuhan keperawatan pada anak dengan kasushemato-onkologi yang mengalami ketidakseimbangan cairan kepada pasien dapatmenerapkan teori keperawatan model konservasi Myra E. Levine.ABSTRACT Dehydration can lead to hypovolemia, organ failure, and even death. Qualitynursing care is of high importance in addressing the problem of fluid imbalancein children. This paper aimed to describe the application of Levine?sConservation Model in providing nursing care to children with cancer whoexperience fluid imbalance. Based on this model, the interventions includereviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,measuring vital signs, measuring the fluid intake and output and analyzing thefluid balance. After the nursing intervention, the problem of risk of body fluidvolume deficiency did not occur in cases number 1, 2, and 3; while in the casesnumber 4 and 5 in which fluid imbalance already happened, this imbalanceproblem was resolved. It can be concluded that Levine?s model is an effectiveapproach to manage the fluid imbalance problem in children with hematooncologycases.;Dehydration can lead to hypovolemia, organ failure, and even death. Qualitynursing care is of high importance in addressing the problem of fluid imbalancein children. This paper aimed to describe the application of Levine?sConservation Model in providing nursing care to children with cancer whoexperience fluid imbalance. Based on this model, the interventions includereviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,measuring vital signs, measuring the fluid intake and output and analyzing thefluid balance. After the nursing intervention, the problem of risk of body fluidvolume deficiency did not occur in cases number 1, 2, and 3; while in the casesnumber 4 and 5 in which fluid imbalance already happened, this imbalanceproblem was resolved. It can be concluded that Levine?s model is an effectiveapproach to manage the fluid imbalance problem in children with hematooncologycases.;Dehydration can lead to hypovolemia, organ failure, and even death. Qualitynursing care is of high importance in addressing the problem of fluid imbalancein children. This paper aimed to describe the application of Levine?sConservation Model in providing nursing care to children with cancer whoexperience fluid imbalance. Based on this model, the interventions includereviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,measuring vital signs, measuring the fluid intake and output and analyzing thefluid balance. After the nursing intervention, the problem of risk of body fluidvolume deficiency did not occur in cases number 1, 2, and 3; while in the casesnumber 4 and 5 in which fluid imbalance already happened, this imbalanceproblem was resolved. It can be concluded that Levine?s model is an effectiveapproach to manage the fluid imbalance problem in children with hematooncologycases.;Dehydration can lead to hypovolemia, organ failure, and even death. Qualitynursing care is of high importance in addressing the problem of fluid imbalancein children. This paper aimed to describe the application of Levine?sConservation Model in providing nursing care to children with cancer whoexperience fluid imbalance. Based on this model, the interventions includereviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,measuring vital signs, measuring the fluid intake and output and analyzing thefluid balance. After the nursing intervention, the problem of risk of body fluidvolume deficiency did not occur in cases number 1, 2, and 3; while in the casesnumber 4 and 5 in which fluid imbalance already happened, this imbalanceproblem was resolved. It can be concluded that Levine?s model is an effectiveapproach to manage the fluid imbalance problem in children with hematooncologycases.;Dehydration can lead to hypovolemia, organ failure, and even death. Qualitynursing care is of high importance in addressing the problem of fluid imbalancein children. This paper aimed to describe the application of Levine?sConservation Model in providing nursing care to children with cancer whoexperience fluid imbalance. Based on this model, the interventions includereviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,measuring vital signs, measuring the fluid intake and output and analyzing thefluid balance. After the nursing intervention, the problem of risk of body fluidvolume deficiency did not occur in cases number 1, 2, and 3; while in the casesnumber 4 and 5 in which fluid imbalance already happened, this imbalanceproblem was resolved. It can be concluded that Levine?s model is an effectiveapproach to manage the fluid imbalance problem in children with hematooncologycases."

"Gangguan oksigenasi merupakan masalah yang sering dialami oleh pasien yang dirawat di ruang perawatan intensif anak. Oksigen merupakan kemponen yang penting dalam pembentukan energi sehingga gangguan oksigenasi dapat memengaruhi keseimbangan energi. Teori Konservasi Levine bertujuan untuk mempertahankan keutuhan pasien melalui empat prinsip konservasi yaitu konservasi energi, konservasi integritas strukrutal, konservasi integritas personal dan konservasi integritas sosial sehingga dapat diaplikasikan pada anak dengan gangguan oksigenasi. Salah satu intervensi keperawatan yang sesuai dengan prinsip konservasi energi pada pasien dengan masalah oksigenasi adalah pengaturan posisi lateral kanan. Tujuan dari karya ilmiah ini adalah memberikan gambaran mengenai aplikasi teori Konservasi Levine dalam pemenuhan kebutuhan oksigenasi dan pengaruh pengaturan posisi lateral kanan pada anak yang dirawat di ruang perawatan intensif. Asuhan keperawatan dengan pendekatan teori Konservasi Levine diberikan kepada lima anak yang terpasang ventilator. Proses keperawatan mulai dari pengkajian sampai evaluasi dilakukan berdasarkan empat prinsip konservasi. Evaluasi keperawatan menunjukkan adanya perbaikan kondisi pada beberapa pasien. Demikian halnya dengan pengaturan posisi lateral kanan dengan kemiringan 30° terbukti efektif meningkatkan saturasi oksigen pada anak yang terpasang ventilasi mekanik. Penulis merekomendasikan penggunaan teori Konservasi Levine dalam memberikan asuhan keperawatan kepada anak dengan gangguan oksigenasi di ruang perawatan intensif. Selain itu penulis merekomendasikan pengaturan posisi lateral kanan dengan kemiringan 30° untuk dapat diaplikasikan di ruang perawatan intensif anak serta dilakukan uji klinik lebih lanjut dengan sampel yang lebih besar sehingga dapat dijadikan dasar penyusunan standar operasional prosedur.

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Oxygenation impairment is one of the problems that is often experienced by patients treated in pediatric intensive care units. Oxygen is an important component in energy formation.  Oxygenation impairment can affect energy balance. Levine's Conservation theory focuses on maintaining patient wholeness through four conservation principles, namely conservation of energy, conservation of structural integrity, conservation of personal integrity, and conservation of social integrity so that it can be applied to children with oxygenation impairment. One of the nursing interventions that relate to the conservation of energy in patients with oxygenation impairment is the positioning with the right lateral position. The purpose of this scientific paper is to provide an overview of the application of Levine's Conservation theory in meeting oxygenation needs and the effect of right lateral position in children treated in intensive care units. Nursing care with the application Levine Conservation theory was given to five children who were on ventilators. The nursing process from assessment to evaluation was carried out based on four conservation principles. Nursing evaluation showed an improvement in the condition of several patients. Likewise, the right lateral position setting with a 30° tilt has shown to be effective in increasing oxygen saturation in children who are on mechanical ventilation. The author recommends the use of Levine's Conservation theory in providing nursing care to children with impaired oxygenation in intensive care units. In addition, the author recommends setting the right lateral position with a 30° tilt to be applied in the pediatric intensive care room and conducting further clinical trials with larger samples so that it can be used as a basis for compiling standard operating procedures."