[Karya ilmiah akhir ini merupakan laporan praktik residensi keperawatan medikalbedah yang telah dilaksanakan selama dua semester. Pelaksanaan praktikresidensi meliputi praktikan sebagai pemberi asuhan keperawatan langsung,sebagai peneliti dimana melaksanakan tindakan keperawatan mandiri denganbasis pembuktian ilmiah serta melakukan proyek inovasi sebagai upayapengembangan intervensi keperawatan. Asuhan keperawatan pasien yangmengalami gangguan sistem perkemihan menerapkan teori adaptasi Roydikarenakan gangguan sistem perkemihan yang dikelola memunculkan perubahanperilaku pasien sehingga memerlukan pengelolaan asuhan keperawatan yangprofesional agar pasien mampu beradaptasi dengan adaptif sesegera mungkin.Masalah keperawatan yang sering ditemukan pada yaitu kelebihan volume cairantubuh aktual/resiko, ketidakseimbangan nutrisi kurang, gangguan mobilitas fisik,kerusakan integritas kulit aktual, nyeri, cemas dan koping tidak efektif. Tindakankeperawatan berbasis pembuktian ilmiah terapi musik dalam menurunkankecemasan pasien pre operatif urologi, hasil penerapan diperoleh terapi musikmenurunkan kecemasan dengan rata-rata penurunan kecemasan 5,7. Hasil proyekinovasi menunjukan secara umum pasien memiliki persepsi terhadap edukasidengan booklet interaktif yang sudah dilakukan adalah sangat baik dan baik untukdigunakan. Disarankan model adaptasi Roy dapat diterapkan pada pasien dengangangguan sistem perkemihan terutama penyakit kronis sistem perkemihan, terapimusik dapat dilakukan untuk menurunkan kecemasan pasien pre operatif urologidan edukasi dengan booklet interaktif sebagai media penyampaian edukasiperawatan diri pada pasien yang menjalani hemodialisis rutin adalah tepatmengenai sasaran dan sesuai dengan yang dibutuhkan oleh pasien.;The purpose of this final scientific report is to describe series of activities inclinical practice residency in medical surgical nursing that had been conducted for2 semesters. Three main activities of residency practician were providng of directnursing care on urinary system disorders, implementing evidence based as aresearcher and innovating projects as the development of nursing interventionefforts. Practician applied Roy's adaptation theory to manage nursing care ofpatients with urinary system disorders due to run led to changes in patientbehavior that required professional management of nursing care so that the patientwas able to adapted as soon possible. The common nursing problems in patinetwith urinary system disorders were actual/risk excess fluid volume, imbalancednutrition: less than body requirements, impaired physical mobility, actual/riskimpaired skin integrity, pain, anxiety and ineffective coping. The implemntationof evidence-based nursing practice that music therapy in reducing preoperativeanxiety urology patients, the result that grouping following music therapy reducedanxiety score averages between the grouping with an average decline of 5,7. Theinnovation projects was used interactive booklet for education patient undergoingon hemodialysis. The result of innovation showed generally the perception ofpatient was very well and good to be used interactive booklet for education toimproved management self. Suggested Roy adaptation model can be applied topatients with chronic urinary diseases especially chronic kidney disease, musictherapy can be done to reduce preoperative anxiety urology and interactivebooklet is the right media to educate patients undergoing hemodialysis., The purpose of this final scientific report is to describe series of activities inclinical practice residency in medical surgical nursing that had been conducted for2 semesters. Three main activities of residency practician were providng of directnursing care on urinary system disorders, implementing evidence based as aresearcher and innovating projects as the development of nursing interventionefforts. Practician applied Roy's adaptation theory to manage nursing care ofpatients with urinary system disorders due to run led to changes in patientbehavior that required professional management of nursing care so that the patientwas able to adapted as soon possible. The common nursing problems in patinetwith urinary system disorders were actual/risk excess fluid volume, imbalancednutrition: less than body requirements, impaired physical mobility, actual/riskimpaired skin integrity, pain, anxiety and ineffective coping. The implemntationof evidence-based nursing practice that music therapy in reducing preoperativeanxiety urology patients, the result that grouping following music therapy reducedanxiety score averages between the grouping with an average decline of 5,7. Theinnovation projects was used interactive booklet for education patient undergoingon hemodialysis. The result of innovation showed generally the perception ofpatient was very well and good to be used interactive booklet for education toimproved management self. Suggested Roy adaptation model can be applied topatients with chronic urinary diseases especially chronic kidney disease, musictherapy can be done to reduce preoperative anxiety urology and interactivebooklet is the right media to educate patients undergoing hemodialysis.] |