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Gambaran Perawat dalam Merawat Anak yang Menjalani Terapi Continuous Ambulatory Peritoneal Dialysis (CAPD) di Rumah Sakit Persatuan Gereja Indonesia (PGI) Cikini Jakarta Iga Dewi Purnamawati; Krisna Yetti; Happy Hayati
Jurnal Persada Husada Indonesia Vol 2 No 6 (2015): Jurnal Persada Husada Indonesia
Publisher : STIKes Persada Husada Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (387.631 KB) | DOI: 10.56014/jphi.v2i6.75

Abstract

Continuous Ambulatory Peritoneal Dialysis (CAPD) therapy is one of substitute for renal therapy. Children undergoing CAPD therapy show good survivability. The roles of nurses in the CAPD unit are integral to this success. This study used a qualitative descriptive phenomenological approach and included as participants seven nurses with experience in CAPD therapy in children. Data were collected through in-depth interviews and were analysed by the Collaizi method. The results identified six main tasks CAPD nurses perform: optimisation of therapy in children, coordination and collaboration with other health care providers, training families to apply CAPD therapy, facing various challenges while providing care, strategising care for each individual child, and dealing with their own attitudes and emotions. Procedures need to be optimised in a comprehensive manner to care for children receiving CAPD therapy.
APLIKASI TEORI COMFORT KOLCABA DALAM ASUHAN KEPERAWATAN PADA ANAK KANKER DENGAN MASALAH NUTRISI DI RUANG RAWAT ANAK NON INFEKSI DI RSUPN DR. CIPTO MANGUNKUSUMO JAKARTA IGA Dewi Purnamawati
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 1 No 1 (2017): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (155.761 KB) | DOI: 10.36971/keperawatan.v1i1.22

Abstract

Kanker pada anak terus meningkat jumlahnya setiap tahun, masalah nutrisi merupakan masalah yang sering dikeluhkan oleh anak dan keluarga sehingga, diperlukan asuhan keperawatan untuk mengatasi masalah tersebut. Karya Ilmiah ini bertujuan untuk memberikan gambaran aplikasi teori Comfort Kolcaba dalam asuhan keperawatan pada anak kanker dengan masalah nutrisi dan pencapaian kompetensi baik sebagai pemberi asuhan, advocator, counselor, educator, colaborator, dan agen perubah. Terdapat lima kasus kelolaan yang menjadi pembahasan dalam karya ilmiah ini, kelima kasus kelolaan mengalami masalah nutrisi. Masalah nutrisi didapatkan dari hasil pengkajian berdasarkan pendekatan teori Comfort Kolcaba yaitu pengkajian fisik, psikospiritual, sosiokultural dan lingkungan. Intervensi menggunakan tiga tipe perawatan standar comfort, coaching dan Comfort food for the soul. Tidak semua masalah nutrisi pada lima kasus kelolaan dapat teratasi dengan cepat, untuk menyelesaikan masalah nutrisi pada anak kanker dibutuhkan waktu dan kerjasama tim yang baik antara ibu, anak, dokter dan dietesien serta perawat
Akupresur Mengurangi Mual dan Muntah Pada Anak Yang Menjalani Kemoterapi IGA Dewi Purnamawati
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 2 No 1 (2018): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (721.349 KB) | DOI: 10.36971/keperawatan.v2i1.31

Abstract

Cancer patients assess nausea is the most unpleasant side effect of chemotherapy, although the provision of antiemetic therapy has been given intensively. Nearly 70% of adult patients and 58% of school-age children and adolescents receive highly emetogenic chemotherapy agents, as a result of which patients complain of nausea (Ryan, 2010). Acupressure is one of the alternatives to effective interventions to reduce complaints of nausea and vomiting. Acupressure is also a non-invasive intervention and is relatively difficult to do (Lee & Frazier, 2011). This EBN application aims to achieve quality nursing care through comprehensive nursing interventions and improve nursing services that pay attention to the principles of atraic care in children undergoing chemotherapy by minimizing complaints of nausea and vomiting. Research methods with systematic reviews. The result of this EBN application is the effectiveness of acupressure in reducing nausea and vomiting in children undergoing chemotherapy.
Asuhan Keperawatan Pada Anak Dengan Epilepsi Rani Murtiani; IGA Dewi Purnamawati
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 2 No 2 (2018): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (235.156 KB) | DOI: 10.36971/keperawatan.v2i2.43

