dalam Pencegahan Dekubitus Pada Klien CVA di Ruang Mawar RSUD Ponorogo". \par}{\phpg\posx2268\pvpg\posy2806\absw8622\absh9183 \sl-276 \par\f20 \fs21 \cf0 Riset ini disusun sebagai tugas akhir Program Pendidikan D 3 Keperawatan \par}{\phpg\posx2268\pvpg\posy2806\absw8622\absh9183 \sl-276 \par\f20 \fs21 \cf0 Universitas Muhammadiyah Ponorogo tahun Akademik 2006 - 2007. \par}{\phpg\posx2268\pvpg\posy2806\absw8622\absh9183 \sl-275 \par\f20 \fs21 \cf0 \fi720 Dalam kesempatan ini penyusun mengucapkan terima kasih kepada semua \par}{\phpg\posx2268\pvpg\posy2806\absw8622\absh9183 \sl-275 \par\f20 \fs21 \cf0 pihak yang telah membantu penyelesaian riset ini, terutama : \par}{\phpg\posx2268\pvpg\posy2806\absw8622\absh9183 \sl-275 \par\f20 \fs21 \cf0 1. Bapak Drs. Zainun Sofwan, M.Si, selaku Rektor Universitas Muhammadiyah \par}{\phpg\posx2268\pvpg\posy2806\absw8622\absh9183 \sl-276 \par\f20 \fs21 \cf0 \fi360 Ponorogo. \par}{\phpg\posx2268\pvpg\posy2806\absw8622\absh9183 \sl-276 \par\f20 \fs21 \cf0 2. Ibu Dr. Hj. Yuni Suryani, M.Kes (MMR), selaku Direktur RSUD Dr. Harjono S. \par}{\phpg\posx2268\pvpg\posy2806\absw8622\absh9183 \sl-275 \par\f20 \fs21 \cf0 3. Bapak Hariyadi, S.Kp. M.Pd., selaku Direktur Akademi Keperawatan Universitas \par}{\phpg\posx2268\pvpg\posy2806\absw8622\absh9183 \sl-276 \par\f20 \fs21 \cf0 \fi360 Muhammadiyah Ponorogo dan selaku Pembimbing II yang telah meluangkan
keluarga tentang dekubitus dengan sikap dalam pencegahan dekubitus di ruang \par}{\phpg\posx2268\pvpg\posy1022\absw8725\absh8326 \sl-275 \f20 \fs21 \cf0 mawar RSUD Dr. Hardjono Ponorogo. Desan penelitian yang digunakan adalah \par}{\phpg\posx2268\pvpg\posy1022\absw8725\absh8326 \sl-275 \f20 \fs21 \cf0 diskriptif korelasional dengan populasi 36 responden dan sampel 36 responden di \par}{\phpg\posx2268\pvpg\posy1022\absw8725\absh8326 \sl-276 \f20 \fs21 \cf0 ruang mawar RSUD Dr. Hardjono Ponorogo. Metode pengambilan sampel dengan \par}{\phpg\posx2268\pvpg\posy1022\absw8725\absh8326 \sl-275 \f20 \fs21 \cf0 menggunakan{\i censecutive}{\i sampling}. Pengumpulan data dengan menggunakan \par}{\phpg\posx2268\pvpg\posy1022\absw8725\absh8326 \sl-276 \f20 \fs21 \cf0 kuesioner yang disebar pada keluarga klien CVA di ruang mawar RSUD Dr. Hadjono \par}{\phpg\posx2268\pvpg\posy1022\absw8725\absh8326 \sl-276 \f20 \fs21 \cf0 Ponorogo. Sedangkan teknik analisa data menggunakan{\i fisher}{\i exact}{\i probability}{\i test } \par}{\phpg\posx2268\pvpg\posy1022\absw8725\absh8326 \sl-275 \f20 \fs21 \cf0 dengan tingkat kesalahan 5% (0,05). \par}{\phpg\posx2268\pvpg\posy1022\absw8725\absh8326 \sl-276 \f20 \fs21 \cf0 \fi720 Dari hasil penelitian didapatkan bahwa dari 36 responden menunjukkan
mendapatkan perhatian dari tenaga kesehatan. Suatu penelitian yang ekstensif \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-276 \par\f20 \fs21 \cf0 (bersifat menjangkau secara luas) mengenai permasalahan ini menemukan bahwa
pada fasilitas perawatan akut prevalensi terjadinya luka dekubitus lebih tinggi, pada \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-276 \par\f20 \fs21 \cf0 populasi yang berisiko tinggi seperti pada pasien kuadriplegio, pasien lanjut usia \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-275 \par\f20 \fs21 \cf0 dengan fraktur femur, dan pada pasien di ruang perawatan kritikal/insentif. Meskipun \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-275 \par\f20 \fs21 \cf0 beberapa hasil penelitian menunjukkan prevalensi yang bervariasi akan tetapi secara
umum dilaporkan bahwa prevalensi tersebut berkisar antara 5% - 10% di tatanan \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-276 \par\f20 \fs21 \cf0 perawatan akut ; 15% -25 % di tatanan perawatan jangka panjang, dan 7% - 12% di \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-276 \par\f20 \fs21 \cf0 panti perawatan rumah (Bell Mathews dan Wineton - Slem, 1993). Insiden terjadinya \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-275 \par\f20 \fs21 \cf0 luka dekubitus pada populasi pasien secara umum berkisar antara 20% - 66% (Kemp, \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-276 \par\f20 \fs21 \cf0 et. all, 1993). Menurut Sparks (1990), peningkatan insiden tersebut berhubungan \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-276 \par\f20 \fs21 \cf0 dengan umur harapan hidup yang lebih panjang dan perkembangan teknologi \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-276 \par\f20 \fs21 \cf0 kesehatan yang mutakhir (Jurnal Kep. 1997) : 99).Angka kejadian CVA di RSUD \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-275 \par\f20 \fs21 \cf0 Dr. Hardjono Ponorogo selama 1 tahun terakhir 166, dan selama 3 bulan terakhir 36 \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-276 \par\f20 \fs21 \cf0 orang ditahun 2006. Angka kejadian CVA di dunia