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Published: 2016-07-17

Pendekatan Model Levine dalam Mengatasi Gangguan Tidur Anak Kanker Di RSUPN Dr Cipto Mangunkusumo Jakarta

Faculty of Nursing Universitas Indonesia
Fakultas Ilmu Keperawatan Universitas Indonesia
Fakultas Ilmu Keperawatan Universitas Indonesia
anak gangguan tidur kanker model konservasi Levine

Abstract

Anak dan remaja yang menderita kanker sering mengalami gangguan tidur yang dapat menyebabkan penurunan daya tahan tubuh dan mempengaruhi kualitas hidup. Tujuan penulisan artikel ini adalah untuk memberikan gambaran penerapan Model Konservasi Levine dalam asuhan keperawatan pada anak dengan kanker yang mengalami gangguan tidur. Desain yang digunakan adalah studi kasus. Terdapat lima kasus yang menjadi pembahasan dalam artikel ini dan teridentifikasi bahwa masalah tidur merupakan masalah yang utama. Intervensi keperawatan yang diberikan didasarkan pada prinsip-prinsip konservasi yaitu konservasi energi, integritas struktural, integritas personal dan integritas sosial. Hasil evaluasi berdasarkan respon organismik menunjukkan sebagian besar masalah dapat teratasi dan menunjukkan perbaikan meskipun belum teratasi secara keseluruhan. Model Konservasi Levine direkomendasikan untuk dapat diterapkan dalam memberikan asuhan keperawatan pada anak dengan kanker yang mengalami gangguan tidur dengan intervensi sleep hygiene dan terapi komplementer pemberian madu sebelum anak tidur untuk mencapai hasil asuhan yang optimal.

 

Abstract

 

Levine's Model Approach to Overcome the Sleeping Disturbance in Children with Cancer in Cipto Mangunkusumo Hospital Jakarta. Children and adolescents with cancer often experience sleep disorders that may lead to a decrease in the immune system and affect the quality of life. The purpose of this report is to provide an overview of Levine’s Conservation Model application on nursing care of children with cancer experiencing sleep pattern disturbance. There are five cases which being discussed on this article and we found sleep disturbance as the main problem. Nursing interventions based on conservation principles such as energy conservation, structural integrity, personal integrity and social integrity were given. The evaluation of the intervention which based on organismic responses indicated that some problems were resolved, while some others were partially resolved with some improvement or unresolved. We recommend the application of Levine’s Conservation Model on nursing care of children with cancer experiencing sleep disorders with the intervention of sleep hygiene and complementary therapies using honey before the children go to sleep to achieve optimal results.

 

Keywords: children, cancer, Levine’s Conservation Model, sleeping problems

References

  1. Alligood, M.R., & Tomey, A.M. (2006). Nursing theory utilization & application (3rd Ed.). St. Louis: Mosby Elsevier.
  2. American Academy of Sleep Medicine (2008). Sleep Deprivation. Diperoleh dari http://www.aasmnet.org/resources/factsheets/sleepdeprivation.pdf
  3. American Cancer Society. (2015). Cancer in children. Diperoleh dari http://www.cancer.org/cancer/cancerinchildren/detailedguide/cancer-in-children-cancer
  4. Berger, A.M. (2009). Update on the state of the science: Sleep-wake disturbances in adult patients with cancer. Oncology Nursing Forum, 36 (4), 165–177. doi: 10.1188/09.ONF.E165-E177.
  5. Cancer Research UK. (2012). Children’s cancer statistic. Diperoleh dari http://www.cancerresearchuk.org/health-professional/cancer-statistics/childrens-cancers.
  6. Davis, K.F., Parker, K.P., & Montgomery, G.L. (2008). Sleep in Infants and Young Children: Part One: Normal Sleep. J Pediatr Health Care, 18, 1–10. Diperoleh dari http://www.medscape.com/viewarticle/471909_5
  7. Fawcett, J. (2005). Contemporary Nursing Knowledge: Analysis and Evaluation of Nursing Models and Theories, 2nd ed. Philadelphia: FA Davis Company.
  8. Gedaly-Duff, Vivian, L., Kathryn, A., Nail, Lillian, M., Nicholson, S., Johnson, & Kyle P. (2006). Pain, Sleep Disturbance, and Fatigue in Children With Leukemia and Their Parents: A Pilot Study. Oncology Nursing Forum, 33, 641–651.
  9. Owen, J.A. (2011). Update in pediatric sleep medicine. Current Opinion in Pulmonary medicine, 17, 425–430. doi: 10.1097/mcp.0b013e32834ba901
  10. Pamela, H.S., Marylin, H., Rai, S.N., Zhang, L., Razzouk, B.I., McCarthy, K., et al. (2007). Nocturnal awakenings, sleep environment interruptions, and fatigue in hospitalized children with cancer. Oncology Nursing Forum, 34, 393–402. doi: 10.1188/07.ONF.393-402
  11. Parish, J.M. (2009). Sleep-related problems in common medical conditions. Chest, 135 (2), 563–572.
  12. Ra Rahmawaty, Allenidekania, Waluyanti., F. (2014). Sleep distubances and fatigue in adolscents with cancer receiving chemotherapy. Makara J Health Res. Agustus 2014, Vol 18 No 2
  13. Roger, G., & Brand, S.R., (2011). Sleep in children with cancer. Curr Opin Pediatr. 20(6): 676-81
  14. Shakankiry, H.M. (2011). Sleep physiology and sleep disorders in childhood. Nature and Science of Sleep, 3, 101–114.
  15. Stepanski, E.J., Walker, M.S., Schwartzberg, L.S., Blakely, L.J., Ong, J.C., & Houts, A.C. (2008). The relation of trouble sleeping, depressed mood, pain, and fatigue in patients with cancer. Journal of Clinical Sleep Medicine, 5 (2), 132–136. Diperoleh dari https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2670332/
  16. Vallance, K.,Yang, J., Li, J.,McLaughlin., V., et al, . (2011). Disturbed Sleep in Pediatric Patients With Leukemia: The Potential Role of Interleukin-6 (–174GC) and Tumor Necrosis Factor (–308GA) Polymorphism. Oncology Nursing Forum, 38, 365–372. doi: 10.1188/11.ONF.E365-E372.

How to Cite

Rokhaidah, R., Allenidekania, A., & Hayati, H. (2016). Pendekatan Model Levine dalam Mengatasi Gangguan Tidur Anak Kanker Di RSUPN Dr Cipto Mangunkusumo Jakarta. Jurnal Keperawatan Indonesia, 19(2), 116–122. https://doi.org/10.7454/jki.v19i2.462