Asuhan Keperawatan Komunitas Penyakit Kronik

 

Asujae Cbpbrawatae Chfueitas

Fasadaj Cbsbjatae ]hpudasi ]beyacit Crheic Oisusue uetuc fbfbeuji tukas cbpbrawatae chfueitas Oisusue hdbj > cbdhfphc <  Eafa > 1. Oiaj Phjaea F

( K0A019=17 )

0. Dioa [hryaeieksi [hryaeieksij j

( K0A019=1: K0A019=1: )

1. _bra _brapi pi ]rif ]rifbr br,, ya yaek ek tb tbro roir irii oa oari ri > ]b ]bey eyud uduj ujae ae Cbsb Cbsbja jata tae, e, Oi Oibt bt Oia`btbs, Datijae Gisic. 0. _brapi \bcueobr, \bcueobr, yaek yaek tbroiri tbroiri oari > H`at Jiphkdic Jiphkdicbfi bfi Oia`btbs Fbditus `brju`uekae obekae fbeiekcateya caoar kduchsa oaraj oar aj oae `brtaf `brtaf`aje `ajeya ya risich risich chfpdi chfpdicas casii kawat kawat oarura oaruratt `id `idaa ti tioac  oac  oicbdhda oicbd hda obekae `aic (\hbkheoh,1999). (\hbkheoh,1999). Chfpdicasi Chfpdicasi oapat tif`ud hdbj carbea car bea cbtioa cbtioacpat cpatujae ujae pasibe pasibe

oadaf oadaf fbenad fbenadaec aecae ae

prhkra prhkraf f tbr tbrapi api

sb`akaii `bricut sb`aka `bricut > pbekaturae pbekaturae oibt, hdaj raka oae pbekkueaae pbekkueaae h`at-h`atae (]utr (]u tra,19 a,1992) 92).. @br`aka @br`akaii pbebdit pbebditiae iae tbd tbdaj aj fbeuen fbeuenucae ucae cbtioa cbtioac c patuja patujae e  pasibe OF tbrjaoap pbrawatae oiri sbeoiri( Bgbeoi ^,1991). Oisafp Ois afpiek iek pbeiek pbeiekcat catae ae prbvad prbvadbes besii OF,

pbeobri pbeobrita ta fbfbrd fbfbrducae ucae

 pbrawatae yaek chfpdbc oae pbrawatae yaek dafa. Cbpatujae `brh`at fbrupacae jarapae oari sbtiap pbeobrita OF. @brarti sbtiap pbeobrita OF

sa saekk ekkup up

ohctbreya

akar

fbda fbdacs csaea aeaca cae e pbeyacit

ie iest stru rucs csi“ i“ie iest stru rucs csii OF

eya

oapat

at atau aupue pue

ae aenu nura rae e

oichetrhd

obekae

 `aic(Jazeaf,19:7). ]aoa ufufeya pbeobrita OF patuj `brh`at cbpaoa ohct ohctbr br sbd bdaf afaa ia fas fasij fbe beob obrrita kbn kbnad adaa / yaek yaek su su`y `ybc bcttig oae oae

0

 

fbekkaekku fbekka ekku jioup rutieeya rutieeya sbjari-jari. sbjari-jari. @bkitu @bkitu ia `b`as oari cbdujae cbdujae “  cbdujae tbrsb`ut faca cbpatujaeeya uetuc `brh`at `brcuraek. Cbtioacpatujae iei sb`akai fasadaj fbois yaek saekat `brat, _aydhr S 19 1991 91V. V. Da Kr Krbl blaa & \theb \theb S 19 19:2V :2V fbeyat fbeyatac acae ae `ajwa `ajwa fbet fbetaat aatii rbchfb rbc hfbeoas eoasii pbekh`a pbekh`atae tae yaek yaek oiaenu oiaenurca rcae e ohctbr ohctbr fbrupa fbrupacae cae fasada fasadaj j yaek yae k saekat saekat pbetie pbetiek k . _iekca _iekcatt cbtioa cbtioacpat cpatuja ujae e tbr tbr`uc `ucti ti lucup lucup ti tiekki ekki oadaf phpudasi fbois yaek crheis. Cbpbr Cbp braw awat atae ae

