Pendekatan Model Adaptasi Roy, Relaksasi Dan Discharge Planning Pada Masalah Muskuloskeletal

Sapto Haryatmo, Agung Waluyo, Masfuri Masfuri

Abstract


Karya Ilmiah Akhir ini merupakan laporan akhir setelah praktik residensi peminatan Keperawatan Medikal Bedah. Laporan akan menguraikan satu kasus utama dari pengelolaan terhadap 31 kasus yang dikelola, Evidence Based Nursing Practice (EBNP) dan inovasi. Perubahan signifikan didapatkan pada hasil penerapan asuhan keperawatan menggunakan model adaptasi Roy, pasien mampu beradaptasi lebih baik terhadap masalah yang dihadapi tanpa tergantung pada keberadaan stimulus sebagai pencetus masalah. EBNP yang akan dilaporkan adalah penggunaan teknik relaksasi untuk mengatasi nyeri dan kecemasan post operasi gangguan muskuloskeletal, dengan hasil tindakan ini efektif untuk menurunkan nyeri tetapi tidak menunjukkan penurunan besar untuk kecemasan. Kegiatan inovasi yang dikerjakan yaitu program discharge planning untuk pasien perioperatif muskuloskeletal memberikan hasil yang baik dalam menurunkan kecemasan dan kepatuhan terhadap prosedur yang dijalankan. 

 Kata kunci: discharge planning; model adaptasi Roy; muskuloskeletal; nyeri; relaksasi


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Afrasiabifar, A., Karimi, Z., & Hassani, P. (2013). Roy's Adaptation Model-Based Patient Education for Promoting the Adaptation of Hemodialysis Patients. Iranian red crescent medical journal, 15(7), 566-572.

Alligood, M. R., & Tomey, A. M. (2010). Nursing theorist and their work (7th ed.). Missouri: Mosby Inc.

Andrychuk, M. A. (1998). Pressure ulcers: cuses, risk factors, assessment, and intervention. Orthopaedic Nursing, 17(4), 65-81; quiz 82-63.

Bhor, M. (2006). Relationship between health literacy, outcome expectations, efficacy expectations and medication adherence. (3263542 Ph.D.), Purdue University, Ann Arbor. Retrieved from http://search.proquest.com/docview/305265917?accountid=17242 ProQuest Dissertations & Theses Global database.

Black, J. M., & Hawks, J. H. (2009). Medical-surgical nursing: Clinical management for positive outcomes (8th ed.). St. Louis Missouri: Saunders.

Büyükyılmaz, F., & Aştı, T. (2013). The Effect of Relaxation Techniques and Back Massage on Pain and Anxiety in Turkish Total Hip or Knee Arthroplasty Patients. Pain Management Nursing, 14(3), 143-154. doi: http://dx.doi.org/10.1016/j.pmn.2010.11.001

Coto, B. V., & Iliescu, A. (2013). Patients Adaptation Difficulties to the Hospital Environment Nurses Part in That Transition. Current Health Science Journal, 39(4), 259-262. doi: 10.12865/CHSJ.39.04.12

Craven, R. F., & Hirnle, C. J. (2009). Fundamentals of nursing: human health and function (6th ed.). Philadelphia: Wolters Kluwer Health-Lippincott Williams & Wilkins.

Day, M. R., McCarthy, G., Coffey, A., & Allen, D. (2009). Discharge planning: the role of the discharge co-ordinator. Nursing Older People, 21(1), 26-31; quiz 32.

Dubé, L., Paquet, C., Ma, Z., McKenzie, D. S.-A., Kergoat, M. J., & Ferland, G. (2007). Nutritional implications of patient-provider interactions in hospital settings: evidence from a within-subject assessment of mealtime exchanges and food intake in elderly patients. European Journal of Clinical Nutrition, 61(5), 664-672. doi: http://dx.doi.org/10.1038/sj.ejcn.1602559.

Fawcett, J. (2005). Contemporary nursing knowledge: analysis and evaluation of nursing models and theories (2nd ed.). Philadelphia: F.A. Davis Company.

Foster, K. W. (2014). Hips fracture in adult. Retrieved from Wolters Kluwer Health website: http://www.uptodate.com/contents/hip-fractures-in-adults?topicKey=EM%2F226&elapsedTimeMs=0&view=print&displayedView=full

Gammon, J. (1998). Analysis of the stressful effects of hospitalisation and source isolation on coping and psychological constructs. International Journal of Nursing Practice, 4(2), 84-96.

Griffiths, H., & Gallimore, D. (2005). Positioning critically ill patients in hospital. Nursing Standard, 19(42), 56-64; quiz 66.

Herdman, T. H. (2012). NANDA International nursing diagnoses: Definition and classification, 2012-2014. Oxford: Wiley-Blackwell.

Ignatavicius, D. D., & Workman, M. L. (2010). Medical surgical nursing: Patient-centered collaborative care (6th ed.). St. Louis, Missouri: Saunders.