diperkirakan 200 per 100.000 \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-276 \par\f20 \fs21 \cf0 penduduk dalam 1 tahun. Bila ditinjau dari segi usia terjadi perubahan dimana CVA \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-276 \par\f20 \fs21 \cf0 bukan hanya menyerang usia tua tapi juga menyerang usia muda yang masih \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-275 \par\f20 \fs21 \cf0 produktif. Di Indonesia diperkirakan setiap tahun terjadi,dari 500.000 penduduk, \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-276 \par\f20 \fs21 \cf0 terkena serangan CVA,dan sekitar 25% per 125.000 orang meninggal dan sisanya \par}{\phpg\posx2268\pvpg\posy1022\absw8720\absh12280 \sl-276 \par\f20 \fs21 \cf0 mengalami cacat ringan/berat. dari jumlah tersebut 0,08 % mengalami luka dekubitus \par } \sect\sectd\pard\plain \pgwsxn12244\pghsxn16840 {\phpg\posx3403\pvpg\posy5449\absw6000\absh5940 \overlay {\*\shppict {\pict\jpegblip\picw200 \pich198 \picwgoal4000 \pichgoal3960 \picscalex202 \picscaley202 ffd8ffe000104a46494600010100000100010000ffdb004300080606070605080707070909080a0c140 d0c0b0b0c1912130f141d1a1f1e1d1a1c1c20242e2720222c231c1c2837292c30313434341f27393d38 323c2e333432ffdb0043010909090c0b0c180d0d1832211c21323232323232323232323232323232323 2323232323232323232323232323232323232323232323232323232323232323232ffc000110800c600 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\par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-275 \par\f20 \fs21 \cf0 60% di tahun 2003 ({\ul w}{\ul w}{\ul w}{\ul .}{\ul g}{\ul e}{\ul o}{\ul g}{\ul l} {\ul e}{\ul .}{\ul c}{\ul o}{\ul m}) dan angka kejadian yang diperoleh dari rekam \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-276 \par\f20 \fs21 \cf0 medik tahun 2006 dan data yang diperoleh dari Ruang Mawar RSUD Dr. Hardjono \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-276 \par\f20 \fs21 \cf0 Ponorogo, klien dengan dekubitus derajat I dan II sekitar 19,88% dan klien dengan \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-275 \par\f20 \fs21 \cf0 dekubitus derajat III sekitar 1,8% dalam kurun waktu 1 tahun. \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-276 \par\f20 \fs21 \cf0 \fi720 Sedangkan dari hasil studi pendahuluan yang telah dilakukan kepada 10 \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-276 \par\f20 \fs21 \cf0 responden keluarga tentang dekubitus dengan sikap keluarga dalam pencegahan \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-276 \par\f20 \fs21 \cf0 dekubitus pada klien CVA didapatkan hasil sebagai berikut : keluarga dengan \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-275 \par\f20 \fs21 \cf0 pengetahuan baik tentang dekubitus 60%, untuk pengetahuan buruk tentang dekubitus \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-275 \par\f20 \fs21 \cf0 di dapatkan 40% dengan sikap positif dan 30% keluarga di dapatkan 70% dengan \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-275 \par\f20 \fs21 \cf0 sikap negatif dalam pencegahan dekubitus. \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-276 \par\f20 \fs21 \cf0 \fi720 Dekubitus terjadi karena terjepitnya pembuluh darah antara tulang penderita \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-276 \par\f20 \fs21 \cf0 dan papanan tempat tidurnya. Akibat terjepitnya pembuluh darah tersebut maka \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-275 \par\f20 \fs21 \cf0 jaringan yang terdapat pada daerah itu tidak bisa memperoleh bahan makanan dan \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-276 \par\f20 \fs21 \cf0 oksigen, akibatnya jaringan tersebut mengalami kematian (Ilmu Kep. 1991 : 100). \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-276 \par\f20 \fs21 \cf0 Sedangkan dampak dekubitus dari segi fisik ialah kulit tidak utuh lagi, merusak \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-276 \par\f20 \fs21 \cf0 penampilan dan dari segi psikologis yang terjadi pada penderita di antaranya pasien \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-275 \par\f20 \fs21 \cf0 akan merasa minder atau malu jika berhubungan dengan orang lain. Pencegahan \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-276 \par\f20 \fs21 \cf0 dekubitus pada pasien CVA di antaranya higiene dan perawatan kulit, pengaturan \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-276 \par\f20 \fs21 \cf0 posisi alas pendukung, perawat harus menjaga kulit klien tetap bersih dan kering. \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-276 \par\f20 \fs21 \cf0 Pada perlindungan dasar untuk mencegah kerusakan kulit. Pengaturan posisi \par}{\phpg\posx2268\pvpg\posy1022\absw8663\absh11782 \sl-275 \par\f20 \fs21 \cf0 digunakan untuk mengurangi tekanan dan gaya gesek pada kulit. 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