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

Rokhaidah Rokhaidah, Allenidekania Allenidekania, Happy Hayati


DOI: http://dx.doi.org/10.7454/jki.v19i2.462


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


Keywords


anak; gangguan tidur; kanker; model konservasi Levine

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