Hasil Pencarian  ::  Simpan CSV :: Kembali

"ABSTRAKNama : Henny Sri PurwantiProgram Studi : Magister KeperawatanJudul Tesis : Studi Fenomenologi: Pengalaman dan Persepsi Enterostomal Therapy Nurse ETN Tentang Konseling Pra Operasi Stoma dan Stoma Marking Stoma adalah lubang pada dinding abdomen berupa intestin yang dikeluarkan, dibuat melalui pembedahan untuk memenuhi kebutuhan eliminasi urin dan fekal. Stoma mengubah kehidupan individu. Konseling pra operasi stoma dan stoma marking menurunkan risiko terjadinya komplikasi, meningkatkan kemandirian dan kualitas hidup ostomate. ETN diharapkan berperan dalam persiapan pra operasi stoma. Tujuan penelitian ini adalah menggali pengalaman dan persepsi ETN tentang konseling pra operasi stoma dan stoma marking. Penelitian ini merupakan penelitian kualitatif menggunakan pendekatan fenomenologi. Metode pengumpulan data yang digunakan yaitu Focus Group Discussion FGD dengan jumlah partisipan 10 ETN dari seluruh Indonesia. Analisis data menggunakan Colaizzi. Penelitian menghasilkan 14 tema. Penelitian ini diharapkan dapat menjadi masukan bagi rumah sakit untuk menyusun SPO konseling pra operasi stoma dan stoma marking, menyusun kebijakan rasio jumlah ETN dan penempatan yang sesuai, pengembangan kurikulum pembelajaran dan pengukuhan konseling pra operasi stoma dan stoma marking sebagai intervensi keperawatan mandiri melalui riset lanjutan.

---

ABSTRACTName Henny Sri Purwanti Program Master of Nursing ScienceThesis Title Phenomenology Study Experience and Perception of Enterostomal Therapy Nurse ETN on Preoperative Counseling and Stoma Marking Stoma is an artificial opening on abdominal wall made between the bowel and skin and constructed by surgery, to divert faeces and urine. Stoma may change one rsquo s life. Pre operative counseling and stoma marking prior surgery have been known to decrease the stoma complications risks, promote independence and improve quality of life. ETN is expected to play an important role at pre operative stoma surgery. The purpose of this study was to explore an ETN rsquo s experience and perception on pre operative counseling and stoma marking. This study is a qualitative research with a phenomenology approach. The data was gathered using Focus Group Discussion FGD and involved 10 ETNs in Indonesia. Data was analyzed using a Colaizzi method. There were 14 themes emerged. It is recommended to fomulate Standard Operating Procedure SOP of pre operative counseling and stoma marking, arrange policy to support ETN rsquo s role, and developing curriculum and further sudy as evidence based of pre operative counseling and stoma marking as one of nursing intervention. "

"[ABSTRAKKanker merupakan masalah serius di Indonesia, khususnya kanker kolorektal. Salah satu pengobatan kanker kolorektal adalah pembuatan stoma. Stoma merupakan masalah serius yang mempengaruhi kualitas hidup pada pasien kanker. Penelitian ini bertujuan untuk melihat gambaran kualitas hidup pasien stoma di Rumah Sakit Kanker Dharmais. Desain penelitian ini adalah diskriptif kategorik dengan pendekatan cross sectional. Penelitian ini menggunakan tehnik total sampling sebanyak 37 pasien dengan stoma permanen. Instrumen yang digunakan adalah Quality of Life Questionnaire Patient with an ostomy yang sudah dimodifikasi. Penelitian ini menggambarkan kualitas hidup pasien stoma permanen dengan empat dimensi yaitu fisik, psikologis, sosial dan spiritual . Hasil penelitian menunjukkan bahwa pasien dengan stoma permanen memiliki kualitas hidup yang baik.

---

ABSTRACTCancer is a serious problem in Indonesia, particularly colorectal cancer. The most common of therapy colorectal cancer is stoma creation. Stoma is a serious problem that affects the quality of life in cancer patients. This study aims to an overview the quality of life in stoma patients at Dharmais Cancer Hospital. The study was conducted using a descriptive categorical. This study using total sample technique of 37 patients with a permanent stoma. The instrument used is the Quality of Life Questionnaire Patient with an ostomy that has been modified. This study was an overview quality of life permanent stoma patient with four dimension are physical, pschychological, social and spiritual. The result shown quality of life patient with permanent stoma is good., Cancer is a serious problem in Indonesia, particularly colorectal cancer. The most common of therapy colorectal cancer is stoma creation. Stoma is a serious problem that affects the quality of life in cancer patients. This study aims to an overview the quality of life in stoma patients at Dharmais Cancer Hospital. The study was conducted using a descriptive categorical. This study using total sample technique of 37 patients with a permanent stoma. The instrument used is the Quality of Life Questionnaire Patient with an ostomy that has been modified. This study was an overview quality of life permanent stoma patient with four dimension are physical, pschychological, social and spiritual. The result shown quality of life patient with permanent stoma is good.]"

