PENDIDIKAN KESEHATAN JUS SELEDRI KOMBINASI WORTEL DAN MADU TERHADAP PENURUNAN TINGKAT HIPERTENSI Ny. S PADA ASUHAN KEPERAWATAN KELUARGA Tn. S DENGAN HIPERTENSI DI DESA BANJAR REJO KECAMATAN GONDANGREJO KABUPATEN KARANGANYAR
DI SUSUN OLEH: DESY SETYANINGRUM NIM. P11 075
PROGRAM STUDI DIII KEPERAWATAN SEKOLAH TINGGI ILMU KESEHATAN KUSUMA HUSADA SURAKARTA 2014
PENDIDIKAN KESEHATAN JUS SELEDRI KOMBINASI WORTEL DAN MADU TERHADAP PENURUNAN TINGKAT HIPERTENSI Ny. S PADA ASUHAN KEPERAWATAN KELUARGA Tn. S DENGAN HIPERTENSI DI DESA BANJAR REJO KECAMATAN GONDANGREJO KABUPATEN KARANGANYAR Karya Tulis Ilmiah Untuk Memenuhi Salah Satu Persyaratan Dalam Menyelesaikan Program Diploma III Keperawatan
DI SUSUN OLEH: DESY SETYANINGRUM NIM. P11 075
PROGRAM STUDI DIII KEPERAWATAN SEKOLAH TINGGI ILMU KESEHATAN KUSUMA HUSADA SURAKARTA 2014 i
KATA PENGANTAR Puji syukur penulis panjatkan kehadirat Tuhan Yang Maha Kuasa karena berkat, rahmat dan karunia-Nya, sehingga penulis dapat menyelesaikan Karya Tulis Ilmiah dengan judul “PENDIDIKAN KESEHATAN JUS SELEDRI KOMBINASI WORTEL DAN MADU TERHADAP PENURUNAN TINGKAT HIPERTENSI NY. S PADA ASUHAN KEPERAWATAN KELUARGA TN. S DENGAN HIPERTENSI DI DESA BANJAR REJO KECAMATAN GONDANGREJO KABUPATEN KARANGANYAR” Dalam penyusunan Karya Tulis Ilmiah ini penulis banyak mendapat bimbingan dan dukungan dari berbagai pihak, oleh karena itu pada kesempatan ini penulis mengucapkan terima kasih dan penghargaan yang setinggi-tingginya kepada yang terhormat: 1. Atiek Murharyati, S.Kep.,Ns., M.Kep., selaku Ketua Program studi DIII Keperawatan yang telah memberikan kesempatan untuk dapat menimba ilmu di STIKes Kusuma Husada Surakarta. 2. Meri Oktariani, S.Kep.,Ns.,M.Kep., selaku sekretaris Ketua Program studi DIII Keperawatan dan dosen penguji yang telah memberikan kesempatan untuk dapat menimba ilmu di STiKes Kusuma Husada Surakarta dan telah membimbing dengan cermat, member masukan, inspirasi, serta menfasilitasi demi sempurnanya Karya Tulis Ilmiah. 3. Diyah Ekarini, S.Kep.,Ns., selaku dosen pembimbing sekaligus sebagai penguji yang telah membimbing dengan cermat, memberikan masukan-masukan, inspirasi, perasaan nyaman dalam bimbingan serta memfasilitasi demi sempurnanya Karya Tulis Ilmiah. 4. Joko Kismanto, S.Kep.,Ns., selaku dosen penguji yang telah membimbing dengan cermat, memberikan masukan-masukan, inspirasi, perasaan nyaman dalam bimbingan serta memfasilitasi demi sempurnanya Karya Tulis Ilmiah. 5. Semua dosen Program studi DIII Keperawatan STiKes Kusuma Husada Surakarta yang telah memberikan bimbingan dengan sabar dan wawasannya serta ilmu yang bermanfaat. v
6. Kedua orang tuaku, yang selalu memberikan kasih sayang, dukungan dan doanya serta menjadi inspirasi dan memberikan semangat untuk menyelesaikan pendidikan. 7. Teman-teman mahasiswa khususnya kelas 3B Program Studi DIII Keperawatan STIKes Kusuma Husada Surakarta dan berbagai pihak yang tidak dapat disebutkan satu-persatu, yang telah memberikan dukungan moril dan spiritual. Semoga laporan Karya Tulis Ilmiah ini bermanfaat untuk perkembangan ilmu keperawatan dan kesehatan. Amin.
