scholarly journals Defisit Perawatan Diri Pada Klien Skizofrenia: Aplikasi Teori Keperawatan Orem

2010 ◽  
Vol 13 (2) ◽  
pp. 87-97
Author(s):  
Herni Susanti

AbstrakDefisit perawatan diri pada klien skizofrenia tidak boleh dipandang remeh. Perawat yang terlibat dalam upaya rehabilitasi psikososial perlu memberikan pelayanan kepada klien skizofrenia dengan masalah defisit perawatan diri secara profesional. Salah satu caranya dengan memberikan asuhan keperawatan berdasarkan kerangka teori yang dikembangkan oleh ahli-ahli di bidang keperawatan. Teori self-care (perawatan diri) oleh Orem memiliki penjelasan yang lengkap tentang konsep perawatan diri, defisit perawatan diri, serta tindakan keperawatan untuk mengatasi masalah yang muncul. Dalam konteks rehabilitasi, teori Orem sangat sesuai dengan tujuan rehabilitasi yaitu membantu klien untuk memandirikan klien seoptimal mungkin. AbstractMental health nurses should professionally address the self-care deficit problem in schizophrenic patients, especially in the psychosocial rehabilitation phase. The nursing intervention of the self-care deficit patients can be delivered based on the nursing theoretical framework. The Orem’s self-care theory elucidates the concept of self-care, self-care deficit, and its nursing care. In the rehabilitation context, the Orem’s theory is relevant to the aim of rehabilitation – optimalizing the client’s own daily functional capacities.

2020 ◽  
Vol 25 (2) ◽  
pp. 11-14
Author(s):  
Laura Gligor ◽  
Carmen Daniela Domnariu

AbstractNursing theories have been developed to provide guidance in clinical practice, so their knowledge by nurses is mandatory in order to provide advanced nursing care. This paper presents the relationships between the concepts and major assumptions of Henderson’s model and Orem’s theory and then their comparative analysis. Both, Henderson’s model and Orem’s theory of self-care deficit have a major impact, internationally, in education and research, but also in nursing practice, as a result of which their knowledge can open a new perspective on care, especially in countries where they are not well enough known.


2021 ◽  
Vol 7 (6) ◽  
pp. 56446-56461
Author(s):  
Gleice Kely Santos Da Silva ◽  
Andressa Camille Sampaio Peixoto ◽  
Katarina Soares Morais ◽  
Lívia de Souza e Souza ◽  
Laís Lopes Gonçalves ◽  
...  

2021 ◽  
Vol 7 (4) ◽  
pp. 635-646
Author(s):  
Feifei Peng ◽  
Guangchi Xu ◽  
Caihong Zhu ◽  
Lanchun Sun ◽  
Bo Dong ◽  
...  

To explore the influence of human-oriented nursing mode on the self-care ability, unhealthy emotion and quality of life of patients with benign prostatic hyperplasia (BPH), 147 patients with BPH admitted to our hospital from February 2018 to August 2019 were selected and all patients were separated into two groups on the basis of the nursing intervention mode. 77 cases in the research group (RG) were given the human-oriented nursing mode and 70 cases in the control group (CG) were given the conventional nursing mode. The bladder irrigation time (BIT), indwelling catheter time (ICT), postoperative hospitalization time (PHT) and the incidence rate of postoperative complications were observed in the two groups after nursing intervention. Before and after nursing intervention, the self-care ability of patients was evaluated in the two groups by Exercise of Self-Care Agency Scale (ESCA). In the two groups, the anxiety and depression status were evaluated by the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS). The Quality of Life Scale for Benign Prostatic Hyperplasia Patient (BPHQLS) was applied to evaluate the quality of life in both groups before and after nursing intervention. The International Prostate Symptom Score (IPSS) was used to assess the lower urinary tract symptoms (LUTS) of patients in the two groups before and after nursing intervention. The self-made nursing satisfaction questionnaire was used to evaluate the nursing satisfaction in the two groups. The BIT, ICT and PHT in RG after nursing intervention were obviously lower than those in CG, and the incidence of postoperative complications in RG was also obviously lower than that in CG (p < 0.05). The ESCA score of patients in RG after nursing intervention was significantly higher than that in CG (P < 0.05). The SAS and SDS scores of patients in RG after nursing intervention were significantly lower than those in CG (P < 0.05). The BPHQLS score in RG after nursing intervention was obviously higher than that in CG (P < 0.05). The IPSS score of patients in RG after nursing intervention was obviously lower than that in CG (p < 0.05). The nursing satisfaction score in RG after nursing intervention was obviously higher than that in CG (p < 0.05).Condusion: The application effect of the human-oriented nursing mode on patients with BPH is definite, which can improve self-care ability, unhealthy emotion and effectively ameliorate the quality of life.