ch chfu fuei eita tass

oitu oitunu nuca cae e

ue uetu tuc c

fbfp fbfpbr brta tajae jaeca cae e

oa oae e

fbeiekcatcae fbeie kcatcae cbsbjatae cbsbjatae sbrta fbf`bricae fbf`bricae `aetuae `aetuae fbdadui fbdadui ietbrvbesi ietbrvbesi cbpbra cbp brawat watae ae sb`akai sb`akai oasar oasar cbajdi cbajdiaee aeeya ya oadaf oadaf fbf`aet fbf`aetu u ieoivi ieoiviou, ou, cbduarka, cbdhfphc oae fasyaracat oadaf fbekatasi `ar`akai fasadaj cbpbra cbp brawat watae ae yaek oijaoa oijaoapie pieya ya oadaf oadaf cbjiou cbjioupae pae sbjari sbjari-ja -jari ri (Bgbeoi (Bgbeoi,, 0==9).\tratbki pbdacsaeaae cbpbrawatae chfueitas yaek oapat oikueacae oadaf oad af pbrawa pbrawatae tae cbsbja cbsbjatae tae fasyar fasyaraca acatt aoadaj aoadaj sadaj sadaj satueya satueya obekae obekae  pbeoioicae cbsbjatae (Jbadtj ]rhfhtihe) atau pbeyudujae cbsbjatae. ]beyudujae ]beyudu jae cbsbjatae cbsbjatae aoadaj cbkiatae pbeoioicae yaek oidacucae oidacucae obekae obe kae lara lara fbeyb`a fbeyb`arca rcae e pbsae, pbsae, fbeaea fbeaeafca fcae e cbyacie cbyacieae, ae, sbj sbjiek iekka ka fasyaracat tioac sana saoar, taju oae fbekbrti, tbtapi nuka fau oae `isa fbda fb dacu cucae cae su suat atu u ae aenu nura rae e ya yaek ek aoa ju ju`ue `ueka kaeey eeyaa ob obek ekae ae cb cbsb sbja jata tae e (Bdisa`btj, 0==;). Fatbri pbeyudujae iei fbdiputi pbekaturae oibt yaek oitbcaecae paoa < N > nbeis, nbeis, naowad oae nufdaj oibt yaek oi`bricae oi`bricae cbpaoa cbpaoa pasibe OF. Oisafpiek itu fatbri pbeyudujae oighcuscae paoa actigitas gisic sblara tbratur oae pbekkueaae h`at aeti oia`btic sblara rbadistis. rbadistis. Cbtika jad iei fbrupacae cueli phchc cb`brjasidae prhkraf tbrapi OF.

<

 

@. _unuae

1. Fbekbtajui Fbekbtajui asujae cbpbrawata cbpbrawatae e chfueitas chfueitas paoa phpudasi pbeyacit pbeyacit crheic sadaj satueya pbeobrita OF 0. Fbekbtajui Fbekbtajui fasadaj-fas fasadaj-fasadaj adaj oae oiakehsa cbpbrawat cbpbrawatae ae chfueitas  paoa pasibe OF 1. Caoar Caoar kuda kuda oaraj oaraj fbeiekca fbeiekcatt 0. ]beiekcatae ]beiekcatae pdasfa pdasfa prhiesudie prhiesudie oae pdasfa L phdipbptioa phdipbptioa Farkhrucue

9

 

b.

Pw

> =2

g.

Pt

> =<

k.

Duas widayaj

> 2.00= f0

@atas widayaj/widayaj Rtara

> Nadae raya fbdati

\bdatae

> P_ =7 /P[ =?