Surakarta, 8 Mei 2014
Penulis
vi
DAFTAR ISI HALAMAN JUDUL .....................................................................................
i
SURAT PERNYATAAN KEASLIAN PENULISAN ..................................
ii
LEMBAR PERSETUJUAN ..........................................................................
iii
LEMBAR PENGESAHAN ..........................................................................
iv
KATA PENGANTAR ..................................................................................
v
DAFTAR ISI .................................................................................................
vii
DAFTAR TABEL .........................................................................................
ix
DAFTAR LAMPIRAN .................................................................................
x
BAB I
BAB II
PENDAHULUAN A. Latar Belakang .......................................................................
1
B. Tujuan Penulisan ...................................................................
4
C. Manfaat Penulisan .................................................................
5
TINJAUAN TEORI A. Konsep Dasar Keluarga .........................................................
6
1. Pengertian Keluarga .......................................................
6
2. Tipe Keluarga .................................................................
7
3. Tugas Perkembangan Keluarga ......................................
8
4. Fungsi dan Tugas Keluarga ............................................
10
B. Proses Asuhan Keperawatan Keluarga ..................................
12
1. Pengkajian ......................................................................
12
2. Diagnosa Keperawatan ...................................................
17
3. Skoring Diagnosa Keperawatan .....................................
18
4. Prioritas Diagnosa Keperawatan ....................................
19
5. Intervensi Keperawatan ..................................................
19
C. Konsep Penyakit Hipertensi ..................................................
20
1. Pengertian Hipertensi .....................................................
20
2. Tanda dan Gejala Hipertensi ..........................................
21
3. Etiologi ...........................................................................
21
4. Komplikasi Hipertensi ....................................................
22
vii
D. Pendidikan Kesehatan Tumbuhan Herbal Untuk Hipertensi .
22
E. Cara Pengiolahan Jus Seledri Kombinasi wortel dan madu ..
25
BAB III LAPORAN KASUS A. Data Umum Keluarga ............................................................
27
B. Pengkajian .............................................................................
27
C. Analisa Data ..........................................................................
30
