PERNYATAAN KEASLIAN TULISAN

Saya yang bertanda tangan di bawah ini:

Nama :

NIM :

Program Studi : Diploma lll Keperawatan

Institusi : Akademi Keperawatan Kesdam IV/Diponegoro Semarang

Menyatakan dengan sebenarnya bahwa Karya Tulis Ilmiah yang saya tulis ini

adalah benar-benar merupakan hasil karya sendiri dan bukan merupakan

pengambil alihan tulisan atau pikiran orang lain yang saya aku sebagai hasil

tulisan atau pikiran saya sendiri.

Apabila dikemudian hari terbukti atau dapat dibuktikan Karya Tulis Ilmiah ini

hasil jiplakan, maka saya bersedia menerima sanksi atas perbuatan tersebut.

Mengetahui Semarang, Juli 2018

Pembimbing Pembuat Pernyataan

ii
 LEMBAR PERSETUJUAN

Karya Tulis Ilmiah oleh Raksy Nur Huda Putra NIM 20101440115092 dengan

judul “Penerapan……….” Telah diperiksa dan disetujui untuk diujikan.

Semarang, Juli 2018

Pembimbing

iii
 LEMBAR PENGESAHAN

Karya Tulis Ilmiah oleh …… NIM…….. dengan judul “…………………” Telah

dipertahankan di depan dewan penguji pada tanggal 08 Juni 2018

Dewan Penguji

Penguji Ketua Penguji Anggota I Penguji Anggota II

Ns. Diana Tri. L, M.Kep, Sp.Kep.MB Ns. Tuti Anggarawati, M.Kep Ns. Ainnur Rahmanti, M.Kep
NIDN. 0616108001 NIDN. 0602087702 NIDN. 0608038801

Mengetahui
Direktur

Indah Setyawati,S.K.M., M.M

Letkol Ckm (K) NRP. 11960028180872

iv
 KATA PENGANTAR

Syukur alhamdulillah penulis panjatkan kehadirat Allah SWT yang telah

melimpahkan rahmat dan hidayah serta karunia-Nya kepada penulis, sehingga

penulis dapat menyelesaikan Karya Tulis Ilmiah yang berjudul

“………………………..” proposal Karya Tulis ilmiah yang diajukan untuk

memenuhi persyaratan untuk menyelesaikan program pendidikan Diploma III

Keperawatan Akademi Keperawatan Kesdam IV/Diponegoro Semarang. Penulis

menyadari bahwa penyusunan Proposal Karya Tulis Ilmiah ini tidak terlepas dari

bantuan dan dukungan berbagai pihak. Oleh karena itu, pada kesempatan ini

penulis mengucapkan terimakasih kepada :

1. Letkol Ckm (K) Indah Setyawati,S.K.M.,M.M selaku Direktur Akper Kesdam

IV/Diponegoro Semarang.

2. Ns. Ainnur Rahmanti, M. Kep selaku pembimbing yang telah sabar dan ikhlas

meluangkan waktu untuk memberikan bimbingan kepada penulis.

3. Bapak dan Ibu Dosen Staf Akper Kesdam IV/Diponegoro semarang yang

telah memberikan bekal ilmu pengetahuan sebagai dasar Karya Tulis Ilmiah

4. Kedua orang tua saya tercinta yang telah ikhlas memberikan doa serta

pengorbanan baik baik materi maupun motivasi yang diberikan kepada

penulis sehingga dapat menimba ilmu di Akper Kesdam IV/Diponegoro

Semarang dan dapat menyelesaikan Karya Tulis Ilmiah.

5. Teman-teman saya yang selalu mendukung dan memberikan dan memberikan

v
 semangat yang tiada hentinya.

6. Dan kepada semua pihak yang tidak dapat penulis sebutkan.

Penulis menyadari bahwa Karya Tulis Ilmiah ini banyak kekurangan dan

keterbatasan pengetahuan dan kemampuan. Oleh sebab itu penulis

mengharapkan kritik dan saran yang dapat mengembangun dari berbagai

pihak untuk memperbaiki ini.

