49 ASUHAN KEPERAWATAN BAYI PREMATUR MENGUNAKAN MODEL KEPERAWATAN KONSERVASI ENERGY MYRA LEVINE: SEBUAH STUDY KASUS Herlina Departemen Keperawatan Anak, Fakultas Ilmu - Ilmu Kesehatan, Universitas Pembangunan Nasional “Veteran” , Jakarta 12450, Indonesia E-mail: [email protected],id Abstrak Bayi prematur merupakan manusia yang rentan gagal beradaptasi karena faktor imaturitas. Faktor imaturitas pernafasan dan kelemahan otot oro-motor menjadi tantangan bayi prematur untuk memenuhi kebutuhan energi. Konservasi energi membantu bayi mencapai integritas struktur yang membantu bayi tumbuh dan berkembang sehingga tercapai integritas personal dan sosial. Penelitian ini bertujuan menganalisis aplikasi Model Keperawatan Konservasi Energy Myra E Levine pada bayi prematur. Penelitian ini merupakan penelitian deskriptif dengan study kasus pada empat bayi prematur yang memiliki kondisi fisiologis stabil ditandai dengan tidak menggunakan alat bantu pernafasan. Hasil penelitian menunjukkan tropicognosis pada keempat kasus adalah gangguan pola nafas, gangguan termoregulasi, resiko ketidakefektifan perfusi jaringan, resiko infeksi (lanjut), resiko cedera internal, nutrisi kurang dari kebutuhan tubuh, dan gangguan proses keluarga. Evaluasi keperawatan selama 2 minggu menunjukkan pola nafas dan termoregulasi efektif, infeksi lanjut dan cedera internal tidak terjadi, nutrisi adekuat. Peneliti menyarankan mengaplikasikan Teori Keperawatan Konservasi Energy Myra E Levine pada bayi prematur. Kata kunci: asuhan keperawatan, bayi prematur, konservasi energi, teori keperawatan Abstract Premature infants are vulnerable human beings fail to adapt because of immaturity. Immaturity of the respiratory and weakness of oro-motor muscle becomes a challenge prematur infants to meet demands of energy. Conservation of energy help babies achieve structural integrity to grow and develop in order to achieve personal and social integrity. The aims of this research is to analyze application of Nursing Model Conservation Energy Myra E Levine in premature infants. This study is a descriptive case study in four premature infants who have a stable physiological condition characterized by not using respirator. The results showed tropicognosis were breathing pattern disorders, impaired thermoregulation, risk of ineffective tissue perfusion, risk of infection (late), risk internal injuries, nutrition less than body requirements, and changes of the family process. Nursing Evaluation showed pattern of breath and thermoregulation were effective, further infections and internal injuries do not occur, adequate nutrition. Researcher suggest to apply Nursing Theory Conservation of Energy Myra E Levine in premature infants. Keywords: nursing care, premature infants, energy conservation, nursing theory 49 Jurnal Keperawatan Widya Gantari Vol. 2, No. 1 / Juni 2015
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
48
Pariwisita Nusa Dua Bali. E-Journal Program Pascasarjana Universitas Pendidikan Ganesha Program Studi Administrasi Pendidikan Vol. 4 Tahun 2013.
Supriyanto, S. dan Ernawaty. (2010).
