Penatalaksanaan Asuhan Keperawatan dengan Masalah Gangguan Oksigenasi pada Pasien Chronic Kidney Desease

Abstract

Tujuan: untuk menganalisis penatalaksanaan asuhan keperawatan dengan gangguan oksigenasi pada pasien Penyakit Chronic Kidney Disease (CKD)Metode: Desain penelitian ini menggunakan desain penelitian studi kasus dalam proses asuhan keperawatan mulai dari pengkajian, diagnosa keperawatan, intervensi keperawatan, implementasi dan evaluasi keperawatan. Sasaran penelitian adalah Tn. D dengan diagnosa Chronic Kidney Disease (CKD) dengan gangguan oksigenasi yang menjalani perawatan hemodialisis.Hasil: Hasil pengkajian menunjukkan Tn. D mengalami sesak nafas berat ditandai dengan frekuensi nafas 26 x/menit, terdapat cupping hidung. Diagnosa keperawatan utama adalah pola nafas tidak efektif berhubungan dengan obstruksi usaha pernafasan ditandai dengan dispnea. Intervensi keperawatan meliputi observasi dan tindakan terapeutik. Implementasi dan evaluasi dilakukan selama 1x24 jam, didapatkan bahwa sesak nafas Tn. D sedikit menurun, RR menurun dari 26 x/menit menjadi 24 x/menit.Kesimpulan: Implementasi manajemen asuhan keperawatan pada pasien yang mengalami gangguan oksigenasi akan mengurangi masalah utama yang dirasakan pasien.Objective: to analyze the management of nursing care with oxygenation disorders in Chronic Kidney Disease (CKD) patients.Methods: This research design uses a case study research design in the nursing care process starting from assessment, nursing diagnosis, nursing intervention, implementation and nursing evaluation. The target of the study was Mr. D with a diagnosis of Chronic Kidney Disease (CKD) with oxygenation disorders undergoing hemodialysis treatment.Results: The results of the assessment showed that Mr. D experienced severe shortness of breath marked by a respiratory rate of 26 x/minute, there was nose cupping. The main nursing diagnosis was ineffective breathing patterns related to respiratory effort obstruction marked by dyspnea. Nursing interventions included observation and therapeutic actions. Implementation and evaluation were carried out for 1x24 hours, it was found that Mr. D's shortness of breath decreased slightly, RR decreased from 26 x/minute to 24 x/minute.Conclusion: Implementastion nursing care management for patients experiencing oxygenation disorders will reduce the main problems felt by the patient.