Semarang, Juli 2018

……………..

vi
 Judul kti
……nama mahasiswa………..
…………nama dosen…….

ABSTRAK
Pembedahan adalah suatu tindakan medis yang bertujuan untuk mencegah
terjadinya kecacatan dan terjadinya komplikasi. Pasien preoperatif biasanya
pasien mengalami kondisi takut dan cemas karena ketidaktahuan dan
kegagalan yang mengancam citra tubuh. Cemas timbul akibat stress karena
pasien membayangkan tindakan yang akan dilakukan terhadap dirinya hal ini
bisa menimbulkan efek pasien sulit untuk tidur. Salah satu metode non
farmakalogi bisa menggunakan teknik rendam kaki menggunakan air hangat.
Tujuan dari studi kasus ini adalah menganalisis penerapan rendam kaki air
hangat terhadap pemenuhan tidur pada pasien preoperatif. Jenis penelitian ini
adalah deskriptif dengan menggunakan metode pendekatan studi kasus.
Subyek adalah dua orang pasien preoperatif yang mengalami gangguan
kualitas tidur. Hasil analisis menunjukan terjadinya peningkatan kualitas tidur
pada kedua subyek. Kualitas tidur pada subyek I diukur dan nilainya 8 dan
turun nilainya menjadi 4, subyek II nilai kualitas tidurnya 10 dan turun
menjadi 5. Rekomendasi perlu konsisten perawat dalam melakukan terapi
untuk meningkatkan kualitas tidur pada pasien preoperatif.
Kata Kunci : Rendam Kaki, Keutuhan Tidur, Preopertif

ABSTRACT
Soaking in warm water is one of the oldest form of alternative therapy and
there’s good reason why this practice has stood the test of time. Research has
shown warm therapy works wonders for all kind of preoperative patient.
Warm water is great for relaxing but it is also good for moving, it maker
preoperative patient feel better. Preoperative patient usually the patient
experience the condition such us a feel fear and anxiety because the patient
imagine to do something in them selves, this causes for the patient effects
difficult to sleep. One method of non-pharmacology can uses foot soak
techniques using warm water. The purpose of this case study is analyzes the
application of warm water foot soaks to the fulfillment of sleep in
preoperative patient. This type of research is descriptive using case study
method approachment. Subject were two preoperative patient who has sleep
quality disorders. The result of the analysis showed the increase of sleep
quality in both subject. The quality of sleep for subject I have the value 8 and
the decline in value to be 4. Subject II the quality of valve is 10 and decline to
be 5. Nurse recommendation need be consistienly in doing therapy to improve
quality of sleep for preoperative patient feel better.
Key word : Foot Soak, Intact Sleep, Preoperative

vii
 DAFTAR ISI

Halaman Judul .............................................................................................................

Lembar Pernyataan Keaslian........................................................................................

ii

Lembar persetujuan .....................................................................................................

iii

Lembar Pengesahan......................................................................................................

iv

Kata Pengantar..............................................................................................................

Abstrak..........................................................................................................................

vii

Daftar Isi.......................................................................................................................

viii

Daftar Lampiran...........................................................................................................

xi

Daftar Tabel..................................................................................................................

xii

Daftar Diagram.............................................................................................................

xiii

viii
Daftar Istilah dan Singkatan ........................................................................................

xiv

BAB I PENDAHULUAN ..........................................................................................

A. Latar Belakang

........................................................................................................................

........................................................................................................................

1
B. Rumusan Masalah

........................................................................................................................

........................................................................................................................

6
C. Tujuan

........................................................................................................................

........................................................................................................................

6
D. Manfaat

........................................................................................................................

........................................................................................................................

BAB II TINJAUAN PUSTAKA ................................................................................

A. PREOPERATIF

ix
 ........................................................................................................................

........................................................................................................................

7
1. Pengertian

......................................................................................................................

......................................................................................................................

7
2. Etiologi

......................................................................................................................

......................................................................................................................

7
3. Tahap - Tahap Fase Preoperasi

......................................................................................................................

......................................................................................................................

9
4. Persiapan Pasien Sebelum Menjalani Pembedahan

......................................................................................................................

......................................................................................................................

