Gambaran Intervensi Perawat dalam Asuhan Keperawatan Pasien Tuberkulosis Paru di Rumah Sakit

*Muhammad Rofi'i  -  Department of Nursing, Faculty of Medicine, Diponegoro University, Indonesia
Bambang Edi Warsito  -  Department of Nursing, Faculty of Medicine, Diponegoro University, Indonesia
Agus Santoso  -  Department of Nursing, Faculty of Medicine, Diponegoro University, Indonesia
Sarah Ulliya  -  Department of Nursing, Faculty of Medicine, Diponegoro University, Indonesia
Received: 10 Sep 2019; Accepted: 10 Nov 2019; Published: 29 Nov 2019.
Open Access Copyright 2019 Holistic Nursing and Health Science

Citation Format:
Article Info
Section: Articles
Language: ID
Statistics: 333 3135
Abstract

Introduction: The nurses’ role within nursing care of tuberculosis patients in hospitals is  very important. Nurses problem are preparing nursing interventions in patients with pulmonary tuberculosis rarely use the standard Nursing Intervention Classification (NIC). Independent nursing interventions are not in accordance with the diagnoses established by nurses, so the impact on the implementation needed by patients is not in accordance with the problems occured. Collaborative intervention is mostly carried out by nurses compared to independent intervention. Nurses must arrange nursing interventions based on the standard of nursing diagnoses that are enforced. The objective study was to describe the interventions compiled by nurses at the hospital.

Methods: Research design was qualitative research with observational approach. Sample was 100 nurse’s documentastions  of  pulmonary tuberculosis patient  in TB MDR ward. Data analysis used language and text analysis with content analysis.

Results: The results research was the highest 10 interventions written by nurses is intervention about observe general condition of patient was 83 times, collaboration with  doctor’s therapy was 54 times, give comfort position was 54 times, give therapy was 47 times, check vital signs regulerly was 40 times, give oxigen was 34 times, advise to bedrest was 30 times, teach  to effective cough was 25 times, Give position semi fowler was 15% times, and teach to deep breath was 15 times.

Conclusion: Nurses must improve their skills and knowledge in preparing treatment plans, because the interventions that have been prepared have not been optimal for dealing with patient problems in hospitals. Interventions to improve patient knowledge and abilities in the management of the disease are important to give to patients.

 

Keywords: Intervention; Nurses; Patient; Pulmonary Tuberculosis

Article Metrics:

  1. Rabo, R. A. M. A., El-zeftawy, A. M. A., & Abo-Gad, R. A. (2015). Tuberculosis patients’ perspective of quality of care provided by nurses after implementing nursing intervention at chest governorate hospitals in Gharbia. IOSR Journal of Nursing and Health Science, 3(6), 27–38.
  2. Azzolin, K., Mussi, C. M., Ruschel, K. B., Souza, E. N. De, Lucena, A. D. F., & Rabelo-silva, E. R. (2013). Effectiveness of nursing interventions in heart failure patients in home care using. Applied Nursing Research, 26(4), 239–244. doi: 10.1016/j.apnr.2013.08.003
  3. Bulechek, G. M, Butcher, H. K., Dochterman, J. M., & Wagner, C. (2013). Nursing interventions classification (NIC) (6th ed.). Philadelphia.: Elsevier Global Rights.
  4. Butcher, H. K., Gloria M., B., Dochterman, J. M., & and Wagner, C. M. (2013). Nursing interventions classification (NIC) (6th ed.). St. Louis, Missouri: Elsevier Mosby.
  5. Carpenito, L. J. (2010). Nursing diagnosis: Application to clinical practice (13th ed.). Philadelphia: Lippincott Company.
  6. Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2010a). Nurse’s pocket guide: Diagnoses, prioritized interventions, and rationales (12th ed.). Philadelphia: F.A. Davis Company.
  7. Doenges M. E., Moorhouse, M. F., & Murr. A. (2010b). Nursing diagnosis manual: Planning, individualizing, and documenting client care. (3rd ed.). Philadelphia: F.A. Davis Company.
  8. Dolak, F., & Tóthová, V. (2014). Priority interventions from the NIC and expected results from the NOC in patients with a nursing diagnosis of Ineffective breathing pattern, Kontakt, 6, 2–9. doi: 10.1016/j.kontakt.2014.04.001
  9. El-kader, R. G. A. B. D., Ghazi, C. M. K., Ramadan, F. A. B. D. E., & Soliman, S. M. (2011). Development of standard of care for pulmonary tuberculosis for nurses working in chest outpatient clinics. The Medical Journal of Cairo University, 79(2), 139–145.
  10. Gimenes, F. R., Motta, A. P., Silva, P. C., Gobbo, A. F., Atila, E., & Carvalho, E. C. (2017). Identifying nursing interventions associated with the accuracy used nursing diagnoses for patients with liver cirrhosis 1. Revista Latino-Americana de Enfermagem, 25(e2933), 1–9. doi: 10.1590/1518-8345.2016.2933
  11. Johnson, L., Edward, K., & Giandinoto, J. (2018). A systematic literature review of accuracy in nursing care plans and using standardised nursing language. Collegian, 25(3), 355–361. doi: 10.1016/j.colegn.2017.09.006
  12. Newfield, S. A., Hinz MD, Tilley DS, Sridaromont KL, and M. P. (2007). Cox’s clinical applications of nursing diagnosis: Adult, child, women’s, mental health, gerontic, and home health considerations (5th ed.). Philadelphia: F.A. Davis Company.
  13. Orr, P. (2011). Adherence to tuberculosis care in Canadian Aboriginal populations part 2: A comprehensive approach to fostering adherent behaviour. International Journal of Circumpolar Health, 70(2), 128-140.
  14. Papathanassoglou, E. D., Hadjibalassi, M., Miltiadous, P., Lambrinou, E., Papastavrou, E., Paikousis, L., & Kyprianou, T. (2018). Effects of an integrative nursing intervention on pain in critically ill patients: A pilot clinical trial. American Journal of Critical Care, 27(3), 172-185. doi: 10.4037/ajcc2018271
  15. WHO. (2010). Global Tuberculosis Control. Geneva.