Jacobson, E. (1938). Progressive relaxation (2nd ed.). Oxford, England: University of Chicago Press.

Keen, M., Breckenridge, D., Frauman, A. C., Hartigan, M. F., & et al. (1998). Nursing assessment and intervention for adult hemodialysis patients: Application of Roy's adaptation model. ANNA Journal, 25(3), 311-319.

Kristel, A. N. D. N., de Graaf, C., Siebelink, E., Blauw, Y. H., & et al. (2006). Effect of Family-Style Meals on Energy Intake and Risk of Malnutrition in Dutch Nursing Home Residents: A Randomized Controlled Trial. The Journals of Gerontology, 61A(9), 935-942.

Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L., & Camera, I. M. (2011). Medical Surgical Nursing: Assessment and Management of Clinical Problems (8th ed.). St Louis, Missouri: Mosby Inc.

Moorhead, S., Johnson, M., Maas, M. L., & Swanson, E. (2008). Nursing outcomes classification (NOC) (4th ed.). St. Louis, Missouri: Mosby.

Nickinson, R. S. J., Board, T. N., & Kay, P. R. (2009). Post-operative anxiety and depression levels in orthopaedic surgery: a study of 56 patients undergoing hip or knee arthroplasty. [Article]. Journal of Evaluation in Clinical Practice, 15(2), 307-310. doi: 10.1111/j.1365-2753.2008.01001.x

Pellino, T. A., Gordon, D. B., Engelke, Z. K., Busse, K. L., & et al. (2005). Use of Nonpharmacologic Interventions for Pain and Anxiety After Total Hip and Total Knee Arthroplasty. Orthopaedic Nursing, 24(3), 182-190; quiz 191-182.

Pritchard, M. J. (2011). Using targeted information to meet the needs of surgical patients. [Article]. Nursing Standard, 25(51), 35-39.

Randell, A. G., Nguyen, T. V., Bhalerao, N., Silverman, S. L., Sambrook, P. N., & Eisman, J. A. (2000). Deterioration in Quality of Life Following Hip Fracture: A Prospective Study. Osteoporosis International, 11(5), 460-466. doi: http://dx.doi.org/10.1007/s001980070115

Roy, S. C. (2009). The roy adaptation model (3rd ed.). New Jersey: Pearson Education Inc.

Schäfer, C., Putnik, K., Dietl, B., Leiberich, P., Loew, T. H., & Kölbl, O. (2006). Medical decision-making of the patient in the context of the family: results of a survey. Supportive Care in Cancer, 14(9), 952-959. doi: http://dx.doi.org/10.1007/s00520-006-0025-x

Seers, K., Crichton, N., Tutton, L., Smith, L., & Saunders, T. (2008). Effectiveness of relaxation for postoperative pain and anxiety: randomized controlled trial. [Article]. Journal of Advanced Nursing, 62(6), 681-688. doi: 10.1111/j.1365-2648.2008.04642.x

Silva, M. C. (1987). Needs of Spouses of Surgical Patients: A Conceptualization Within the Roy Adaptation Model. Scholarly Inquiry for Nursing Practice, 1(1), 29-35,38-44.

Sjöling, M., Nordahl, G., Olofsson, N., & Asplund, K. (2003). The impact of preoperative information on state anxiety, postoperative pain and satisfaction with pain management. Patient Education and Counseling, 51(2), 169-176. doi: http://dx.doi.org/10.1016/S0738-3991(02)00191-X.

Soveid, M., Serati, A. R., & Masoompoor, M. (2005). Incidence of hip fracture in Shiraz, Iran. Osteoporosis International, 16(11), 1412-1416. doi: http://dx.doi.org/10.1007/s00198-005-1854-z.

U.S. Department of Health and Human Services, P. H. S. (2010). Healthy People 2020. In U. S. D. o. H. a. H. Services (Ed.). Washington D.C.: U.S. Government Printing Office..

Watts, D., Abrahams, E., MacMillan, C., Jafar, S., & et al. (1998). Insult after injury: Pressure ulcers in trauma patients. Orthopaedic Nursing, 17(4), 84-91.

Williams, M. (2008). Infection control and prevention in perioperative practice. The Journal of Perioperative Practice, 18(7), 274-278.

Wong, E. M.-L., Chan, S. W.-C., & Chair, S.-Y. (2010a). The effect of educational intervention on pain beliefs and postoperative pain relief among Chinese patients with fractured limbs. [Article]. Journal of Clinical Nursing, 19(17/18), 2652-2655. doi: 10.1111/j.1365-2702.2010.03260.x.

Wong, E. M.-L., Chan, S. W.-C., & Chair, S.-Y. (2010b). Effectiveness of an educational intervention on levels of pain, anxiety and self-efficacy for patients with musculoskeletal trauma. [Article]. Journal of Advanced Nursing, 66(5), 1120-1131. doi: 10.1111/j.1365-2648.2010.05273.x




DOI: http://dx.doi.org/10.46815/jkanwvol8.v9i1.92

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