Asuhan Keperawatan Pada Pasien Carsinoma Mammae T4cN3M1 Stadium IV Dengan Masalah Keperawatan Utama Perfusi Perifer Tidak Efektif Di RS Tk. II dr. Soepraoen Malang

Setiawan, Arif Hadi and Dr. Ns. Dina Dewi SLI, S. Kep, M. Kep (2022) Asuhan Keperawatan Pada Pasien Carsinoma Mammae T4cN3M1 Stadium IV Dengan Masalah Keperawatan Utama Perfusi Perifer Tidak Efektif Di RS Tk. II dr. Soepraoen Malang. Sarjana thesis, Universitas Brawijaya.

Abstract

Latar Belakang: Kanker payudara yang menjadi jenis kanker yang menakutkan bagi perempuan diseluruh dunia, dan juga di Indonesia. Pada penderita kanker sering terjadi kondisi anemia, dan sering kali penderita kanker datang kefasilitas kesehatan dengan kondisi stadium lanjut. Pada kondisi anemia, darah tidak membawa cukup oksigen untuk kebutuhan metabolisme sel, sehingga mengakibatkan efek sesak nafas, lelah, pusing. Terapi utama untuk masalah perfusi perifer tidak efektif menurut Standart Intervensi Keperawatan Indonesia (SIKI) adalah perawatan sirkulasi dan pencegahan syok. Deskripsi kasus: Metode penelitian ini menggunakan studi kasus yaitu studi kasus untuk mengeksplorasi masalah asuhan keperawatan pada pasien carsinoma mammae dengan masalah keperawatan utama perfusi perifer tidak efektif di RS Tk. II dr. Soepraoen Malang data dikumpulkan dengan wawancara, observasi, pemeriksaan fisik dan dokumentasi pada tanggal 05-07 Juni 2022. Diskusi: Didapatkan kondisi pasien saat pengkajian tampak anemis, sesak, dan lemas. Dari pemeriksaan fisik stadium Ca Mammae T4cN3M1 stadium IV, kadar hemoglobin 6.0 g/dl, kadar leukosit sebesar 13.870/mm3. Didapatkan diagnosa utama perfusi perifer tidak efektif, bersihan jalan nafas tidak efektif, nyeri kronis, resiko infeksi, intoleransi aktivitas, defisit perawatan diri, dan management kesehatan keluarga tidak efektif. Tindakan asuhan keperawatan yang ditetapkan mengacu pada pedoman standart SIKI yaitu perawatan sirkulasi, pencegahan syok, management jalan nafas, pemantauan respirasi, management nyeri, pencegahan infeksi, perawatan luka, management energi, dukungan perawatan diri, dan dukungan koping keluarga. Setelah tindakan keperawatan 3x24 jam terdapat perbaikan kondisi pasien terutama perfusi perifer dan sebagian masalah teratasi sebagian karena dampak dari metastase ca mammae.

English Abstract

Background: Breast cancer is a type of cancer that scares women all over the world, and also in Indonesia. In cancer patients, anemia often occurs, and cancer patients often come to health facilities with advanced stage conditions. In conditions of anemia, the blood does not carry enough oxygen for the needs of cell metabolism, causing shortness of breath, fatigue, dizziness. The main therapy for ineffective peripheral perfusion problems according to the Indonesian Nursing Intervention Standards (SIKI) is circulation care and shock prevention. Case description: This research method uses a case study, namely a case study to explore the problem of nursing care in breast cancer patients with primary nursing problems of peripheral perfusion ineffectiveness at the Army Hospital dr. Soepraoen Malang's data were collected through interviews, observations, physical examinations and documentation on 5-7 June 2022. Discussion: The patient's condition during the assessment appeared to be anemia, shortness of breath, and weakness. From the physical examination of Ca Mammae T4cN3M1 stage IV, the hemoglobin level was 6.0 g/dl, the leukocyte level was 13,870/mm3. The main diagnoses are ineffective peripheral perfusion, ineffective airway clearance, chronic pain, risk of infection, activity intolerance, self-care deficit, and ineffective family health management. The nursing care actions specified refer to the SIKI Standard guidelines, namely circulation care, shock prevention, airway management, respiratory monitoring, pain management, infection prevention, wound care, energy management, self-care support, and family coping support. After 3x24 hours of nursing action there was an improvement in the patient's condition, especially peripheral perfusion and part of the problem was partially resolved due to the impact of mammary metastases.

Item Type:	Thesis (Sarjana)
Identification Number:	0522160053
Uncontrolled Keywords:	Ca mammae; perfusi perifer; anemia; metastasis; peripheral perfusion; metastases.
Subjects:	600 Technology (Applied sciences) > 610 Medicine and health > 610.7 Education, research, nursing, services of allied health personnel > 610.73 Nursing and services of allied health personnel
Divisions:	Fakultas Ilmu Kesehatan > Ilmu Keperawatan, Fakultas Ilmu Kesehatan
Depositing User:	soegeng sugeng
Date Deposited:	12 Jun 2023 03:38
Last Modified:	12 Jun 2023 04:27
URI:	http://repository.ub.ac.id/id/eprint/201410

Text (DALAM MASA EMBARGO) Arif Hadi Setiawan.pdf Restricted to Registered users only until 31 December 2024. Download (3MB)

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