IR - PERPUSTAKAAN UNIVERSITAS AIRLANGGA

DAFTAR ISI

HALAMAN DEPAN
HALAMAN JUDUL ………...…………………………………………...………i
KARTU TANDA MAHASISWA ........................................................................ ii
PERNYATAAN ORISINALITAS ..................................................................... iii
JUDUL LAPORAN TUGAS AKHIR ……………………………………...….iv
LEMBAR PENGESAHAN PEMBIMBING ...................................................... v
LEMBAR PENGESAHAN UJIAN ................................................................... vi
UCAPAN TERIMA KASIH .............................................................................. vii
DAFTAR ISI ......................................................................................................... xi
DAFTAR TABEL .............................................................................................. xiv
DAFTAR GAMBAR .......................................................................................... xiv
DAFTAR LAMPIRAN ....................................................................................... xv
DAFTAR SINGKATAN .................................................................................... xvi
ABSTRAK ......................................................................................................... xvii
ABSTRACT ……………………………………………………..……………xviii
BAB 1 PENDAHULUAN
1.1 Latar Belakang ...................................................................................... 1
1.2 Batasan Masalah .................................................................................... 4
1.3 Rumusan Masalah ................................................................................. 4
1.4 Tujuan Penelitian ................................................................................... 4
1.4.1 Tujuan Umum............................................................................... 4
1.4.2 Tujuan Khusus .............................................................................. 4
1.5 Manfaat Penelitian ................................................................................. 5
1.5.1 Manfaat Teoritis ........................................................................... 5
1.5.2 Manfaat Praktis............................................................................. 6
BAB 2 TINJAUAN PUSTAKA
2.1 Konsep Dasar Nefrolitiasis .................................................................... 7
2.1.1 Pengertian .................................................................................... 7
2.1.2 Etiologi......................................................................................... 8
2.1.3 Klasifikasi .................................................................................... 9
2.1.4 Manifestasi Klinis ...................................................................... 10
2.1.5 Patofisiologi ............................................................................... 12
2.1.6 Pathway ...................................................................................... 13
2.1.7 Pemeriksaan Penunjang ............................................................. 14
2.1.8 Penatalaksanaan ......................................................................... 14
2.1.9 Komplikasi ................................................................................. 17
2.2 Konsep Asuhan Keperawatan Pada Pasien Nefrolitiasis..................... 18
2.2.1 Pengkajian .................................................................................. 18
2.2.2 Diagnosa Keperawatan .............................................................. 25
2.2.3 Intervensi.................................................................................... 25
2.2.4 Implementasi .............................................................................. 29
2.2.5 Evaluasi ...................................................................................... 29
2.3 Konsep Nyeri Akut .............................................................................. 30

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2.3.1 Definisi ....................................................................................... 30

