ABSTRAK
Angka kematian ibu (AKI) merupakan salah satu indikator penting dari derajatkesehatan masyarakat. AKI menggambarkan jumlah wanita meninggal dari suatupenyebab kematian terkait dengan gangguan kehamilan atau penanganannya selamakehamilan, melahirkan dan selama nifas. Kasus perdarahan sebagai penyebab utamakematian ibu dapat terjadi pada masa kehamilan, persalinan dan masa nifas. Salahsatu penyebab perdarahan diantaranya adalah plasenta previa. Plasenta previamerupakan salah satu keadaan yang menjadi penyebab perdarahan yang memerlukantindakan segera tenaga kesehatan terkait dengan kondisi ibu dan janin yangdikandungnya. Perawat sebagai salah satu tenaga kesehatan yang memberikan asuhankeperawatan secara komprehensif berperan dalam melakukan pemantauan secaraberkesinambungan kondisi ibu dan janin serta proses persalinan yang akan dihadapi .Tujuan penulisan laporan KIA ini adalah menjelaskan tentang aplikasi konsep danteori keperawatan dalam pemberian asuhan keperawatan pada ibu hamil denganplasenta previa totalis,serta menjelaskan peran perawat maternitas sebagai pemberiasuhan keperawatan, educator, konselor, advokator, pengelola, kolaborator, agenpembaharu (innovator), komunikator dan koordinator serta peneliti dalammemberikan asuhan keperawatan pada ibu hamil dengan plasenta previa. Pemilihankonsep dan teori keperawatan berdasarkan kepada kontek klien yang dalam kondisimengalami komplikasi yang berakibat kecemasan, dibutuhkan pendekatan perawatyang mampu memberikan asuhan secara komprehensif. Oleh karena itu konsep danteori need for help Wiedenbach dan teori of caring Swanson tepat digunakan dalampemberian asuhan keperawatan pada ibu hamil dengan plasenta previa totalis.Dengan harapan kondisi ibu hamil dengan plasenta previa totalis tetap optimal,mampu beradaptasi secara fisik maupun pskologis serta siap terhadap proses persalinan yang akan dihadapi. ABSTRACT
The maternal mortality rate (MMR) is one of important indicators of the communityhealth. MMR describes the number of women death caused by problems associatedwith pregnancy or the treatment during pregnancy, childbirth and postpartum period.Hemorrhagic cases as the main cause of maternal death occur during pregnancy,childbirth and postpartum period. One of hemorrhagic causes is placenta previa.Placenta previa is a condition that causes bleeding which requires healthprofessionals? immediate interventions related to the maternal and fetal condition. Anurse as one of health professionals who provides a comprehensive nursing care has arole in monitoring continuously the maternal and fetal condition as well as the laborand birth process. The purpose of this final scientific work was to explain about theapplication of the nursing concepts and theories in providing nursing care to pregnantwomen with placenta previa totalis, as well as to explain the role of maternity nursesas a caregiver, an educator, a counselor, an advocate, a manager, a collaborator, aninnovator, a communicator and a coordinator as well as a researcher in providingnursing care to pregnant women with placenta previa. The selection of nursingconcepts and theories was based on the context of the client experiencedcomplications causing anxiety, nurses? approach that can provide comprehensive carewas needed. Therefore, Wiedenbach need for help concept and theory and Swansontheory of caring were appropriate to be used in the provision of nursing care topregnant women with placenta previa totalis. Hopefully the conditions of pregnantwomen with placenta previa totalis remain optimal, able to adapt physically and psychologically and ready to face the labor process. ;The maternal mortality rate (MMR) is one of important indicators of the communityhealth. MMR describes the number of women death caused by problems associatedwith pregnancy or the treatment during pregnancy, childbirth and postpartum period.Hemorrhagic cases as the main cause of maternal death occur during pregnancy,childbirth and postpartum period. One of hemorrhagic causes is placenta previa.Placenta previa is a condition that causes bleeding which requires healthprofessionals? immediate interventions related to the maternal and fetal condition. Anurse as one of health professionals who provides a comprehensive nursing care has arole in monitoring continuously the maternal and fetal condition as well as the laborand birth process. The purpose of this final scientific work was to explain about theapplication of the nursing concepts and theories in providing nursing care to pregnantwomen with placenta previa totalis, as well as to explain the role of maternity nursesas a caregiver, an educator, a counselor, an advocate, a manager, a collaborator, aninnovator, a communicator and a coordinator as well as a researcher in providingnursing care to pregnant women with placenta previa. The selection of nursingconcepts and theories was based on the context of the client experiencedcomplications causing anxiety, nurses? approach that can provide comprehensive carewas needed. Therefore, Wiedenbach need for help concept and theory and Swansontheory of caring were appropriate to be used in the provision of nursing care topregnant women with placenta previa totalis. Hopefully the conditions of pregnantwomen with placenta previa totalis remain optimal, able to adapt physically and psychologically and ready to face the labor process. |
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