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KATA PENGANTAR

Puji syukur penulis panjatkan kehadirat Tuhan Yang Maha Esa karena

dengan rahmat, karunia, serta taufik dan hidayah-Nyalah penulis dapat

menyelesaikan makalah laporan “Asuhan Keperawatan Komunitas di RW 09

Desa Padaasih Kecamatan Cisarua”, ini sebatas pengetahuan dan kemampuan

yang penulis miliki. Penulis berterima kasih kepada Bapak Ribut Sarimin

APP,M.Kes selaku dosen pembimbing yang telah memberikan tugas ini kepada

tim penulis.

Pada kesempatan ini penulis menyadari bahwa selama penyusunan

makalah ini masih jauh dari kesempurnaan. Untuk itu melalui kata pengantar ini

tim penulis sangat terbuka menerima kritik serta saran yang membangun sehingga

penulis dapat memperbaikinya. Penulis juga menyadari sepenuhnya bahwa di

dalam tugas ini terdapat kekurangan-kekurangan dan jauh dari apa yang

diharapkan.

Semoga laporan ini dapat dipahami bagi siapapun yang membacanya.

Sekali lagi penulis mohon maaf apabila terdapat kesalahan kata-kata yang kurang

berkenan serta memohon kritik dan saran yang membangun demi perbaikan di

masa depan.

Bandung, 07 Mei 2018

Tim Penulis

STIKep PPNI Jawa Barat 2018 Page i


DAFTAR ISI

KATA PENGANTAR .................................................................................... i


DAFTAR ISI ................................................................................................... ii
DAFTAR DIAGRAM ..................................................................................... iv
DAFTAR GAMBAR ...................................................................................... v
DAFTAR LAMPIRAN .................................................................................... ix
BAB I PENDAHULUAN ............................................................................... 1
A. Latar Belakang .................................................................................... 1
B. Tujuan ................................................................................................. 3
BAB II TINJAUAN TEORI ........................................................................... 4
A. Paradigma Sehat .................................................................................. 4
B. Konsep Keperawatan Komunitas ........................................................ 5
1. Komunitas ...................................................................................... 6
2. Konsep Komunitas Sebagai Klien ................................................. 8
3. Asuhan Keperawatan Komunitas Profesional ................................ 8
C. Tujuan Perawatan Kesehatan Komunitas ............................................ 11
D. Sasaran ................................................................................................. 12
E. Metode.................................................................................................. 14
BAB III ASUHAN KEPERAWATAN KOMUNITAS ................................. 19
A. Asuhan Keperawatan Komunitas di RW ............................................ 19
1. Pengkajian Keperawatan Komunitas ............................................. 19
1) Data Inti Komunitas ................................................................. 19
a. Sejarah Wilayah ................................................................. 19
b. Nilai atau Keyakinan .......................................................... 20
c. Data Demografi .................................................................. 21
d. Statistik Vital...................................................................... 25
2) Data Subsistem Komunitas ...................................................... 39
a. Lingkungan ........................................................................ 40
b. Pendidikan .......................................................................... 51
c. Pelayanan Kesehatan .......................................................... 51

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d. Sistem Komunikasi ............................................................ 55
e. Ekonomi ............................................................................. 56
f. Sosial/ Politik ..................................................................... 56
g. Rekreasi .............................................................................. 58
2. Analisa Data ................................................................................... 59
3. Prioritas Masalah ............................................................................ 63
4. Perencanaan.................................................................................... 64
5. Implementasi .................................................................................. 70
6. Rencana Tindak Lanjut .................................................................. 77
B. Asuhan Keperawatan Komunitas Dengan Agregat Sekolah Di SD
Negeri 01 Cipanas ............................................................................... 79
1. Pengkajian ...................................................................................... 79
A. Data Demografi ........................................................................ 79
B. Dimensi Populasi ..................................................................... 80
C. Perilaku dan Kebiasaan ............................................................ 81
D. Nilai dan Keyakinan ................................................................. 93
E. Data Lingkungan Fisik ............................................................. 93
F. Sumber Air Bersih ................................................................... 93
G. Sistem Pembuangan Sampah ................................................... 94
H. Pelayanan Sosial dan Kesehatan/Komunikasi ......................... 95
2. Diagnosa Keperawatan................................................................... 96
3. Perencanaan.................................................................................... 97
4. Implementasi .................................................................................. 99
C. Asuhan Keperawatan Komunitas Dengan Kesehatan Kerja Di RW
09 Desa Padaasih ................................................................................ 101
1. Pengkajian ...................................................................................... 101
1) Beban Kerja.............................................................................. 101
2) Kapasitas Kerja ........................................................................ 102
3) Lingkungan Kerja..................................................................... 102
4) Pelayanan Kesehatan Kerja ...................................................... 104
2. Diagnosa Keperawatan................................................................... 107