@arat

> P_ =;

_ifur

> P_ 1:/ P[ =<

Cbaoaae taeaj fbeurut pbfaegaataeeya ]bfucifae > ?22= f0 Oata obfhkragi a. Nufd Nufdaj aj pbe pbeob obri rita ta jipb jipbrt rtbe besi si

> 02= 02= hr hrae aek k

 `. Nufdaj pbeobrita _@ ]aru

> 72 hraek

l. Nufdaj pbeobrita asfa

> 0= hraek

o. Nufdaj pbeobrita OF

> -

 `. Pbfana

>-

l. Obwasa

> 12= hraek (2= %)

o. Daesia

> 9= hraek ( 7= hraek (0=%)

@broasarcae akafa a. Isd Isdaf af

> 0= hraek hraek (:=%) (:=%)

 `. Cristbe

> 12 hraek hraek (2%) (2%)

o. @uoja @uoja

> 12 hraek hraek (2%) (2%)

1=

 

b. Chek Chekju julu lu

>-

g. Cat Cathdic hdic

>-

@broasaracae sucu `aeksa a. Nawa

> 01= hraek (;=%)

 `. Faoura

> ;2 hraek (02%)

l. \ueoa

> 9 hraek ( 7 hraek (0%)

b. Nufdaj pb pbeobrita OF OF ka kaekrbeb

>9 9= =h hrraek

\tatus pbrcawieae

 

a. Cawie

> 192 hraek (72%)

 `. _ioac cawie

> 7= hraek (0=%)

l. Ouoa o. Naeoa

> 12 hraek (2%)

Oata su` systbf

1. Oata Oata diek diekcue cueka kae e gis gisic  ic  a.

\uf` \uf`br br ai airr oa oae e ai airr fie fieuf uf

 `.

]beyboiaae Air `brsij 1) ]AF

> 1:= hraek (7=%)

0) \ufur

> 10= hraek (?=%)

-

]bey ]beybo boiiaae aae air air fieuf ieuf 1) ]AF

> 12= hraek (2=%)

0) \ufur

> 9= hraek ( 7= hraek (0 (0=%)

]bek ]bekhd hdaj ajae ae ai airr fi fieuf euf 1) Fa Fasac

> -

11

 

b.

]bek ]bekbd bdhd hdaa aae e air air fieu fieuf f 1) \bdadu oifasac

> -

g. \a \adu dura rae e pbf` pbf`ua uaeka ekae e air/ air/sa safp fpaj aj Cb`iasaae fbf`uaek safpaj Oiaekcut pbtukas

> ;=%

k. ]bf`ua ]bf`uaekae ekae air air dif dif`aj `aj Kht/parit

> 1==%

\uekai

>-

j. Cbaoaae Cbaoaae pbf`uaekae pbf`uaekae air dif`aj dif`aj

i.

@aic/dael elaar

> 02%

Chthr

> ;2%

Naf`ae Cbpbfidicae naf`ae

 n.

Fbfidici naf`ae

> :=%

_ioac fbfidici naf`ae

> 0=%

Falaf naf`ae yaek oifidici \bptitaec

> ;2%

Oisuekai c. Cbao Cbaoaa aae e naf naf`a `ae e

> 02%

@brsij

> ?2%

Chthr

> 22%

d.Cbaoaae rufaj _ipb rufaj _ipb A/pbrfaebe

> 01= hraek (;=%)

_ipb @/sbfipbrfaebe

> ;2 hraek (02%)

_ipb L/tioac pbrfaebe

> 12 12 hraek (2%)

10

 

f. \tat \tatus us rufaj ufaj Fidic rufaj sbeoiri

> 1:= hraek (7=%)

Chetrac

> 10= hraek (?=%)

e. Daetai ru rufaj _aeaj

> 9= hraek ( 1:= hraek (7=%)

h. Wbe bettidasi Aoa

> 0?= hraek (:=%)

_ioac aoa

> 7= hraek (0=%)

 p. Duas cafar tiour  Fbfbeuji syarat

> 1:= hraek (7=%)

_ioac fbfbeuji syarat

> 10= hraek (?=%)

 p. ]bebraekae rufaj hdbj fatajari @aic

> 10= hraek (?=%)

Lucup

> 12= hraek (2=%)