"Atresia ani merupakan malformasi kongenital pada anorektum. Klien dengan atresia ani biasanya dilakukan kolostomi. Kolostomi seringkali mengalami iritasi pada kulit peristomal. Penulisan Karya Ilmiah Akhir Ners ini bertujuan untuk memberikan gambaran asuhan keperawatan pada klien dengan atresia ani dengan kolostomi yang memiliki kondisi iritasi pada kulit peristomal. Salah satu intervensi untuk menghindari komplikasi lebih lanjut yaitu dengan perawatan stoma. Perawatan stoma dilakukan dengan cara menilai iritasi kulit dengan ostomy skin tools, melakukan intervensi, dan pemantauan kondisi kulit. Setelah dilakukan perawatan stoma selama 3 hari ditemukan hasil berkurangnya kemerahan pada kulit dan hilangnya iritasi dari tiga lokasi menjadi hanya satu lokasi iritasi. Hasil karya ilmiah ini merekomendasikan pihak rumah sakit untuk mengembangkan asuhan keperawatan khususnya pada klien dengan kerusakan integritas kulit untuk meningkatkan kualitas pelayanan.

---

Atresia ani was a congenital malformation in anorectum. Clients with atresia ani usually had colostomy procedure. Colostomy often experienced for peristomal skin irritation. The purpose of this study was provided an overview of nursing care to clients with atresia ani who had peristomal skin irritation. One intervention to avoid further complications was by stoma care. Stoma care was done by assessing skin irritation with ostomy skin tools, interventions, and monitoring the condition of the skin. After stoma care for 3 days found resulted in redness less and reduce irritation location from three locations into one location. From the result of this study recommend the hospital need to develop a nursing care on clients with skin integrity damage to improve the quality of service."

"Adenokarsinoma rekti merupakan salah satu masalah kesehatan di daerah perkotaan. Faktor gaya hidup masyarakat perkotaan seperti Western diet dan kurang aktifitas fisik menjadi faktor predisposisi penting peningkatan insiden kasus ini. Tatalaksana bedah pada kasus ini sering disertai dengan pembuatan stoma. Tujuan penulian ini adalah menganalisa intervensi keperawatan yaitu pembersihan kantong stoma dalam mencegah terjadinya kerusakan integritas kulit pada pasien pasca operasi adenokarsinoma rekti. Hasil analisa praktik mahasiswa di ruang rawat bedah RSUP Fatmawati menunjukkan bahwa masalah iritasi kulit dan infeksi jamur dapat muncul akibat kurang tepatnya tindakan pembersihan kantong stoma. Rekomendasi penulisan ini adalah agar tindakan pembersihan kantong stoma dapat dilakukan sesuai standar dan disesuaikan dengan tipe stoma guna mengurangi resiko komplikasi dan menurunkan angka morbiditas pada pasien pasca operasi adenokarsinoma rekti.

---

Rectal Adenocarcinoma is one of the health problem in urban areas. Lifestyle factor of the urban community, such as Western diet and lack of physical activity become an important predisposing factor that increase incidence of this case. The surgical management of this case is often followed by stoma surgery. This article aimed to analyze the implication of stoma bag cleaning as nursing intervention to prevent risk for impaired skin integrity in patients undergoing rectal adenocarcinoma postoperative care. The results of student practice at surgical wards of RSUP Fatmawati showed that the skin irritation and fungal infection can develop from improper process of emptying and cleaning the stoma bag. This article recommends that protocol of cleaning the stoma bag can be carried out according to the standard and suited to the type of the stoma in order to reduce complications and postoperative morbidity in patients with rectal adenocarcinoma."

"Komplikasi akibat stoma mempengaruhi kehidupan pasien secara fisik dan psikologis. Konseling dan stoma site marking sebelum pembedahan menurunkan resiko terjadinya komplikasi dan meningkatkan kualitas hidup pasien. Enterostomal Therapy Nurse ETN diharapkan memainkan peran penting dalam persiapan pasien sebelum pembedahan stoma. Tujuan penelitian ini adalah mengetahui hubungan pengetahuan dan sikap ETN terhadap self-efficacy ETN terkait konseling dan stoma site marking. Desain penelitian ini adalah kuantitatif dengan pendekatan studi cross-sectional dengan jumlah sampel 77 ETN yang ada di Indonesia. Analisis data menggunakan Chi Square dan regresi logistik. Hasil penelitian menunjukkan terdapat hubungan antara pengetahuan dengan self-efficacy p = 0,003, OR = 5,963 , terdapat hubungan antara sikap dengan self-efficacy p = 0,004, OR = 5,560 . Penelitian ini diharapkan dapat menjadi masukan bagi rumah sakit terkait usaha peningkatan self-efficacy ETN dalam melaksanakan konseling dan stoma site marking kepada pasien yang akan menjalani pembedahan stoma.