D. Perencanaan Keperawatan .....................................................
31
E. Implementasi Keperawatan ...................................................
32
F. Evaluasi Keperawatan ...........................................................
34
BAB IV PEMBAHASAN
BAB V
A. Pembahasan ...........................................................................
38
1. Pengkajian ......................................................................
38
2. Diagnosa Keperawatan ...................................................
40
3. Intervensi ........................................................................
41
4. Implementasi ..................................................................
45
5. Evaluasi ..........................................................................
46
PENUTUP A. Kesimpulan ............................................................................
49
B. Saran ......................................................................................
51
DAFTAR PUSTAKA DAFTAR LAMPIRAN DAFTAR RIWAYAT HIDUP
viii
DAFTAR TABEL
Tabel
2.1
Skoring Diagnosa Keperawatan ............................................
ix
19
DAFTAR LAMPIRAN Lampiran 1
SURAT KETERANGAN SELESAI PENGAMBILANDATA
Lampiran 2
LOG BOOK
Lampiran 3
BERITA ACARA PENGELOLAAN ASKEP
Lampiran 4
LEMBAR KONSULTASI KARYA TULIS ILMIAH
Lampiran 5
ASUHAN KEPERAWATAN
Lampiran 6
JURNAL PENELITIAN
x
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).)&5&80&3 5*2*1.-&6&&30*7*-&8&38.)&0*+*08.+ '*6-9'93,&3 )*3,&3 0*8.)&02&259&30*19&6,&2*3,*3&12&7&1&-2&0&.38*6:*37.0*5*6&;&8&3 0*19&6&,& =&3, ).&3,0&8 &)&1&- /*1&70&3 5*3,*68.&3 -.5*68*37. /*1&70&3 8&3)& )&3 ,*/&1& -.5*68*37. /*1&70&3 04251.0&7. -.5*68*37. &/&60&3 8*03.0 6*1&07&. 3&+&7 )&1&2 0&/. 3=*6. &/&60&3 (&6& 2*2'9&8 4'&8 86&).7.43&1 /97 7*1*)6.042'.3&7.;468*1)&32&)9 #9/9&3 9292 )&6. ).&,347& 0*5*6&;&8&3 8*67*'98 =&.89 7*8*1&).1&090&3 8.3)&0&3 0*5*6&;&8&3 7*1&2& < 093/93,&3 3=*6. 5&)& = " '*6096&3,)&6.70&1& 2*3/&). 70&1& $389089/9&30-97973=&=&.897*8*1&-).1&090&38.3)&0&37*1&2& < 2*3.8 0*19&6,& 2&259 2*3,*8&-9. 5*3,*68.&3 -.5*68*37. 2*3,*8&-9. 8&3)&)&3,*/&1&-.5*68*37.2*3,*8&-9.04251.0&7.-.5*68*37.3=*6.8*6&8&7. 2*3,*8&-9. 70&1& 3=*6. 2*3)*243786&7.0&3 4'&8 86&).7.43&1 93890 2*396930&38*0&3&3)&6&-)*3,&3/977*1*)6.042'.3&7.;468*1)&32&)9 38*6:*37. =&3, 5*68&2& ).1&090&3 =&.89 2*3/*1&70&3 5*3,*68.&3 -.5*68*37. 6&7.43&13=& &,&6 0*19&6,& 2*3,*68. &5& .89 -.5*68*37. .251*2*38&7..3.7*79&.)*3,&38*46.2*39698!9).&384
*3=&0.8 )&6&- 8.3,,. &8&9 -.5*68*37. &)&1&- 79&89 0*&)&&3 ). 2&3& 7*7*46&3, 2*3,&1&2. 79&89 0*&)&&3 ).2&3& 7*7*46&3, 2*3,&1&2.5*3.3,0&8&38*0&3&3)&6&-).&8&73462&1=&3,).893/90&341*&3,0& '&,.&3&8&7)&3&3,0&'&;&- 5&)&5*2*6.077&&3 8*37.)&6&-2*3,,93&0&3&1&890968*0&3&3)&6&-'&.0=&3,'*695& &.6 6&07& &8&9593&1&8).,.8&11&.33=& *3/*1&70&38&3)&)&3,*/&1&-.5*68*37.6&7.4&3&13=&&,&60*19&6,& 2*3,*8&-9.8&3)&)&3,*/&1&-.5*68*37..251*2*38&7..3.7*79&.)*3,&38*46. #&3)& )&3 ,*/&1& -.5*68*37. &)&1&- 5*3,1.-&8&3 0&'96 3=*6. 5&)& 0*5&1& 29&1 )&3 298&- &0.'&8 2*3.3,0&83=& 8*0&3&3 )*2& )&3)&3=&5*2'*3,0&0&30&6*3&2*3.3,0&83=&8*0&3&30&5.1*6 9).&7898.
