DAFTAR ISI

HALAMAN JUDUL
HALAMAN PERSETUJUAN PEMBIMBING .............................................................. i
DAFTAR RIWAYAT HIDUP............................................................................................ ii
ABSTRAK.......................................................................................................................... iii
KATA PENGANTAR....................................................................................................... iv
DAFTAR ISI...................................................................................................................... v
DAFTAR TABEL.............................................................................................................. vi
DAFTAR GAMBAR......................................................................................................... vii
DAFTAR SINGKATAN.................................................................................................... viii
DAFTAR LAMPIRAN...................................................................................................... ix
BAB I PENDAHULUAN
A. Latar Belakang................................................................................................... 1
B. Rumusan Masalah.............................................................................................. 4
C. Tujuan Penulisan............................................................................................... 5
1. Tujuan Umum.............................................................................................. 5
2. Tujuan Khusus............................................................................................. 5
D. Manfaat Penelitian............................................................................................. 5
1. Bagi institusi................................................................................................ 5
2. Bagi puskesmas........................................................................................... 5
3. Bagi peneliti selanjutnya............................................................................. 6

BAB II TINJAUAN PUSTAKA

A. Konsep Medis Arhtritis reumatoid..................................................................... 7

a. Anatomi dan Fisiologi........................................................................... 7
b. Defenisi.................................................................................................. 10
c. Etiologi.................................................................................................. 11
d. Patofisiologi........................................................................................... 12
e. Manifestasi Klinis................................................................................... 13
f. Komplikasi.............................................................................................. 14
g. Pemeriksaan Diagnostik.......................................................................... 16
h. Penatalaksanaan Medis............................................................................ 17
B. Konsep Keperawatan......................................................................................... 19
a. Pengkajian.................................................................................................... 19
b. Diagnosa...................................................................................................... 20
c. Intervensi..................................................................................................... 21
d. Implementasi................................................................................................ 27
e. Evaluasi........................................................................................................ 27
C. Konsep penerapan teknik relaksasi progresif.................................................... 28
a. Defenisi........................................................................................................ 28
b. Pelaksanaan relaksasi progresif.................................................................... 28
c. Keuntungan relaksasi progresif......................................................................29

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 D. Konsep Nyeri..................................................................................................... 30
a. Defenisi........................................................................................................ 30
b. Faktor – faktor yang mempengaruhi nyeri................................................... 30
c. Klasifikasi Nyeri........................................................................................... 31
d. Pengukuran intensitas nyeri.......................................................................... 31

BAB III METODE PENELITIAN

A. Desain Studi Kasus............................................................................................ 33

B. Sampel Studi Kasus........................................................................................... 34
C. Tempat dan waktu Penelitian............................................................................ 35
D. Instrumen pengumpulan data............................................................................. 35
E. Etika pelaksanaan Studi Kasus.......................................................................... 35
F. Metode pengumpulan data................................................................................. 37
a. Metode observasi.......................................................................................... 37
b. Metode wawancara....................................................................................... 37
c. Metode pengukuran...................................................................................... 38

BAB IV HASIL DAN PEMBAHASAN STUDI KASUS

A. Penerapan Teknik Relaksasi Progresif dalam Mengurangi Nyeri pada Klien

Ny. S dengan Arhtritis Reumatoid di wilayah Kerja Puskesmas Siulak
Mukai Tahun 2018.................................................................................
..........................................................................................................................
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39
B. Penerapan Teknik Relaksasi Progresif dalam Mengurangi Nyeri pada Klien
Ny. A dengan Arhtritis Reumatoid di wilayah Kerja Puskesmas Siulak
Mukai Tahun 2018.........
..........................................................................................................................
..........................................................................................................................
41
C. Perbedaan Hasil Penerapan Teknik Relaksasi Progresif dalam Mengurangi
Nyeri pada Klien Ny. S dan Klien Ny. A dengan Arhtritis Reumatoid di
wilayah Kerja Puskesmas Siulak Mukai Tahun 2018......................................
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43
D. Implikasi Hasil Studi Kasus..........................................................................
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 E. Keterbatasan Studi Kasus...........................................................................
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F. Rencana Tindak Lanjut...............................................................................
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BAB V KESIMPULAN DAN SARAN

A. Kesimpulan.................................................................................................
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B. Saran...........................................................................................................
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DAFTAR PUSTAKA

LAMPIRAN