2021 ◽  
Vol 1 ◽  
pp. 1542-1552
Author(s):  
Intan Cahyani ◽  
Ramadhan Putra Satria ◽  
Puji Suhiro

AbstractFeeding self-care deficit is a person's inability to perform eating activities according to the proper way of eating. Activity Daily Living (ADL) therapy is one of the therapies claimed to be able to increase the patient's independence in improving how to eat. To apply Activity Daily Living (ADL) in patients with feeding self-care deficit to increase self-feeding independence. The research was a descriptive study with a case study approach conducted in the working area of Puskesmas Dukuhwaru, Tegal Regency. It was carried out on 15-17 February 2021. Data were obtained through interviews, observation and physical examination and presented in narrative form. After performed the intervention for 3 days, the results showed an increase in self-feeding independence in both subjects. It described at the third day of the research. Patients with nursing problems of feeding self-care deficit are recommended to provide ADL to increase the patient's independence. Keywords: Activity Daily Living (ADL); Feeding Self-Care Deficit; Mental Nursing Care AbstrakDefisit Perawatan Diri Makan merupakan ketidakmampuan seseorang dalam melakukan aktivitas makan sesuai tata cara makan yang benar. Terapi Activity Daily Living (ADL) menjadi salah satu terapi yang diyakini mampu meningkatkan kemandirian pasien dalam meningkatkan cara makan. Dapat menerapkan terapi Activity Daily Living (ADL) pada pasien defisit perawatan diri makan untuk meningkatkan kemandirian makan. Peneliti ini merupakan penelitian deskriptif dengan pendekatan studi kasus, lokasi studi kasus di Wilayah Puskesmas Dukuh waru Kabupaten Tegal dilakukan tanggal 15-17 Februari 2021, data diperoleh melalui wawancara, observasi dan pemeriksaan fisik. data disajikan dalam bentuk naratif. Setelah dilakukan intervensi selama 3 hari didapatkan hasil adanya peningkatkan makan pada kedua subjek penelitian yaitu dari ketergantungan makan pada awal pengkajian menjadi setelah selesai makan pada hari ketiga penelitian. Pasien dengan masalah keperawatan defisit perawatan diri makan dianjurkan untuk memberikan terapi Activity Daily Living (ADL) untuk meningkatkan kemandirian pasien dalam meningkatkan kemandirian.Kata Kunci: Activity Daily Living (ADL); Asuhan Keperawatan Jiwa; Defisit Perawatan Diri Makan


2011 ◽  
Vol 5 (9) ◽  
pp. 2220
Author(s):  
Joselany Áfio Caetano ◽  
Hérica Alves Vasconcelos ◽  
Marli Teresinha Gimeniz Galvão

ABSTRACT Objective: to apply nursing care systemization to a client submitted to angioplasty with placement of coronary stents in the light of King’s Theory of Goal Attainment. Method: convergent care research, carried out at the patient’s home. The following Nursing Diagnoses were elaborated and the interventions are proposed according to the connection between NANDA, NIC and NOC. The project was previously approved by the Research Ethics committee from University Federal do Ceará, under no protocol 61/08. Results: the nursing diagnoses: imbalanced nutrition: less than body requirements, impaired physical mobility, activity intolerance, chronic sadness, disturbed sleep patterns, self-care deficit control and ineffective family therapeutic regimen. the goals were: To obtain an adequate diet and fluid intake; Perform physical exercise safely and social interaction activities; Try and decrease dependence on the medication and adjust sleep times; Facilitate the accomplishment of self-care activities. The nursing plan attained a majority of the established goals, even if partially, which was expected in view of the proposed goals and implementation time. Conclusion: the use of Nursing Diagnoses is a technology needed for daily nursing care, as it permits comprehensive care and is relevant in home treatment, with an emphasis on health promotion.Descriptors: nursing process; nursing theory; coronary disease; care.RESUMO Objetivo: implementar a sistematização da assistência de enfermagem a um cliente submetido à angioplastia com colocação de stents coronarianos à luz da Teoria de Alcance de Metas de King. Método: pesquisa convergente-assistencial, realizada em um domicílio de Fortaleza, em 2010. Elaboraram-se os Diagnósticos de Enfermagem e propôs intervenções, segundo a ligação entre NANDA, NIC e NOC. O projeto foi previamente aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal do Ceará, sob nº de protocolo 61/08. Resultados: os diagnósticos de enfermagem: nutrição desequilibrada: menos do que as necessidades corporais, mobilidade física prejudicada, intolerância à atividade, tristeza crônica, padrão do sono perturbado, déficit no autocuidado e controle familiar ineficaz do regime terapêutico. As metas foram: Obter dieta e ingesta hídrica adequada; Realizar as atividades físicas e atividades de interação social; Tentar diminuir a dependência do medicamento e ajustar os horários de sono; Facilitar a realização das atividades de autocuidado. O plano de enfermagem alcançou a maioria das metas estabelecidas, mesmo que de forma parcial, fato esperado diante das metas propostas e o tempo de implementação. Conclusão: o uso dos Diagnósticos de Enfermagem é tecnologia necessária ao cotidiano de enfermagem, pois possibilita o cuidado integral e se mostra relevante no tratamento domiciliar, com ênfase na promoção da saúde. Descritores: processo de enfermagem; teoria de enfermagem; coronariopatia; cuidado.RESUMEN Objetivo: implementar la sistematización de la asistencia de enfermería a un cliente sometido a la angioplastia con la colocación de stents coronarianos a la luz de la Teoría de Alcance de Metas de King. Método: investigación convergente asistencial, realizada en un domicilio de Fortaleza, en 2010. Se elaboraron los Diagnósticos de Enfermería y se propuso intervenciones, según la conexión entre NANDA, NIC y NOC. El proyecto fue previamente aprobado por el Comité de Ética en Investigación de la Universidad Federal do Ceará, bajo protocolo 61/08. Resultados: los diagnósticos de enfermería: nutrición desequilibrada: menos que las necesidades corporales, movilidad física perjudicada, intolerancia a la actividad, tristeza crónica, trastornos del sueño, déficit en el autocuidado y control familiar ineficaz del régimen terapéutico. Las metas fueron: Obtener una dieta e ingesta hídrica adecuada; Realizar las actividades físicas y actividades de interacción social; Intentar disminuir la dependencia del medicamento y ajustar los horarios de sueño; Facilitar la realización de las actividades de autocuidado. El plan de enfermería alcanzó la mayoría de las metas establecidas, aunque de forma parcial, hecho esperado delante de las metas propuestas y el tiempo de implementación. Conclusión: el uso del Diagnóstico de Enfermería es tecnología necesaria al cotidiano de enfermería, pues posibilita el cuidado integral y se muestra relevante en el tratamiento domiciliario, con énfasis en la promoción de la salud. Descriptores: proceso de enfermería; teoría de enfermería; coronariopatía; cuidado.