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3. Perencanaan.................................................................................... 108
4. Implementasi .................................................................................. 109
D. ANALISA SWOT PROGRAM PUSKESMAS .................................. 116
A. Kasus .............................................................................................. 110
B. Analisis........................................................................................... 110
BAB V............................. ................................................................................ 128
A. Kesimpulan ......... ................................................................................ 128
B. Saran .................... ................................................................................ 130
DAFTAR PUSTAKA

STIKep PPNI Jawa Barat 2018 Page iv


DAFTAR DIAGRAM

Diagram 3.1 Nilai dan Keyakinan .................................................................... 20


Diagram 3.2 jarak rumah dan tetangga ............................................................ 21
Diagram 3.3 jenis kelamin ............................................................................... 22
Diagram 3.4 penduduk menurut usia ............................................................... 22
Diagram 3.5 penduduk menurut pendidikan .................................................... 23
Diagram 3.6 penduduk menurut pekerjaan ...................................................... 24
Diagram 3.7 jumlah ibu hamil ........................................................................ 25
Diagram 3.8 pasangan usia subur .................................................................... 25
Diagram 3.9 jenis KB...... ................................................................................ 26
Diagram 3.10 alasan tidak KB ......................................................................... 26
Diagram 3.11 usia hamil . ................................................................................ 27
Diagram 3.12 peningkatan BB ibu hamil......................................................... 27
Diagram 3.13 kehamilan ke ............................................................................ 28
Diagram 3.14 usia ibu hamil ............................................................................ 28
Diagram 3.15 tepat periksa .............................................................................. 29
Diagram 3.16 frekuensi periksa kehamilan ...................................................... 29
Diagram 3.17 imunisasi TT.............................................................................. 30
Diagram 3.18 penyakit ibu hamil ..................................................................... 30
Diagram 3.19 persalinan dibantu oleh ............................................................ 31
Diagram 3.20 informasi ASI eksklusif ............................................................ 31
Diagram 3.21 informasi cara pemberian ASI .................................................. 32
Diagram 3.22 durasi menyusui ........................................................................ 32
Diagram 3.23 jumlah balita .............................................................................. 33
Diagram 3.24 kepemilikan KMS ..................................................................... 33
Diagram 3.25 hasil penimbangan ..................................................................... 34
Diagram 3.26 keluhan lansia ............................................................................ 34
Diagram 3.27 jumlah keluhan lansia ............................................................... 35
Diagram 3.28 penanganan penyakit lansia ...................................................... 35
Diagram 3.29 aktiitas lansia diwaktu senggang ............................................... 36