Curaek

> 0?= hraek (:=%)



_ioac fbfidici

> 7= hraek (0=%)

]bfaegaatae pbcaraekae 

Ya

> 0;= hraek (9=%)



_ioac

> 1 cbdhfphc 



]bekaniae

> 0 cbdhfphc 



Lbrafaj akafa

> 1 cbdhfphc 



]CC

> 1 cadi pbr `udae

_bfp _bfpat at pb pbrc rcuf ufpu puda dae e ufu ufuf f 

@adai obsa

> aoa (1 `uaj)



Oucuj

> aoa (1 `uaj)



P[

> aoa (1 `uaj)



P_

> aoa (1 `uaj)



Fasnio/Fusjhda

> aoa (0 `uaj)

 `) Gasiditas cbsbjatae 1. ]bfaeg ]bfaegaat aatae ae gasi gasidi ditas tas cbsbja cbsbjatae tae 

]uscbsfas

> 12= hraek (2=%)



Pufaj sacit

> 2= hraek (17,7%)



]ara ohctbr swasta

> 02 hraek (:, ;2 hr hrae aek k (02%) 02%)

0. Cb`i Cb`ias asaa aae e ljblc ljblc up cbsb cbsbja jata tae e 

Putie tiap `udae

> 9= hraek ( 01= hraek (;=%)

7= hraek (0=%)



]bkawai swasta

> 7= hraek (0 (0=%)



[iraswasta

> 12= hraek (2=%)

a. ]bekjas ]bekjasid idae ae rata-r rata-rata ata pbr`ud pbr`udae ae

1?

 



4oari RFP

> 12= hraek (2=%)



RFP “ 1.===.===,==

> 9= hraek ( 7= hraek (0=%)

 `. ]bekbduarae rata-rata pbr`udae 

4oari RFP

> 172 hraek (22%)



RFP “ 1.===.===,==

> 1=2 hraek ( 12 hraek (2%)



RCF

> 9 hraek ( 0?7 hraek (:0%)

?. Cbaf Cbafae aeae ae oae oae traes traesphr phrta tasi si a. Cbafaeae 1. Oibt fa facae 

Cb`ias Cb` iasaae aae facae facae facaea facaeae e faeis faeis > ;=% ( 01= hrk )



Cb`iasaae facae facaeae `brdbfac> 0=% ( 7= hrk )



Daie-daie

>1=% ( 02% ( ;2 hrk )



Caoaek-caoaek

> ?2% (1 ?=% (10= hrk )



_ioac pbreaj

> ?2% (1 7=% ( 1:= hrk )



\aat oi duar rufaj

> 1=% ( 1=% ( 12% ( ?= hrk )



_ioac pbreaj

> ;2% ( 002 hrk )

 `. _raesphrtasi 1) Gasiditas traesphrtasi

> Nadae raya, aekcutae ufuf,

af`udae 0) Adat Adat traesp traesphrt hrtasi asi y yaek aek oifid oifidici ici 

\bpboa

> 9= hraek ( 10= hraek (?=%)



Fh`id

> 7 hraek (0%)



Daie-daie/ `blac

> :? hraek (0:%)

172 hraek (22%)



Cbeoaraae pri`aoi

> 1 ao aoaa



_broapat cbpada obsa oae pbraekcateya



Aoa hrkaeisasi caraek taruea

 `) Cbdhfphc dayaeae cbpaoa fasyaracat (pcc, caraek taruea, paeti,  phsyaeou) l) Cb`i Cb`ina naca cae e pbfb pbfbri riet etaj aj oada oadaf f pbda pbdaya yaea eae e cbsb cbsbja jata tae e  puscbsfas

17

> aoa aoa yait yaitu u

 

o) Cb`inacae pb pbfbrietaj cj cjus usu us ue uetuc pb pbeyacit OF OF

>` `bbduf ao aoa

b) ]brae sbrta partai oadaf pbdayaeae cbsbjatae

> `bduf aoa

7. \ist \istbf bf chf chfue ueic icas asii a. Ga Gasi sidi dita tass chfuei chfueicas casii yaek yaek aoa 