2008 ◽  
Vol 21 (1) ◽  
pp. 94-100 ◽  
Author(s):  
Francisca Aline Arrais Sampaio ◽  
Priscila de Souza Aquino ◽  
Thelma Leite de Araújo ◽  
Marli Teresinha Gimenez Galvão

OBJECTIVE: To apply the "Orem's Self-care Theory" in ostomy patient care. METHODS: This is a clinical study with an intestinal ostomy patient, whose illness is a consequence of the "Chagas disease". Data collection was performed during the home visits, using a form with questions referred to the Orem's presuppositions. The data were analyzed and presented according to the determining factors in self-care development. RESULTS: Some self-care requirements were modified, such as: "Balance between loneliness and social interaction" and "Self-care in health disorders". The home care delivered based on the supporteducation system allowed for the promotion of health and the patient's perception regarding the importance of self-care. CONCLUSION: The self-care theory allowed for appropriate care and therapeutic communication adjusted to the patient's situation.


Author(s):  
Anabela Silva ◽  
Susana Silva ◽  
César Fonseca ◽  
José Garcia-Alonso ◽  
Manuel Lopes ◽  
...  

2018 ◽  
Vol 71 (5) ◽  
pp. 2418-2424 ◽  
Author(s):  
Deise Oliveira Costa ◽  
Fabíola Azevedo Araújo ◽  
Aline Silva Gomes Xavier ◽  
Lorena dos Santos Araújo ◽  
Ueigla Batista da Silva ◽  
...  

ABSTRACT Objective: To identify self-care demands of men with sickle cell disease and priapism and describe self-care measures in light of Orem's Self-Care Theory. Method: This is a descriptive exploratory study with qualitative approach conducted with nine men with a history of sickle cell disease and priapism. Data were analyzed using Orem's Self-Care Theory. Results: Some demands were identified: from universal self-care - difficulty in social interaction and solitude, changes in self-image, self-esteem and sexual activity; from development - the experience with priapism and little knowledge about the pathophysiology of the disease; regarding health deviations - pain crises. Conclusion: Orem's theory allowed to identify self-care demands, which are essential for the nursing care provided for men with priapism. Nursing has an essential role in the measures for the different demands presented.


2009 ◽  
Vol 17 (1) ◽  
pp. 113-119 ◽  
Author(s):  
Fernanda Cristina Manzini ◽  
Janete Pessuto Simonetti

The objective was to implant the Nursing Consultation for hypertensive patients, using Orem's Self-Care Theory and to systematize nursing care. Thirty-six patients were interviewed. Of these, 58.9% were women, 75.0% of them ranging from 50 to 80 years of age, 76.4% were married, 42.9% were housewives, 47.2% were retired, and 67.3% completed elementary education. Patients were interviewed with a structured instrument addressing the requirements for universal, developmental, and health deviations self-care. Data analysis made it possible to assess the altered self-care requirements. In patient care planning, support-education actions were our top priority. Orem's self-care theory permitted identifying important aspects, which need to be developed by the nurses.


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