---

Stoma complications may affect physical and psychological aspect in patient life. The implementation of stoma counselling and stoma site marking prior to surgery can reduce the risk of complications and improve the quality of life in patients with stoma. Enterostomal therapy nurse ETN plays vital role in stoma surgery preparation.

This study aimed to investigate relationship between the knowledge and attitude on self efficacy during counseling and stoma site marking in ETNs. This quantitative study used cross sectional design which involved 77 ETNs in Indonesia. Chi square and logistic regression analyisis was applied in data analysis.

The result shows that there was a correlation of knowledge with self efficacy p 0,003, OR 4,714 and between attitude on self efficacy p 0,002, OR 4,248 . This study is deemed being recommendation for clinical practice related with improvement of ETN rsquo s self efficacy during counselling and stoma site marking for patients undergoing stoma surgery."

"Stoma membawa dampak perubahan kualitas hidup pasien. Diperlukan persiapan yang tepat sebelum operasi untuk menyiapkan pasien beradaptasi. Penelitian bertujuan mengeksplorasi pengalaman ostomate terhadap perawat pada persiapan pembedahan stoma. Desain kualitatif dengan pendekatan fenomenologi melibatkan 7 ostomate yang memenuhi kriteria penelitian. Wawancara mendalam dilakukan dengan analisa metode Collaizi. Hasilnya terdapat 5 tema: 1 Menjalani operasi stoma atas support dokter keluarga; 2 Menjalani persiapan rutin sebelum operasi dari perawat; 3 Kurang interaksi secara interpersonal dengan perawat; 4 Kurang mendapatkan informasi spesifik stoma dari perawat; 5 Keinginan mendapatkan perawatan dari perawat khusus stoma sebelum operasi dilakukan. Kesimpulan, perawatan preoperative stoma belum meliputi seluruh aspek seperti edukasi, dukungan fisik psikologis yang diberikan oleh perawat dengan kompetensi khusus yaitu enterostomal therapy nurses. Saran, Dalam memberikan layanan preoperative, Perawat harus melakukan asuhan keperawatan preoperative stoma dengan menggunakan komunikasi efektif keterampilan perawatan stoma terstandar.

---

Proper preparation of preoperative ostomy surgery is needed, because it has an impact to the patient rsquo s quality of life. The aim of this researched was to explore the ostomate experience of the nurse on the preparation of ostomy surgery. The design of this research Was Qualitative design with phenomenology approach involves 7 Ostomates that meet the research and the data analyzed by Collaizi 39 s method. The results had 5 themes 1 Ostomy surgery on the support of doctors and family 2 undergoing routine preparation prior to the operation of the nurse 3 Less interpersonal interaction with nurses 4 lack of specific stoma information from the nurse 5 The desire to get treatment from a stoma special nurse before ostomy surgery. Conclusion Proper preparation of preoperative ostomy surgery has not covered all aspects such as education, physical psychological support provided by enterostomal therapy nurses. Suggestions In a Preoperative care, nurses should be able to conduct holistic preoperative nursing care and be complemented by effective communication skills. "

"ABSTRAKStudi ilmiah ini menggambarkan aplikasi teori caring Swanson dalam pemberian asuhan keperawatan anak dengan stoma.Lima kasus anak dengan stoma diberikan asuhan keperawatan berdasarkan lima prinsip dasar caring Swanson yaitu knowing, being with, enabling/empower-ing, doing for, dan maintaining belief. Asuhan keperawatan diberikan pada anak dan keluarga dengan menerapkan konsep family centered of care. Hasil dari aplikasi teori caring Swanson yaitu anak dengan stoma mendapatkan keperawatan yang komprehensif, kebutuhan pasien selama perawatan di rumah sakit terpenuhi, pemberian edukasi dan pendampingan orang tua dalam mencegah komplikasi kulit peristomal dan perawatan stoma anak di rumah, orang tua dapat mempertahankan keyakinan dan harapan untuk perawatan anak selanjutnya di rumah serta mempersiapkan kondisi anak untuk tindakan definitif.Lima prinsip teori caring Swanson merupakan dasar bagi perawat dalam menerapkan proses keperawatan, teori caring dapat melengkapi teori keperawatan lain yang menjelaskan secara spesifik tahapan dalam proses keperawatan.

---

ABSTRACTThe aim of study was to apply of Swanson 39;s caring theory in nursing care of children with stoma. Five cases of children with stoma were given nursing care based on the five basic principles of Swanson caring: knowing, being with, enabling / empowering, doing for, and maintaining belief. Nursing care is given to children and families by applying the concept of family centered of care. The result of the Swanson caring theory application is that children with stoma get comprehensive nursing, the patient 39;s need during hospitalization is fulfilled, giving education and parental guidance in preventing peristomal skin complications and stoma care of children at home, parents can maintain the belief and hope to further child care at home as well as preparing the child 39;s condition for definitive treatment. The five principles of the Swanson caring theory are the basis for nurses in applying the nursing process, caring theory can complement other nursing theories that explain the specific stages in the nursing process. "