*3/*1&70&3 04251.0&7. -.5*68*37. 6&7.43&13=& &,&6 0*196,& 2*3,*8&-9. 04251.0&7. -.5*68*37. -&1 .3. 7*79&. )*3,&3 8*46. 56.=&38.
&3,,9&3 /&3893, 5*3,*6&7&3 &68*6. ,&3,,9&3 ,.3/&1 0*697&0&32&8&78640*&8&90*697&0&348&0 *3,0&/. 06&8*6.78.0 3=*6. 6&7.43&13=& 93890 2*3,*8&-9. 8.3,0&8 3=*6. *3969848*6)&3*66= 5*6&;&85*6192*1&090&35*3)*0&8&3 5*3&8&1&07&3&&3 3=*6. 7*(&6& 7.78*2&8.7 7*-.3,,& )&5&8 2*2&-&2. 3=*6. =&3,01.*36&7&0&3)&3)&5&82*2'*6.0&38*6&5.=&3,7*79&. *3,&/&60&3 8*-3.0 6*1&07&7. 3&+&7 6&7.43&13=& 93890 2*3,96&3,. 3=*6.5&)&="*39698 *66=)&3 48*6 1&8.-&36*1&07&7.564,6*7.+ 2*1.598. 042'.3&7. 1&8.-&3 5*63&+&7&3 =&3, 8*6043846 )&6. 6&3,0&.&3 7*68&
6*1&07&7.0*142540484801.*32*1.598.1&8.-&3'*63&+&7)*3,&35*61&-&3)&3 2*3,,93&0&3 ).&+6&,2& 7*-.3,,& 2*293,0.30&3 &')42*3 8*6&3,0&8 5*61&-&3 )&3 )&)& 2*3,*2'&3, 5*39- "&&8 01.*3 2*1&090&3 541& 3&+&7 =&3,8*6&896 *,.&8&3.3.2*3(.58&0&37*37&7.2*1*5&70&30*8.)&03=&2&3& )&3 786*77 "*(&6& '*68&-&5 01.*3 )&5&8 2*6.1*07&7.0&3 4848 8&35& -&697 8*61*'.- )&-919 2*3*,&3,0&3 48484848 8*67*'98 "&&8 01.*3 2*3(&5&. 6*1&07&7.5*39-2&0&56*7*57.3=*6.&0&3'*6096&3, *3,&/&60&3 (&6& 2*2'9&8 4'&8 86&).7.43&1 /97 7*1*)6. 042'.3&7. ;468*1 )&3 2&)9 6&7.43&13=& 93890 2*396930&3 8*0&3&3 )&6&- 251*2*38&7..3.7*79&.)*3,&3/963&10*5*6&;&8&3)&6.!&-2&;&8. 2*3,&51.0&7.0&3 5*3,042'.3&7.&3 /97 7*1*)6. ;468*1 '*7*68& 2&)9 =&3, ).,&'93,)&1&27&89/977*'&,&.4'&85*39693-.5*68*37.2*396985*3*1.8.&3 %.)=&;&6938.)&1&2!&-2&;&8. '&-;&7*1*)6. 7&3,&8'&.093890 5&7.*3 -.5*68*37. 0&6*3& 2*3,&3)93, )&3 %468*1 2*3,&3)93, =&3, 2*3,&3)93, 4'&8 &38. -.5*68*37. 7*-.3,,& 2*2'&389 2*396930&3 8*0&3&3 )&6&- *39698 41&3 )&1&2!&-2&;&8. '&-;&2&)9 2*3,&3)93,042543*30.2.&=&.89 =&3,'*6+93,7.938902*1&3(&60&35*6*)&6&3)&6&- &)&/963&10*5*6&;&8&3).&8&7&)&593 8*46. =&3,2*3)9093,=&.89 "*1*)6. &)&1&- 892'9-&3 =&3, 2*2593=&. (.6. (.6. 9292 ).&38&6&3=& &)&1&- 2*695&0&3 7*2&0 )*3,&3 8.3,,. (2 '&8&3,8.)&0'*60&=9'*6'*38905*67*,.'*6&196'*69&7'*6(&'&3,8*,&0 )&3 '*6;&63& -./&9 59(&8 &93 2&/*290 2*3=.6.5 ,&3/.1 &3&0 )&93
'*6/921&--*1&.5&3,0&1)&39/93,693(.3,8*5.'*6.3,,.85&3/&3, (2 '*68&3,0&. '*6891&3, 2*3=.6.5 )&3 '*6;&63& -./&9 0*598.-&3 93,& 2&/*290 '*6'*3890 5&=93, 2&-048& '*6'&,. )&3 '&,.&3 5&3,0&1 '*61*0&8&39&-048&0'*6'*38900*69(985&3/&3, 22)&3'*6;&63& -./&90*093.3,&3'&,.&3=&3,).,93&0&3=&.89'&8&3,)&3)&93&3)93,&3 0.2.&=&3,8*60&3)93,5&)&7*1*)6.=&.89 !
! $8&2. %468*12*2.1.0.3&2&1&8.3 ;468*1/9,&2*2.1.0. +93,7. 7*'&,&. 5*39693 -.5*68*37. &293 93890 5*3,,93&&3 ;468*1 2*2593=&. (&8&8&3 0-9797 =&.89 &5&'.1& 7*7*46&3, 2*3,0437927. /97 ;468*18*61&19'&3=&0)&5&82*3=*'&'0&3;&63&091.82*3/&).093.3,.0& -&1 .3. 8*6/&). -*38.0&3 7*2*38&6& ;&089 5*2&0&.&3 7&25&. ;&63& 091.8 3462&10*2'&1.&1.2&68& &)9 2*695&0&3 (&.6&3 2*3=*695&. 7.695 =&3, ).-&7.10&3 41*1*'&-2&)9&)92*2.1.0.6&7&2&3.7 =&3,8.)&07&2&)*3,&3 ,91& &8&9 5*2&3.7 1&.3=& !&7& 2&3.7 .89 '*6&7&1 )&6. (&.6&3 2&3.7 &8&9 3*(8&6 =&3, 8*6)&5&8 5&)& '93,& 2&9593 0*8.&0 )&93 =&3, ).-.7&5 1*'&- !&-2&3