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Diagram 3.30 keluhan ..... ................................................................................ 36
Diagram 3.31 penyakit 6 bulan terakhir ........................................................... 37
Diagram 3.32 kebiasaan buruk remaja ............................................................. 38
Diagram 3.33 kebiasaan tidak sehat ................................................................. 38
Diagram 3.34 tipe perumahan .......................................................................... 39
Diagram 3.35 jenis lantai ................................................................................ 40
Diagram 3.36 sistem ventilasi .......................................................................... 40
Diagram 3.37 sistem pencahayaan siang ........................................................ 41
Diagram 3.38 status kepemilikan .................................................................... 41
Diagram 3.39 sumber air minum untuk masak/minum ................................... 42
Diagram 3.40 pengolahan air minum ............................................................... 42
Diagram 3.41 air untuk mandi/mencuci ........................................................... 43
Diagram 3.42 jarak sumber air dengan septik tank .......................................... 43
Diagram 3.43 kondisi penampungan air .......................................................... 44
Diagram 3.44 kodisi air ... ................................................................................ 44
Diagram 3.45 pembuangan sampah ................................................................. 45
Diagram 3.46 pembuangan sampah sementara ................................................ 45
Diagram 3.47 kondisi tempat penampungan .................................................... 46
Diagram 3.48 jarak penampungan sampah dan air .......................................... 46
Diagram 3.49 kebiasaan BAB ......................................................................... 47
Diagram 3.50 jenis jamban .............................................................................. 47
Diagram 3.51 sistem pembuangan limbah ...................................................... 48
Diagram 3.52 pemanfaatan halaman ............................................................... 48
Diagram 3.53 hewan ternak ............................................................................ 49
Diagram 3.54 jarak kandang ............................................................................ 49
Diagram 3.55 kondisi kandang ....................................................................... 50
Diagram 3.56 memberantas jentik nyamuk .................................................... 50
Diagram 3.57 sarana kesehatan terdekat ......................................................... 51
Diagram 3.58 jarak rumah dengan sarana kesehatan ....................................... 52
Diagram 3.59 sarana ke pelayanan kesehatan ................................................. 52
Diagram 3.60 tempat berobat ........................................................................... 53

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Diagram 3.61 kebiasan sebelum minum obat .................................................. 53
Diagram 3.62 sumber kesehatan ...................................................................... 54
Diagram 3.63 fasilitas komunikasi di masyarakat ........................................... 55
Diagram 3.64 teknik penyapaian informasi ..................................................... 55
Diagram 3.65 penghasilan perbulan ................................................................ 56
Diagram 3.66 kegatan masyarakat ................................................................... 56
Diagram 3.67 jenis kegiatan............................................................................. 57
Diagram 3.68 pemilihan RT/RW/Kades dll ..................................................... 57
Diagram 3.69 rekreasi/liburan .......................................................................... 58
Diagram 3.70 distribusi siswa SDN 1 cipanas berdasarkan jenis kelamin ...... 80
Diagram 3.71 distribusi siswa SDN 1 berdasarkan usia .................................. 80
Diagram 3.72 distribusi kebiasaan sarapan pagi .............................................. 81
Diagram 3.73 distribusi kebiasaan jajan .......................................................... 81
Diagram 3.74 distribusi makanan sehat ........................................................... 82
Diagram 3.75 distribusi kebiasaan mencuci tangan ......................................... 82
Diagram 3.76 distribusi penyuluhan cuci tangan ............................................. 83
Diagram 3.77 distribusi kebiasaan mandi ........................................................ 83
Diagram 3.78 Frekuensi Menggosok Gigi ....................................................... 84
Diagram 3.79 Frekuensi Keramas .................................................................... 84
Diagram 3.80 Kebiasaan Setelah BAK Dan BAB ........................................... 85
Diagram 3.81 Distribusi Jadwal Piket.............................................................. 85
Diagram 3.82 Distribusi Pengetahuan Membuang Sampah ............................ 86
Diagram 3.83 Distribusi Tempat Membuang Sampah ..................................... 86
Diagram 3.84 Distibusi Penyakit Dari Sampah ............................................... 87
Diagram 3.85 Distribusi Keadaan WC Sekolah ............................................... 87
Diagram 3.86 Distribusi Mencoret-coret Tembok ........................................... 88
Diagram 3.87 Distribusi Dampak Mencoret-coret Tembok ............................ 88
Diagram 3.88 Distribusi Kebersihan Sepatu .................................................... 89
Diagram 3.89 Distribusi Kebersihan Seragam ................................................. 89
Diagram 3.90 Distribusi Kebersihan Kulit....................................................... 90
Diagram 3.91 Distribusi Kebersihan Kuku ...................................................... 90

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Diagaram 3.92 Distribusi Kebersihan Rambut ............................................... 91
Diagaram 3.93 Distribusi Kebersihan Telinga ................................................. 91
Diagaram 3.94 Distribusi Gigi Bolong ............................................................ 92
Diagaram 3.95 Distribusi Kesehatan dan Sosial/Komunikasi ......................... 94
Diagaram 3.96 Distribusi Pernah Tidaknya Diajarkan PHBS ......................... 94

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DAFTAR LAMPIRAN

Lapiran 1 ....................... ............................................................................. 109

STIKep PPNI Jawa Barat 2018 Page ix

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