Dermana, I Kadek Risan (2019) Gambaran Asuhan Keperawatan pada Bayi Prematuritas dengan Gangguan Ventilasi Spontan di Ruang NICU RSUD Mangusada Badung tahun 2019. Diploma thesis, Politeknik Kesehatan Kemenkes Denpasar Jurusan Keperawatan.
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Abstract
Gangguan ventilasi spontan merupakan penurunan cadangan energi yang mengakibatkan ketidakmampuan individu bernafas secara adekuat. Tujuan penelitian ini untuk memperoleh gambaran asuhan keperawatan pada bayi prematuritas dengan gangguan ventilasi spontan. Penelitian ini menggunakan jenis penelitian deskriptif dan teknik pengumpulan data dengan pedoman studi kasus. Sampel yang digunkan adalah dua orang yang memenuhi kriteria inklusi. Alat pengumpulan data berupa pedoman studi dokumentasi berupa format asuhan keperawatan. Hasil penelitian menunjukkan pengkajian dokumen pasien pertama dan kedua didapatkan data objektif yaitu keadaan umum lemah, retraksi dada ada, penggunaan alat bantu napas. Diagnosis keperawatan prioritas yang dirumuskan oleh perawat pada kedua dokumen yaitu pola nafas tidak efektif. Terdapat perbedaan pada intervensi dilihat dari bedanya fokus pengkajian dan jumlah intervensi. Implementasi pada kedua kasus sesuai dengan rencana keperawatan. Evaluasi dari dua dokumen pasien yang diteliti terdapat perbedaan dengan acuan teori, terlihat pada SOAP, penulisan data Objektif, Assesment, dan Planing, menunjukkan bahwa dokumentasi asuhan keperawatan yang dilaksanakan tidak lengkap. Hasil penelitian ini diharapkan bagi pihak rumah sakit khususnya di ruangan NICU agar menerapkan proses keperawatan yang tepat dan mendokumentasikan secara lengkap sesuai pedoman sehingga pelaksanaan keperawatan terlaksana dengan optimal. Kata kunci: Asuhan Keperawatan, Prematuritas, Gangguan Ventilasi Spontan Spontaneous ventilation disorder is a decrease in energy reserves which results in the inability of individuals to breathe adequately. The aim of this study was to obtain an overview of nursing care in prematurity infants with spontaneous ventilation disorders. This studied using a type of descriptive research data collection techniques with case study guidelines. The sample used is two people who meet the inclusion criteria Data collection tool in the form of documentation studied guidelines in the form of nursing care format. The results of the studied showing that the assessment of the first and second patient documents obtained objective data, namely weak general condition, chest retraction, used of breathing apparatus. The priority nursing diagnoses formulated by nurses in both documents were ineffective breathing patterns. There was a difference in the intervention seen from the difference between the focus of the assessment and the number of interventions. Implementation in both cases was in accordance with the nursing plan. Evaluation of the two patient documents studied there were differences with theoretical references, seen in SOAP, writing of Objective, Assessment, and Planing data, indicating that nursing care documentation carried out was incomplete. The results of this studied were expected for the hospital, especially in the NICU room, to apply the appropriate nursing process and document in full according to the guidelines so that the implementation of nursing was carried out optimally. Keywords : Nursing care , Prematurity, Spontaneous Ventilation Disorders
| Item Type: | Thesis (Diploma) |
|---|---|
| Uncontrolled Keywords: | Gangguan ventilasi spontan merupakan penurunan cadangan energi yang mengakibatkan ketidakmampuan individu bernafas secara adekuat. Tujuan penelitian ini untuk memperoleh gambaran asuhan keperawatan pada bayi prematuritas dengan gangguan ventilasi spontan. Penelitian ini menggunakan jenis penelitian deskriptif dan teknik pengumpulan data dengan pedoman studi kasus. Sampel yang digunkan adalah dua orang yang memenuhi kriteria inklusi. Alat pengumpulan data berupa pedoman studi dokumentasi berupa format asuhan keperawatan. Hasil penelitian menunjukkan pengkajian dokumen pasien pertama dan kedua didapatkan data objektif yaitu keadaan umum lemah, retraksi dada ada, penggunaan alat bantu napas. Diagnosis keperawatan prioritas yang dirumuskan oleh perawat pada kedua dokumen yaitu pola nafas tidak efektif. Terdapat perbedaan pada intervensi dilihat dari bedanya fokus pengkajian dan jumlah intervensi. Implementasi pada kedua kasus sesuai dengan rencana keperawatan. Evaluasi dari dua dokumen pasien yang diteliti terdapat perbedaan dengan acuan teori, terlihat pada SOAP, penulisan data Objektif, Assesment, dan Planing, menunjukkan bahwa dokumentasi asuhan keperawatan yang dilaksanakan tidak lengkap. Hasil penelitian ini diharapkan bagi pihak rumah sakit khususnya di ruangan NICU agar menerapkan proses keperawatan yang tepat dan mendokumentasikan secara lengkap sesuai pedoman sehingga pelaksanaan keperawatan terlaksana dengan optimal. Kata kunci: Asuhan Keperawatan, Prematuritas, Gangguan Ventilasi Spontan Spontaneous ventilation disorder is a decrease in energy reserves which results in the inability of individuals to breathe adequately. The aim of this study was to obtain an overview of nursing care in prematurity infants with spontaneous ventilation disorders. This studied using a type of descriptive research data collection techniques with case study guidelines. The sample used is two people who meet the inclusion criteria Data collection tool in the form of documentation studied guidelines in the form of nursing care format. The results of the studied showing that the assessment of the first and second patient documents obtained objective data, namely weak general condition, chest retraction, used of breathing apparatus. The priority nursing diagnoses formulated by nurses in both documents were ineffective breathing patterns. There was a difference in the intervention seen from the difference between the focus of the assessment and the number of interventions. Implementation in both cases was in accordance with the nursing plan. Evaluation of the two patient documents studied there were differences with theoretical references, seen in SOAP, writing of Objective, Assessment, and Planing data, indicating that nursing care documentation carried out was incomplete. The results of this studied were expected for the hospital, especially in the NICU room, to apply the appropriate nursing process and document in full according to the guidelines so that the implementation of nursing was carried out optimally. Keywords : Nursing care , Prematurity, Spontaneous Ventilation Disorders |
| Subjects: | Q Science > QM Human anatomy R Medicine > RG Gynecology and obstetrics R Medicine > RJ Pediatrics R Medicine > RT Nursing |
| Divisions: | Jurusan Keperawatan > Prodi D3 |
| Depositing User: | I Kadek Risan Dermana |
| Date Deposited: | 12 Jul 2019 05:53 |
| Last Modified: | 12 Jul 2019 05:53 |
| URI: | http://repository.poltekkes-denpasar.ac.id/id/eprint/2224 |
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