97 7*1*)6. 042'.3&7. ;468*1 )&3 2&)9 )&5&8 2*396930&3 22-,)&6&-)&593(&6&5*3,41&-&3=&=&.89
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
7*1*)6. 042'.3&7. ;468*1 )&3 2&)9 !*7543 4'=*08.+ *19&6,& 2*2&-&2. 5*30*7 =&3, ).'*6.0&3 = " 8*61.-&8 2*256&08.0&3 8*03.0 6*1&07&7. 3&+&7 )&1&2 =&3, ).&/&60&3 = " /9,& 8*61.-&8 2*6.3,.7 2*3&-&3 3=*6. 3&1.7& =&3, )&5&8 ).&2'.1 5&)& 2&7&1&- 5*2*1.-&6&&3 0*7*-&8&3 8.)&0 *+*08.+ '*6-9'93,&3 )*3,&3 0*8.)&02&259&3 0*19&6,& 2*6&;&8 &3,,48& 0*19&6,& =&3, 7&0.8 -.5*68*37. 2&7&1&- '*192 8*6&8&7. 1&33.3, =&3, )&5&8 ).'9&8 &)&1&-1&3/980&3.38*6:*37. &)& *:&19&7. -&6. 0*)9& 5&)& -&6. /92&8 8&3,,&1 56.1 ).)&5&80&3 6*7543 79'/*08.+ =&.89 0*19&6,& 2*3,&8&0&3 -.5*68*37. &)&1&0*3&.0&3 8*0&3&3 )&6&- 0*196,& 2*3,&8&0&3 8&3)& )&3 ,*/&1& -.5*68*37. &)&1&- 8&3)& 3&.03=& 8*0&3&3 )&6&- )&3 597.3, 0*19&6,& 2*3,&8&0&3 04251.0&7. )&6. -.5*68*37. &)&1&- 78640* = " 2*3,&8&0&3 '*67*).& ).&/&60&38*-3.06*1&07&7.3&+&7)&1&2="/9,&2*3,&8&0&38.3,0&83=*6. 0*5&1& 3=*6. 0&6*3& 8*0&3&3 )&6&- 8.3,,. 3=*6. 7*5*68. 8*68.25& '*'&3 ! 3=*6. ).0*5&1& " 70&1& 3=*6. # 3=*6. -.1&3, 8.2'91 8*0&3&3 )&6&- 22, 5&7.*3 2*3,&8&0&3 '*67*).& 93890 ).&/&60&3 (&6& 2*2'9&8 /97 7*1*)6. 042'.3&7. ;468*1 )&3 2&)9 !*7543 4'=*08.+ *19&6,& 2*2&-&2. 5*30*7 =&3, ).'*6.0&3 = " 8*61.-&8 2*256&08.0&3 8*03.0 6*1&07&7. 3&+&7 )&1&2 =&3, ).&/&60&3 = " /9,& 8*61.-&8 2*6.3,.7 2*3&-&3 3=*6. 3&1.7& =&3, )&5&8 ).&2'.1 5&)& 2&7&1&- 5*2*1.-&6&&3 0*7*-&8&3 8.)&0 *+*08.+ '*6-9'93,&3 )*3,&3 0*8.)&02&259&3 0*19&6,& 2*6&;&8 &3,,48& 0*19&6,& =&3, 7&0.8 -.5*68*37. 2&7&1&- '*192 8*6&8&7. 1&33.3,=&3,)&5&8).'9&8&)&1&-1&3/980&3.38*6:*37.
&)& *:&19&7. -&6. 0*8.,& 5&)& -&6. 7&'89 8&3,,&1 56.1 ).)&5&80&36*754379'/*08.+ ="2*3,&8&0&37*8*1&- 2*1&090&36*1&07&7. 3&+&7 )&1&2 '&)&3 8*6&7& 6.1*07 = " 2*3,&8&0&3 7*8*1&- 2*2.392 /97 7*1*)6. 042'.3&7. ;468*1 )&3 2&)9 '&)&3 8*6&7& *3&0 0&6*3& 8*0&3&3 )&6&- 8.3,,.
3=*6. '*6096&3, ! 3=*6. ).0*5&1& " 70&1& 3=*6.
2*3/&). # 3=*6. -.1&3, 8.2'91 !*7543 4'/*08.+3=& = " 8*61.-&8 7*3&3, 8*0&3&3 )&6&- 22, 3&1.7& =&3, )&5&8 ).&2'.1 5&)& 2&7&1&- 3=*6. &098 5&)& = " '*6-9'93,&3 )*3,&3 0*8.)&02&259&3 0*19&6,& 2*6&;&8 &3,,48& 0*19&6,& =&3, 7&0.8 -.5*68*37. 2&7&1&- 8*6&8&7. 1&33.3,=&3,)&5&8).'9&8&)&1&-5*68&-&30&&3.38*6:*37. &6*3& )&6. 0*8*1.8.&3 5*391.7 7&&8 5*3,*141&&3 5&7.*3 2&0& 5*2'*6.&3 /97 7*1*)6. 042'.3&7. ;468*1 )&3 2&)9 -&7.13=& *+*08.+ ).)&5&80&3 )&8& 8*0&3&3 )&6&- 7*'*192 ).'*6.0&3 /97 7*1*)6. 042'.3&7. ;468*1 )&3 2&)9 22, "*)&3,0&3 7*8*1&- ).'*6.0&3 /97 7*1*)6. 042'.3&7.;468*1)&32&)98*0&3&3)&6&-896932*3/&). 22,
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