Gambaran Intervensi Keperawatan Berdasarkan Nursing Interventions Classification (NIC) Self Care Deficit Bathing pada Pasien Stroke dengan Diagnosis Keperawatan Bathing Self Care Deficit

ANDRI SEPTI UTAMI, Dwi Harjanto, S.Kp.,M.Sc; Intansari Nurjannah S.Kp.MNSc.,Ph.D

2018 | Skripsi | S1 ILMU KEPERAWATAN

INTISARI Latar Belakang: Gangguan yang ditimbulkan akibat stroke menyebabkan penderita mengalami kelemahan, penurunan dalam perawatan diri serta kesulitan untuk melakukan aktivitas sehari-hari seperti mandi. Salah satu diagnosis keperawatan yang mungkin muncul untuk pasien stroke dengan self-care deficit adalah bathing self-care deficit dengan pilihan intervensinya adalah Nursing Interventios Classification (NIC) self-care deficit bathing. Tujuan: Mengetahui gambaran intervensi keperawatan berdasarkan Nursing Interventions Classification (NIC) Self-Care Deficit Bathing pada pasien stroke dengan diagnosis keperawatan Bathing Self Care Deficit di RSUP Dr. Sardjito. Metode: Penelitian ini adalah penelitian dengan jenis penelitian deskriptif kuantitatif dengan desain penelitian cross-sectional. Penelitian ini dilakukan pada bulan Januari-Februari 2018 dengan melibatkan 27 responden dengan total sebanyak 54 kali observasi. Instrumen penelitian berupa kuesioner Nursing Interventions Classification Self-Care Deficit Bathing. Hasil pengumpulan data dilakukan analisis univariat. Hasil: Usia rata-rata pasien stroke di RSUP Dr Sardjito adalah 57,18 ± 12.72 tahun, laki-laki 51,85% dan perempuan 48,15%. Pasien yang menderita stroke hemoragik adalah 44,44% dan yang menderikta stroke iskemik adalah 55,56%. Skor indeks barthel total didominasi oleh pasien stroke dengan ketergantungan total sebesar 40,74%. Persentase item terbesar yaitu 100% pada 6 aktivitas intervensi keperawatan untuk bathing self-care deficit dari jumlah total 12 item aktivitas. Terdapat 6 item aktivitas yang tidak mencapai 100% dengan persentase terkecilnya yaitu 9,26%. Kesempulan: Aktivitas intervensi keperawatan pada Nursing Interventions Classification Self-Care Deficit Bathing pada pasien stroke memiliki jumlah dan persentase yang bervariasi. Skor indeks barthel didominasi oleh pasien stroke dengan ketergantungan total. Kata Kunci: Stroke, self-care deficit bathing, nursing interventions classification

ABSTRACT Background: The impairment affected by stroke cause the patient have a problem such as weakness, decrease in self-care and difficult in performing activity of daily living such as bathing. One of problrm ofself-care in stroke patients can be referred to nursing diagnosis of bathing self-care deficit with Nursing Interventions Classification (NIC) self-care deficit bathing. Purpose: To identify the description of nursing interventions basen on Nursing Interventions Cassification (NIC) self-care deficit bathing in stroke patients with bathing self-care deficit diagnose at RSUP Dr. Sardjito. Methods: The research used a quantitative description study with cross-sectional design. This research was conducted on January-February 2018 and it involved 27 respondents with 54 total observation. An instrument in this study using Nursing Interventions Classification (NIC) Self-Care Deficit Bathing and using univariate analysis. Findings: The average age of stroke patient in RSUP Dr Sardjito was 57,18 ± 12,72 years, men 51,85% and women 48,15%. Stroke patient who suffered a hemorrhagic stroke were 44,44% and those with ischemic stroke were 55,56%. Barthel Index score was classified as total dependence with 40,74%. The largest percentage of items was 100% in 6 activities of nursing intervention for bathing self-care deficit out of 12 activity items. There were 6 items of activity who did not reach for 100% with the smallest percentage 9,26%. Conclusion: Nursing intervention activities on Nursing Interventions Classification (NIC) Self-Care Deficit Bathing in stroke patient has varying numbers and percentages. The barthel index score is dominated by total dependency categories. Keyword: Stroke, self-care deficit bathing, nursing interventions classification.

Kata Kunci : Stroke, self-care deficit bathing, nursing interventions classification