2.3.2 Klasifikasi .................................................................................. 31
2.3.3 Tanda dan Gejala ....................................................................... 32
2.3.4 Faktor Yang Mempengaruhi ...................................................... 33
2.3.5 Penilaian Nyeri........................................................................... 36
BAB 3 METODE PENELITIAN
3.1 Rancangan Penelitian .......................................................................... 38
3.2 Definisi Operasional ........................................................................... 39
3.3 Patrisipan / Subjek Penelitian ............................................................. 40
3.4 Lokasi dan Waktu Penelitian .............................................................. 41
3.5 Pengumpulan Data .............................................................................. 41
3.5.1 Wawancara ................................................................................. 41
3.5.2 Observasi.................................................................................... 42
3.5.3 Pemeriksaan Fisik ...................................................................... 43
3.5.4 Studi Dokumentasi ..................................................................... 44
3.6 Uji Keabsahan Data ............................................................................ 44
3.6.1 Memperpanjang waktu pengamatan/observasi .......................... 44
3.6.2 Sumber informasi tambahan.. .................................................... 44
3.7 Analisa Data ........................................................................................ 46
3.7.1 Pengumpulan Data ..................................................................... 46
3.7.2 Mereduksi data (Reductiun) ....................................................... 46
3.7.3 Penyajian data ............................................................................ 47
3.7.4 Kesimpulan ................................................................................ 47
3.8 Etika Penelitian ................................................................................... 47
3.8.1 Informed consent (Persetujuan menjadi responden) .................. 47
3.8.2 Anonimity (Tanpa nama) ............................................................ 48
3.8.3 Confidentialy (kerahasiaan) ....................................................... 48
BAB 4 HASIL DAN PEMBAHASAN
4.1 Hasil.................................................................................................... 50
4.1.1 Gambaran Lokasi Penelitian ..................................................... 50
4.1.2 Data Asuhan Keperawatan ........................................................ 51
4.1.3 Analisa Data .............................................................................. 59
4.1.4 Rumusan Diagnosa ................................................................... 61
4.1.5 Intervensi Keperawatan ............................................................ 62
4.1.6 Implementasi Keperawatan ....................................................... 65
4.1.7 Evaluasi Keperawatan ............................................................... 71
4.2 Pembahasan ........................................................................................ 76
4.2.1 Pengkajian ................................................................................. 76
4.2.2 Diagnosa Keperawatan ............................................................. 80
4.2.3 Intervensi Keperawatan ............................................................ 81
4.2.4 Implementasi Keperawatan ....................................................... 82
4.2.5 Evaluasi Keperawatan ............................................................... 83
BAB 5 KESIMPULAN DAN SARAN
5.1 Kesimpulan ....................................................................................... 85
5.2 Saran ................................................................................................. 87
5.2.1 Bagi Peneliti yang Akan Datang……………………………..87

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5.2.2 Bagi Institusi Rumah Sakit………………….………………..87

5.2.3 Bagi Profesi Keperawatan……………………………………87
DAFTAR PUSTAKA .......................................................................................... 88
LAMPIRAN………………………………………...…………………………...91

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DAFTAR TABEL

Halaman
Tabel 3.1 Definisi Operasional …………………………………………...42
Tabel 4.1 Hasil pemeriksaan diagnostic …………………….....................52
Tabel 4.2 Analisa data ………………………………………………….…62
Tabel 4.3 Rumusan Diagnosa ………………………………………….…65
Tabel 4.4 Intervensi Keperawatan ………………………………………..66
Tabel 4.5 Implementasi Keperawatan ……………………………...…….67
Tabel 4.6 Evaluasi Keperawatan ……………………………….………...70

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DAFTAR GAMBAR

Halaman
Gambar 2.1 Pathway Nefrolitiasis…....…………….……………………....15
Gambar 2.2 Skala Nyeri Deskriptif……………………………………...…40
Gambar 2.3 Skala Nyeri Numerical Rating Scale………………..…...……40
Gambar 2.4 Wong Baker Faces Scale……………………………………...40

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DAFTAR LAMPIRAN

Halaman
Lampiran 1 Lembar Inform Consent …………………………………… 91
Lampiran 2 Lembar Instrument Wawancara …………………………… 92
Lampiran 3 Usulan Judul Tugas Akhir …………………………………. 94
Lampiran 4 Judul Tugas Akhir …………………………………………. 95
Lampiran 5 Konsultasi Tugas Akhir ……………………………………. 96
Lampiran 6 Persetujuan Sidang Tugas Akhir…………………………… 98
Lampiran 7 Perbaikan Tugas Akhir Ketua Penguji …………………….. 99
Lampiran 8 Perbaikan Tugas Akhir Tim Penguji 1 …………………… 102
Lampiran 9 Perbaikan Tugas Akhir Tim Penguji 2 …………………….104

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DAFTAR SINGKATAN

BSK : Batu Saluran Kemih

CT SCAN : Computerized Axial Tomography Scanning
ESWL : Extracorporeal Shockwave Lithotripsy
OSS : Open Stone Surgery
PCNL : Percutaneus Nephro Lithotomy
PQRST : Proportive, Quality, Region, Severity, Tme
SDKI : Standar Diagnosis Keperawatan Indonesia
SIKI : Standar Intervensi Keperawatan Indonesia
SLKI : Standar Luaran Keperawatan Indonesia
TEM : Terapi Konservatif atau Terapi Ekspulsif Medikamentosa
USG : Ultrasonografi

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