Asuhan Keperawatan Anak Kejang Demam ang Mengalami Hipertermi dengan Tindakan Kompres dan Tepid Sponge Air Hangat di RSU UKI Jakarta

Sagala, Maria Magdalena (2021) Asuhan Keperawatan Anak Kejang Demam ang Mengalami Hipertermi dengan Tindakan Kompres dan Tepid Sponge Air Hangat di RSU UKI Jakarta. D3 thesis, Universitas Kristen Indonesia.

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Abstract

"Pendahuluan : Kejang demam merupakan kelainan neurologis yang paling sering terjadi pada anak usia enam bulan sampai empat tahun, dimana anak akan mengalami bangkitan atau suatu perubahan fungsi otak secara mendadak yang disebabkan oleh aktifitas yang abnormal serta adanya pelepasan listrik serebral yang sangat berlebihan atau sering disebut bangkitan kejang yang disebabkan oleh kenaikan suhu tubuh (suhu rektal lebih dari 38°C). Tujuan : Melaksanakan asuhan keperawatan anak kejang demam yang mengalami hipertermi dengan tindakan kompres dan tepid sponge air hangat di RSU UKI Jakarta. Metode : Metode hasil studi kasus menggunakan deskriptif dengan proses keperawatan meliputi pengkajian, diagnosa keperawatan prioritas, perencanaan / intervensi, tindakan/implementasi serta evaluasi. Jumlah responden dalam studi kasus ini sebanyak dua orang anak. Hasil : Ditemukan masalah keperawatan yang difokuskan yaitu hipertermi berhubungan dengan peningkatan laju metabolisme ditandai dengan suhu tubuh meningkat. Bahwa masalah keperawatan teratatsi pada pasien pertama hari ketiga sedangkan pasien kedua teratasi pada hari ke empat. Diagnosa tambahan yaitu, diare, ketidakefektifan bersihan jalan nafas, nutrisi kurang dari kebutuhan tubuh. Kesimpulan : Tindakan tepid sponge kompres air hangat merupakan salah satu tindakan keperawatan yang terbukti efektif dalam mengatasi hipertermi pada anak dengan kejang demam./Introduction : Febrile seizures are neurological disorders that most often occur in children aged six months to four years, where children will experience seizures or a sudden change in brain function caused by abnormal activities and the presence of excessive cerebral electrical discharge or often called seizures caused by an increase in body temperature (rectal temperature more than 38°C). Objective : To carry out nursing care for children with febrile seizures who have hyperthermia problems with compresses and sponges warm water tepidat UKI General Hospital Jakarta. Methods: The method of using a descriptive case study with the nursing process includes assessment, priority nursing diagnoses, planning/intervention, action/implementation and evaluation. The number of respondkents in this case study was two children. Results : It was found that nursing problems were focused, namely hyperthermia associated with an increase in metabolic rate marked by an increase in body temperature. That the nursing problem was resolved on the first patient on the third day while the second patient was resolved on the fourth day. Additional diagnoses are diarrhea, ineffective airway clearance, less nutrition than body requirements. Conclusion : The tepid sponge and warm water compress are one of the nursing actions that have been proven effective in overcoming hyperthermia in children with febrile seizures."

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