Bladder Training Modifikasi Cara Kozier Pada Pasien Pasca Bedah Ortopedi yang Terpasang Kateter Urin

Bayhakki Bayhakki, Krisna Yetti, Mustikasari Mustikasari


DOI: http://dx.doi.org/10.7454/jki.v12i1.193


Abstract


Abstrak

Penelitian kuasi-eksperimen dengan post-test only with control group ini bertujuan mengetahui dampak bladder training menggunakan metode konvensional dan menggunakan modifikasi cara Kozier, dilihat dari pola, keluhan, dan lama waktu berkemih kembali seperti sebelum operasi ortopedi. Pengambilan sampel pada penelitian ini menggunakan metode probability sampling dengan cara simple random sampling pasien pascabedah ortopedi yang terpasang kateter urin di sebuah rumah sakit di Jakarta. Uji chi square digunakan untuk mengetahui perbedaan pola berkemih dan keluhan berkemih antara kelompok intervensi dan kelompok kontrol. Independent t test untuk mengetahui perbedaan lama waktu pada kelompok intervensi dan kontrol. Hasil penelitian menunjukkan tidak ada perbedaan pola berkemih (p = 1,00) dan keluhan berkemih (p =1,00) antara kelompok intervensi dan kelompok kontrol. Namun, ada perbedaan signifikan antara lama waktu untuk berkemih kembali normal pada kelompok intervensi dan kelompok kontrol (p = 0,05) dengan α = 0,05. Institusi pelayanan perlu membuat prosedur tetap untuk tindakan bladder training dan perawat perlu melakukan bladder training dengan modifikasi cara Kozier sebelum kateter urin pasien dilepaskan.

 

Abstract

This quasy-experimental post-test only with control group study was aimed to examine the effect of bladder training using conventional method and modification of Kozier’s method which was viewed from pattern of voiding, complaint of voiding and the time needed to make voiding back to normal. The participants were taken randomly from the patients with urinary catheter that hospitalized in orthopaedic surgery ward in a hospital in Jakarta. Probability sampling with simple random sampling was used in this study. Chi-square test was employed to examine the different between pattern of voiding and complaint of voiding of treatment group and control group. Independent t test was used to examine the different of time needed in order to void back normally between treatment and control group. With alpha 0,01 for pattern of voiding and 1,00 for complaint of voiding, the result showed that there was no difference of voiding pattern and complaint between treatment and control group. However, there was a significant difference of time needed in order to void back normally between treatment group and control group, with α = 0,05. Therefore, health care institution should have a standard procedure of bladder training and nurses should conduct Kozier modified bladder training method before removing the urinary catheter.


Keywords


bladder training, pasien pascabedah, perawat.

Full Text:

PDF

References


Black, J.M. & Hawks, J.H. (2005). Medical-surgical nursing clinical management for positive outcomes (7th ed.). St. Louis: Elsevier.

Brenda, G. (2007). Systematic reviews of bladder training and programmes in adults: A synopsis of findings on theory and methods using metastudy techniques. http://www.blackwell- synergy.com/doi/dabs diperoleh 30 Januari 2007.

Continence Foundation. (2005). Overactive bladder syndrome. http://www.surgery door.co.ukmecons/detail.asp?Recno.23069452 diperoleh tanggal 25 Januari 2007.

Glenn, J. (2003). Restorative bladder training program: Recommending a strategy. http://proquest.umi.com/pqdweb?index diperoleh 25 Januari 2007.

Hudak, M. C. & Gallo, B. M. (2005). Critical care nursing, a holistic approach. (8th ed.). Philadelphia: Lippincott Williams & Wilkins.

Interstitial Cystisis Association. (2002). Bladder retraining program. http://www.icehelp.org/ diperoleh 30 Januari 2007.

Japardi, I. (2002). Manifestasi neurologis gangguan miksi. http://.library.usu.ac.id/ diperoleh 8 Februari 2007.

Kozier, et al. (2004). Fundamentals of Nursing, Concepts, Process, and Practice. (7th ed.). New Jersey: Pearson Education, Inc.

McCann, et al. (2004). Nursing procedures. (4th ed.). Philadelphia: Lippincott Williams & Wilkins.

Meeker, M. H., & Rothrock, J. C. (1999). Care of the patient in surgery. (8th ed.). St. Louis: Mosby Company.

Smeltzer, S.C., & Bare, B.G. (2004). Textbook of Medical-Surgical Nursing. (10th ed.). Philadelphia: Lippincott Williams & Wilkins.


Refbacks

  • There are currently no refbacks.


Creative Commons License
Jurnal Keperawatan Indonesia by http://jki.ui.ac.id is licensed under a Creative Commons Attribution 4.0 International License.
VISITOR COUNTER

StatCounter - Free Web Tracker and Counter

~ View My Stats Detail ~