Abstract

Epilepsy is a complex symptom of many brain dysfunction characterized by recurrent seizures due to excessive release of brain electrical charge and reversible motivation. Seizures are a result of uncontrolled electrical release from cerebral cortical nerve cells which are characterized by sudden attacks, mild disturbance of consciousness, motor activity, or sensory phenomenon disorders. Children with epilepsy will usually get impaired intelligence, language comprehension and impaired cognitive function. The impact of epilepsy on children will make a significant difference in IQ. In addition, epilepsy also has concomitant disease (developmental growth disorders) that will be suffered by the sufferer. This is what is known in the medical world as comorbidity and must be monitored by parents. The purpose of writing is that students are expected to be able to provide nursing care for children who have epilepsy. The result of this scientific paper is that students get an overview of nursing care in children with epilepsy. Emerging nursing problems in children with epilepsy include ineffective airway clearance, risk of injury, risk of fluid volume deficit, hypertermia, imbalance of nutrients less than body requirements, risk of infection, lack of family knowledge, and anxiety for children and parents.
Hubungan Tingkat Pengetahuan Ibu Tentang Remaja Dengan Prestasi Akademik Mahasiswa Diploma III Keperawatan Jakarta IGA Dewi Purnamawati
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 3 No 2 (2019): Buletin Kesehatan Publikasi Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (411.702 KB) | DOI: 10.36971/keperawatan.v3i2.50

Abstract

The biggest demand experienced by adolescents is related to his success in the academic field. The success of adolescents in overcoming difficulties related to demands from inside and outside is greatly influenced by adolescent personal maturity. Adolescents who live in families that are able to meet biological, psychological, and social needs will grow and develop healthily, can actualize the potential they have and can learn in solving problems and the tasks they face, including tasks related to academics. The design in this research is descriptive analytic design with cross sectional research approach. The sampling method used in this study was to use purposive sampling, a sample of 98 person mothers. This study uses a chi-square test with an alpha value <0.05. The results found that the P Value value of 0.47 is greater than 0.05 so that the results of this study have no relationship between the level of mother's knowledge of adolescents on academic achievement. Recommendations for further research on the factors of adolescent success in academic achievement.
Asuhan Keperawatan Pada Anak Dengan Diare Zuraida Sukma Abdillah; IGA Dewi Purnamawati
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 3 No 1 (2019): Buletin Kesehatan Publikasi Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (642.913 KB) | DOI: 10.36971/keperawatan.v3i1.64

Abstract

BREAST MILK provides immune substances that have yet to be made by the baby so baby drinking BREAST MILK more rarely ill especially at the beginning of his life. Components of the anti-infective substances in BREAST MILK protects babies from a variety of infections, caused by bacteria, viruses and other antigens. The Disease is often suffered by children namely digestive problems such as diarrhea or gastroenteritis. Diarrhea is a symptom that occurs because of a disorder that involves the digestive functions, absorption and secretion. Diarrhea caused by the transport of water and electrolytes that are abnormal in the intestine. Complications that can occur include dehydration, cardiovascular system disorders due to heavy hipovolemia, seizures due to high fever especially in Shigella infection, perforated the intestine due to typhoid fever, vomiting and death. The purpose of writing expected of students able to provide nursing care in children experiencing diarrhea. The method of writing is descriptive or description of a case and the library. The results of this scientific paper is a student gain an overview of nursing care in children with diarrhea. Nursing problems include: Airway ineffective, Hipovolemia, nutritional Deficits, the risk of infection, impaired growth development
Asuhan Keperawatan Pada Anak Dengan Bronkopneumonia: Suatu Studi Kasus IGA Dewi Purnamawati; Indria Rifka Fajri
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 4 No 2 (2020): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (202.56 KB) | DOI: 10.36971/keperawatan.v4i2.68

