Selvia Harum Sari
PSIK FK ULM

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BATASAN KARAKTERISTIK DAN FAKTOR YANG BERHUBUNGAN (ETIOLOGI) DIAGNOSA KEPERAWATAN: HAMBATAN MOBILITAS FISIK PADA PASIEN STROKE Selvia Harum Sari; Agianto Agianto; Abdurahman Wahid
Dunia Keperawatan Vol 3, No 1 (2015): DUNIA KEPERAWATAN VOLUME 3 NOMOR 1, MARET 2015
Publisher : School of Nursing, Faculty of Medicine, Lambung Mangkurat University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (325.131 KB) | DOI: 10.20527/dk.v3i1.1702

Abstract

ABSTRAKIndikator klinis yang akurat diperlukan untuk memvalidasi diagnosa keperawatan yang ditegakkan. Keakuratan indikator klinis ditentukan dengan kemunculan batasan karakteristik dan faktor yang berhubungan (etiologi). Diagnosa keperawatan yang valid sangat penting untuk mengurangi risiko kesalahan mendiagnosis. Penelitian ini bertujuan mengetahui batasan karakteristik dan etiologi utama dari diagnosa keperawatan hambatan mobilitas fisik yang muncul pada pasien stroke. Penelitian ini merupakan penelitian deskriptif (studi dokumentasi) dengan pendekatan retrospektif. Ada 26 catatan dokumentasi pasien stroke yang digunakan dalam penelitian ini. Hasil penelitian menunjukkan bahwa batasan karakteristik utama yang muncul pada pasien stroke adalah kesulitan membolak-balik posisi (100%), keterbatasan kemampuan melakukan keterampilan motorik halus (100%), keterbatasan kemampuan melakukan keterampilan motorik kasar (100%), keterbatasan rentang pergerakan sendi (26,9%), dan pergerakan lambat (3,8%). Etiologi utama yang muncul pada pasien stroke adalah penurunan kekuatan otot (92,3%), gangguan neuromuskular (80,8%), nyeri (19,2%), kaku sendi (3,8%), dan gangguan sensoriperseptual (3,8%). Perawat diharapkan berfokus pada batasan karakteristik dan etiologi utama yang muncul saat melakukan pengkajian pada pasien stroke dengan diagnosa keperawatan hambatan mobilitas fisik agar dapat merencanakan tindakan keperawatan yang efektif.Kata-kata kunci: batasan karakteristik, diagnosa keperawatan, hambatan mobilitas fisik, stroke. ABSTRACTAccurate clinical indicators are needed to validate the establishment of nursing diagnosis. The accuracy of clinical indicators is determined by the presence of defining characteristics and related factors (etiology). A valid nursing diagnosis is essential to reduce the risk of misdiagnosis. The study aimed to investigate the main defining characteristics and etiology of nursing diagnosis impaired physical mobility that appeared in stroke patients. This was a descriptive study (documentation study) with retrospective approach. There were 26 documentation notes of stroke patient used in this study. The results showed that the main defining characteristics that appear in stroke patients were difficulty turning (100%), limited ability to perform fine motor skills (100%), limited ability to perform gross motor skills (100%), decrease in range of motion (26,9%), and slowed movement (3,8%). The main etiologies that appeared in stroke patients were decreased muscle strength (92.3%), neuromuscular impairment (80,8%), pain (19,2%), joint stiffness (3,8%), and sensoriperceptual impairment (3,8%). Nurses are expected to focus on the main defining characteristics and etiology that appear when performing the assessment in stroke patients with impaired physical mobility nursing diagnosis in order to plan effective nursing actions.Keywords: defining characteristics, nursing diagnosis,  impaired physical mobility, stroke.