SELF CARE OREM PADA ASUHAN KEPERAWATAN IBU HAMIL DENGAN KONTRAKSI DINI

Abstract

SELF CARE OREM PADA ASUHAN KEPERAWATAN IBU HAMIL DENGAN KONTRAKSI DINI

Wiedenbach Need for Help and Orem Self Care Nursing Model on nursingcare of pregnant women with early contractions

Priharyanti Wulandari(1) , Setyowati(2), Tri Budiati(3)

(1)Program Magister Ilmu Keperawatan, FIK UI, Depok, Indonesia(2,3)Departemen Keperawatan Maternitas, FIK UI, Depok, IndonesiaE-mail : 1)wulancerank@yahoo.co.id

ABSTRAK

Salah satu tujuan dari MDGs adalah menurunkan angka kematian ibu dan bayi. Upaya penurunan angka kematian ibu dan bayi di Indonesia belum memuaskan, target Indonesia menurunkan angka kematian ibu 102 per 100.000 kelahiran hidup pada tahun 2015.  Study kasus dengan fokus penerapan model keperawatan Need for Help Wiedenbach dan Self Care Orem pada asuhan keperawatan ibu hamil dengan kontraksi dini. Aplikasi teori keperawatan Need for Help Wiedenbach dan Self Care Orem efektif dilakukan pada lima ibu hamil dengan kontraksi dini. Integrasi model keperawatan Need for Help Wiedenbach diterapkan pada fase akut. Sedangkan pada fase pemeliharaan dilakukan asuhan keperawatan dengan Self Care Orem. Aplikasi teori tersebut berhasil membantu menyelesaikan masalah keperawatan dan menghentikan kontraksi uterus sampai usia kehamilan aterm. Setelah melaksanakan praktik residensi spesialis keperawatan maternitas, penulis mampu mencapai target kompetensi dengan baik.

Kata Kunci : Kontraksi dini, Need for Help Wiedenbach, Self Care Orem.

ABSTRACT

One of the MDGs goals is to lower maternal and infant mortality rate. Efforts to lessen maternal and infant mortality rate in Indonesia are unsatisfactory. Indonesia’s target is to reduce maternal mortality to 102 per 100,000 live births in 2015. Roles of maternity nursing specialist nurses as care givers, educators, counselors, advocates, coordinators, managers, collaborators, researchers and change agents are needed to lower maternal and infant mortality rate. Case study focused on Wiedenbach Need for Help and Orem Self Care Nursing Model on nursing care of pregnant women with early contractions. The application of Wiedenbach Need for Help and Orem Self Care nursing theory was effectively done to five pregnant women with early contractions. The integration of Wiedenbach Need for Help nursing model was applied in the acute phase. While in the maintenance phase, Orem Self Care nursing care was performed. The application of the theory was successfully help to solve nursing problems and to stop the uterine contractions until term gestation. After performing the maternity nursing specialist residency practice, the author was able to achieve the competency targets well.

Keywords: premature contraction , Need for Help Wiedenbach , Orem Self Care .