Abstract

Bronchopneumonia is a respiratory disease that causes the highest death to children. Bronchopneumonia can cause impaired gas exchange, airway obstruction, respiratory failure and apnea. The method in this research use approach case of study in children with bronchopneumonia, a sample of one child was given nursing care get the results of the signs and symptoms of bronchopneumonia as fever, ronchi sounds in breathing, loss appetite, cough with thick phlegm and nausea. Nursing problems found in the case of ineffective airway clearance, hypovolemic, deficient nutrition, risk for infection and anxiety in children and parents. The results achieved after carrying out nursing care in children with bronchopneumonia get there is five nursing problems in case. Recommendation: have need of further action nursing care in children order of community provide health education and monitor the nutritional status of children with bronchopneumonia problems.
Status Nutrisi Pada Anak Dengan Gangguan Ginjal Kronis: Literatur Review IGA Dewi Purnamawati
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 5 No 2 (2021): Buletin Kesehatan: Publikais Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (590.597 KB) | DOI: 10.36971/keperawatan.v5i2.94

Abstract

Background: Malnutrition is a common complication in children with Chronic Kidney Disease (CKD), adequate nutrition will promote normal growth and development and regular evaluation of nutritional status is a key point in the management of children with CKD. Objective: to identify through a literature study the nutritional status of children with CKD. Methods: literature review through database searches: Gogle Scholar, Proquest, EBSCO, ClinicalKey Nursing database from 2018 to 2021. Selected studies with criteria regarding assessment of nutritional status, evaluation of nutritional status, growth in children with CKD who have undergone hemodialysis or peritoneal dialysis. Results: Nine studies were included in the review and provided an overview of the poor nutritional status of children with CKD. Overview of height, weight, Mid-arm circumference (MAC), Triceps Skinfold Thickness (TSFT) is less, small upper arm circumference, low body mass index and decreased HDL cholesterol, hypoalbumin, anemia, vitamin A, C deficiency, D, hypocalcemia, hypokalemia and hypercreatinemia, elevated cholesterol and hypertriglyceridemia. Conclusion: the nutritional status of children with CKD is a problem faced by children with multifactors so that a continuous monitoring of the nutritional status of children is needed to prevent severe nutritional disorders.
Studi Kasus: Asuhan Keperawatan Pada Anak dengan Meningitis Sahla Rizky; IGA Dewi Purnamawati
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 6 No 1 (2022): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (472.616 KB) | DOI: 10.36971/keperawatan.v6i1.113

Abstract

Background: Meningitis is an infectious disease of the lining of the brain caused by viruses, bacteria, fungi and parasites. This disease can affect children from infancy to adolescence. Objective: This study aims to gain experience in providing nursing care to children with meningitis. The research method uses a descriptive case study method through a nursing process approach in providing nursing care to children with meningitis. Results: this study found clinical manifestations in the form of children having difficulty moving the right extremity, stabbing pain with a pain scale of five and feeling sore, intermittent pain, limp right hand and leg, CT scan results showed meningoencephalitis. Nursing problems found include impaired cerebral tissue perfusion, acute pain, impaired physical mobility, anxiety and risk of infection. Implementation of nursing in the form of monitoring increased intracranial pressure, monitoring pain scales, teaching distraction techniques, and assisting ambulation. Conclusion: children with meningitis require comprehensive care by involving all components to minimize disability in children.
Penerapan Pemberian Minyak Zaitun pada Asuhan Keperawatan Anak Dengan Gastroenteritis Ivony Asih Munte; IGA Dewi Purnamawati
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 7 No 1 (2023): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36971/keperawatan.v7i1.131

Abstract

Background: Gastroenteritis is an infectious disease which is one of the causes of death in children. The problems caused also vary, not only disturbing the gastrointestinal system but also the integumentary system, namely the appearance of diaper rash due to an increase in the frequency of bowel movements due to frequent use of diapers. Diaper rash often occurs in children with gastroenteritis, the cause of which is skin contact with irritants in the genital area in the form of a reddish rash that causes discomfort to the child. The application of olive oil can reduce and prevent irritation in the child's genital area. Purpose: this study aims to prevent and reduce diaper rash in children with skin integrity disorders by administering olive oil. Method: descriptive research using a case study approach and literature as well as the application of Evidence-Based Nursing to an 11-month-old boy with gastroenteritis. Evidence Based Nursing is by applying olive oil to the baby's genital area for three days and given twice a day. Results: the problem of impaired skin integrity in children decreased where there was a decrease in the degree of diaper rash from moderate to mild. Conclusion: giving olive oil can prevent and reduce irritation to the baby's genital skin due to the frequent use of diapers due to diarrhea.