10
B. RENDAM KAKI

........................................................................................................................

........................................................................................................................

12
1. Pengertian

x
 ......................................................................................................................

......................................................................................................................

12
2. Teori Hidroterapi Kaki

......................................................................................................................

......................................................................................................................

13
3. Manfaat

......................................................................................................................

......................................................................................................................

13
4. Indikasi dan Kontraindikasi

......................................................................................................................

......................................................................................................................

14
5. Teknik Relaksasi

......................................................................................................................

......................................................................................................................

14
C. KONSEP TIDUR

........................................................................................................................

........................................................................................................................

16
1. Pengertian

xi
 ......................................................................................................................

......................................................................................................................

16
2. Fisiologi

......................................................................................................................

......................................................................................................................

17
3. Tahapan Tidur

......................................................................................................................

......................................................................................................................

18
4. Kebutuhan Tidur Setiap Manusia

......................................................................................................................

......................................................................................................................

19
5. Faktor Yang Mempengaruhi Tidur

......................................................................................................................

......................................................................................................................

22
6. Fungsi dan Tujuan Tidur

......................................................................................................................

......................................................................................................................

24
7. Gangguan Tidur

xii
 ......................................................................................................................

......................................................................................................................

24

BAB III METODE STUDI KASUS .........................................................................

26

A. Rancangan studi kasus

........................................................................................................................

........................................................................................................................

25
B. Subjek Penelitian

........................................................................................................................

........................................................................................................................

25
C. Fokus Studi

........................................................................................................................

........................................................................................................................

26
D. Definisi Operasional

........................................................................................................................

........................................................................................................................

26
E. Instrumen Studi Kasus

xiii
 ........................................................................................................................

........................................................................................................................

27
F. Metode Pengumpulan Data

........................................................................................................................

........................................................................................................................

27
G. Lokasi dan Waktu studi kasus

........................................................................................................................

........................................................................................................................

29
H. Analisis dan Penyajian Data

........................................................................................................................

........................................................................................................................

29
I. Etika Studi Kasus

........................................................................................................................

........................................................................................................................

29

BAB IV PENELITIAN DAN PEMBAHASAN .......................................................

31

A. Hasil Penelitian

xiv
 ........................................................................................................................

........................................................................................................................

31
1. Gambaran Lokasi Penelitian

......................................................................................................................

......................................................................................................................

31
2. Gambaran Studi Kasus

......................................................................................................................

......................................................................................................................

32
3. Pemaparan Fokus Studi

......................................................................................................................

......................................................................................................................

33
B. Pembahasan

........................................................................................................................

........................................................................................................................

38
C. Keterbatasan Penelitian

........................................................................................................................

........................................................................................................................

43

BAB V SIMPULAN DAN SARAN...........................................................................

44

xv
 A. Simpulan

........................................................................................................................

........................................................................................................................

44
B. Saran

........................................................................................................................

........................................................................................................................

44

DAFTAR PUSTAKA..................................................................................................

45

LAMPIRAN

xvi
 DAFTAR LAMPIRAN

Lampiran 1 : Jadwal Kegiatan

Lampiran 2 : Penjelasan untuk Mengikuti Penelitian (PSP)

Lampiran 3 : Informed Concent (informasi dan pernyataan persetujuan)

Lampiran 4 : SOP

Lampiran 5 : Lembar Pematauan

Lampiran 6 : Instrumen Studi Kasus

Lampiran 7 : Lembar Konsul Bimbingan

xvii
 DAFTAR TABEL

Tabel 4.1 tabel seteelah dilakukan tindakan

29
Tabel 4.2 Evaluasi Nilai

.......................................................................................................

.......................................................................................................

30

xviii
 DAFTAR DIAGRAM

Diagram 4.1 Hasil

29
Diagram 4.2 Hasil Evaluasi

..........................................................................................................

..........................................................................................................

31

xix
 DAFTAR SINGKATAN

RAS : Retricular Activating System

BSR : Bulbar Synchroizing Region

NREM : Nonrapid Eye Movement

REM : Rapid Eye Movement

PSQI : The Pittsburgh Sleep Quality Index

xx