Pemasaran Industri Jasa Kesehatan Yogyakarta: Andi Offset
Zeithaml and Bitner. (2003). Service
Marketing.Integrating Customer Focus Across The Firm. New York: The Mc Graw Hill Company
49
ASUHAN KEPERAWATAN BAYI PREMATUR
MENGUNAKAN MODEL KEPERAWATAN KONSERVASI
ENERGY MYRA LEVINE: SEBUAH STUDY KASUS
Herlina
Departemen Keperawatan Anak, Fakultas Ilmu - Ilmu Kesehatan, Universitas
Pembangunan Nasional “Veteran” , Jakarta 12450, Indonesia
Bayi prematur merupakan manusia yang rentan gagal beradaptasi karena faktor imaturitas. Faktor imaturitas pernafasan dan kelemahan otot oro-motor menjadi tantangan bayi prematur untuk memenuhi kebutuhan energi. Konservasi energi membantu bayi mencapai integritas struktur yang membantu bayi tumbuh dan berkembang sehingga tercapai integritas personal dan sosial. Penelitian ini bertujuan menganalisis aplikasi Model Keperawatan Konservasi Energy Myra E Levine pada bayi prematur. Penelitian ini merupakan penelitian deskriptif dengan study kasus pada empat bayi prematur yang memiliki kondisi fisiologis stabil ditandai dengan tidak menggunakan alat bantu pernafasan. Hasil penelitian menunjukkan tropicognosis pada keempat kasus adalah gangguan pola nafas, gangguan termoregulasi, resiko ketidakefektifan perfusi jaringan, resiko infeksi (lanjut), resiko cedera internal, nutrisi kurang dari kebutuhan tubuh, dan gangguan proses keluarga. Evaluasi keperawatan selama 2 minggu menunjukkan pola nafas dan termoregulasi efektif, infeksi lanjut dan cedera internal tidak terjadi, nutrisi adekuat. Peneliti menyarankan mengaplikasikan Teori Keperawatan Konservasi Energy Myra E Levine pada bayi prematur. Kata kunci: asuhan keperawatan, bayi prematur, konservasi energi, teori keperawatan
Abstract
Premature infants are vulnerable human beings fail to adapt because of immaturity. Immaturity of the respiratory and weakness of oro-motor muscle becomes a challenge prematur infants to meet demands of energy. Conservation of energy help babies achieve structural integrity to grow and develop in order to achieve personal and social integrity. The aims of this research is to analyze application of Nursing Model Conservation Energy Myra E Levine in premature infants. This study is a descriptive case study in four premature infants who have a stable physiological condition characterized by not using respirator. The results showed tropicognosis were breathing pattern disorders, impaired thermoregulation, risk of ineffective tissue perfusion, risk of infection (late), risk internal injuries, nutrition less than body requirements, and changes of the family process. Nursing Evaluation showed pattern of breath and thermoregulation were effective, further infections and internal injuries do not occur, adequate nutrition. Researcher suggest to apply Nursing Theory Conservation of Energy Myra E Levine in premature infants. Keywords: nursing care, premature infants, energy conservation, nursing theory
Alligood, M. R, & Tomey, A. M. (2006). Nursing theory: Utilization & aplication. St Louis : Mosby
Amendolia, B. (2011). An
integrative review of feeding intolerance in preterm infants: State of the sciensce. Clinical Scholars Review. 4(2).82-90. Doi: 10.1891/1939-2095
Breton, S., Steinwender, S. (2008).
Timing introduction and transition to oral feeding in preterm infants: Currnt trends and practice. Newborn Infant Nurs Review;8(3):153-159
Brodsky, D., & Ouellette, M. A.
(2008). Primary care of the premature infant. Philadelphia: Saunders
CSPEN. (2013). CSPEN guidelines
for nutrition support in neonates. Asia Pacifik Jurnal Clinical Nutrition; 22(4):655-663
Gurllet, R., Stoll, B. J., Cotten, C.
M. (2006). Association of H2 blocker theraphy and higher incidence of necrotizing enterocolitis in very low birth weight infant. Pediatrics; 117:eI37-42
Jones, L. R. (2012). Oral feeding
readiness in the neonatal intensive care unit. Neonatal Network ;31(3): 148-155. Doi: 10.1891/0730-0832.31.3.148
Josef, N. (2009). Gastrointestinal
development and meeting
the nutritional needs of prematur infants. The American Journal of
59
Clinical Nutritional; 85:629s -634s
Meleis, A. I. (2012) . Theoritical
nursing developmen and progress. Philadelphia: Lipincott William & Wilkins