Daftar Kabeh.docx

ASUHAN KEPERAWATAN PADA KELUARGA DENGAN GANGGUAN SISTEM PERNAPASAN : TUBERCULOSIS PARU DI WILAYAH KERJA PUSKESMAS SITOPENG KOTA CIREBON PROPOSAL KTI Diajukan dalam rangka memenuhi salah satu syarat untuk memperoleh gelar Ahli Madya Keperawatan Pada Program Studi Keperawatan Cirebon

Oleh : ANNI FADHILATUSSYA’ADAH NIM P2.06.20.2.16.003

KEMENTRIAN KESEHATAN REPUBLIK INDONESIA POLITEKNIK KESEHATAN TASIKMALAYA PROGRAM STUDI DIII KEPERAWATAN CIREBON 2019 i

LEMBAR PERSETUJUAN

JUDUL

:

ASUHAN KEPERAWATAN PADA KELUARGA DENGAN GANGGUAN SISTEM PERNAPASAN : TUBERCULOSIS PARU DI WILAYAH KERJA PUSKESMAS SITOPENG KOTA CIREBON

PENYUSUN : ANNI FADHILATUSSYA’ADAH NIM : P2.06.20.2.16.003

Proposal Karya Tulis Ilmiah ini telah diperiksa dan disetujui Oleh Pembimbing untuk diujikan

Cirebon, 14 Maret 2019

Pembimbing I

Pembimbing II

Yanto Haryanto,Spd,Skp, MKes NIP. 196711021991011001

Ati Siti Rochayati, SKM, MKes NIP. 196207181985032001

Mengetahui : Ketua Program Studi DIII Keperawatan Cirebon

Komarudin, Skp, Mkep. NIP. 196911271993121001

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DAFTAR ISI

HALAMAN JUDUL................................................................................................. i HALAMAN PERSETUJUAN .................................................................................. ii DAFTAR ISI ............................................................................................................. iii DAFTAR TABEL ..................................................................................................... iv DAFTAR GAMBAR ................................................................................................ v DAFTAR LAMPIRAN ............................................................................................. vi DAFTAR SINGKATAN .......................................................................................... xiii BAB I PENDAHULUAN 1.1. Latar Belakang .......................................................................................... 1 1.2. Rumusan Masalah ..................................................................................... 6 1.3. Tujuan ....................................................................................................... 7 1.3.1. Tujuan Umum ................................................................................ 7 1.3.2. Tujuan Khusus ............................................................................... 7 1.4. Manfaat Studi Kasus .................................................................................. 8 1.4.1. Manfaat Teoritis ............................................................................. 8 1.4.2. Manfaat Praktis .............................................................................. 8 1.4.2.1. Bagi Penulis .......................................................................... 8 1.4.2.2. Bagi Institusi Pendidikan ...................................................... 8 1.4.2.3. Bagi Puskesmas ..................................................................... 8 BAB II TINJAUAN PUSTAKA 2.1. Konsep Dasar Keluarga.............................................................................. 9 2.1.1. Definisi ............................................................................................. 9 2.1.2. Tipe Keluarga ................................................................................... 9 2.1.3. Struktur Keluarga ............................................................................. 12 2.1.4. Tugas Keluarga dalam Bidang Kesehatan ....................................... 13 2.1.5. Peran Keluarga ................................................................................. 15 2.1.6. Tahap Perkembangan Keluarga ....................................................... 16 2.1.7. Tahap Kemandirian Keluarga .......................................................... 22 2.2. Konsep Penyakit Tuberculosis Paru .......................................................... 24 2.2.1. Definisi ............................................................................................. 24 2.2.2. Etiologi ............................................................................................. 25 2.2.3. Patofisiologi ..................................................................................... 26 2.2.4. Pathway ............................................................................................ 29 2.2.5. Manifestasi Klinis ............................................................................ 31 2.2.6. PenatalaksanaanTuberculosis Paru .................................................. 31 2.2.7. Pemeriksaan Diagnostik ................................................................... 39 2.3. Konsep Asuhan Keperawatan Keluarga..................................................... 46 2.3.1. Pengkajian Keluarga ........................................................................ 47 iii

2.3.2. Pengkajian Penyakit ......................................................................... 56 2.3.3. Diagnosa Keperawatan .................................................................... 60 2.3.4. Skoring ............................................................................................. 61 2.3.5. Perencanaan...................................................................................... 65 2.3.6. Pelaksanaan ...................................................................................... 71 2.3.7. Evaluasi ............................................................................................ 73 BAB III METODE STUDI KASUS 3.1. Desain Studi Kasus .................................................................................... 75 3.2. Subyek Studi Kasus ................................................................................... 75 3.3. Batasan Istilah ............................................................................................ 75 3.4. Lokasi dan Waktu Studi Kasus .................................................................. 78 3.5. Prosedur Studi Kasus ................................................................................. 78 3.6. Teknik Pengumpulan Data ......................................................................... 78 3.7. Instrumen Pengumpulan Data .................................................................... 79 3.8. Keabsahan Data .......................................................................................... 79 3.9. Analisa Data ............................................................................................... 80 DAFTAR PUSTAKA ............................................................................................... 81

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DAFTAR TABEL Tabel 2.1.

: Panduan OAT ............................................................................ 27

Tabel 2.2.

: Intervensi Tuberculosis Paru ..................................................... 58

Tabel 3.1.

: Definisi Operasional .................................................................. 67

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DAFTAR GAMBAR Gambar 2.1 Pathway Tuberculosis Paru ............................................................... 27

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DAFTAR LAMPIRAN Lampira I

: Penjelasan sebelum studi kasus

Lampira II

: Informed consent

Lampiran III

: Format pengkajian keluarga

Lampiran IV

: Jadwal kegiatan

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DAFTAR SINGKATAN

BCG

: Bacillus Calmette Guerin

D-III

: Diploma III

DEPKES

: Departemen Kesehatan

DINKES

: Dinas Kesehatan

DOTSC

: Directly Observerd Treatment Short Course

KEMENKES

: Kementrian Kesehatan

MDR

: Multi Drag Resistant

NANDA

: North American Nursing Diagnosis Association

OAT

: Obat Anti Tuberculosis

PMO

: Pengawasan Minum Obat

PUSKESMAS : Pusat Kesehatan Masyarakat R

: Rimfampisin

H

: INH

Z

: Pirazinamid

E

: Etambutol

S

: Streptomisin

TB

: Tuberculosis

TOSS

: Temukan Obat Sampai Tuntas

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TUK

: Tujuan Khusus

TUM

: Tujuan Umum

WHO

: World Health Organization.

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