Paoih

> 002 hraek (;2 %)



_W

> 172 hraek (22 %)



_bdbphe/jaeopjheb

> 10= hraek (?= %)



Fanadaj/Chrae

> 1 aoa



]afgdbt tbetaek pbeaekaeae OF

> aoa



Dbagdbt tbetaek pbeaekaeae OF

> aoa

l. Cbkiat Cbkiatae ae yaek yaek fbeuen fbeuenaek aek cbkiata cbkiatae e OF 

]beyudujae hdbj caobr oari fasyaracat oae hdbj pbtukas cbsbjatae oari ]uscbsfas

> aoa tapi naraek

;. ]be beo oioic oicae Oistri`usi pbeououcae `broasarcae tiekcat pbeoioicae ghrfad 

\O

> 1 9= hraek ( 7= hraek (0=%)



]brkuruae tiekki

> 12 hraek (2%)

:. Pbcrbasi 

_bfpat wisata yaek `iasaeya oicuenueki tafae chta oae adue “ adue.



Aoa prhkraf sbtajue sbcadi oiaoacae prhkraf wisata `brsafa caobr cbsbjatae P_ =2 P[ =< Cbdurajae Farkh Pucue.

1;

 

L. Aead Aeadis isa a Oata Oata

 Eh

1.

0

]bekbdhfphcae Oata Os > Oari jasid wawaelara oi oapat tiekcat pbeoioicae aoa 2=% warka yaek tioac patuj fbenadaecae oibt Oh > - oata fbeyb`utcae `ajwa tiekcat pbeoioicae \O sb`aeyac 1 Oari jasid wawaelara oioapat cbtioac patujae fasyaracat uetuc fbdacsaeacae ljblc up cbsbjatae sb`aeyac 019 hraek (;=%) Oh> - sb`aeyac 01= hraek naraek ljblc up/`udae - dudusae \O sb`aeyac 1 Oari jasid wawaelara oioapat  nufdaj pbeobrita OF -nufdaj pbeobrita OF obekae kaekkrbe sb`aeyac ?2% (10=% (7= hraek) ]brkuruae tiekki>2%(12 hraek) -sb`aeyac 01= hraek (;=%)  pbeobrita OF tioac ljblc up sblara rutie cb`iasaae sbjari jari  pbeobrita OF yaek sbtiap saat fbfacai fbf acai adas adas caci caci sb`aeya sb`aeyac  c  ?2 hraek hraek (12%), (12%),saa saatt oidaua oidauar  r  rufa rufaj j ;2 hrae hraek k (02% (02%)) oa oae e  naraek fbfacai 1:= hraek (7=%)

O. ]PIHPI_A\ FA\ADAJ

Oiakehsa cbpbrawatae

]bru`ajae ]betiekeya  pbeybdbsaiae  phsitig uetuc  pbeybdbsaiae fasadaj oi chfueitas 1 > rbeoaj 0 > sboaek = > tioac aoa

19

]bebdbsaiae uetuc  pbeiekcatae cwaditas jioup = > tioac aoa

slhrb

 

< > tiekki

Cbtioacpatujae tbrjaoap tbrjao ap oiit oi P_ 2 P[ < cbdurajae Farkh Pucue  `brju`uekae obekae ]bekbtajuae yaek curaek Cbtioacpatujae fasyaracat/pbeobrit a OF fbdacsaeacae ljblc ljbl c up cbsbja cbsbjatae tae oi P_ 2 P[ < cb cbddurajae Farkh Pucue `brju`uekae `brju`uekae obekae gacthr   pbekjasidae yaek rbeoaj Pbsich Pbs ich pbeiekca pbeiekcatae tae  pbeobrita kaekkrbe oi P_ 2 P[ < cb cbddurajae Farkh Pucue `brju`uekae `brju`uekae obekae Curaekeya  pbekbtajuae  pbeobrita OF tbeytaek tbeyta ek pbelbkajae pbelbkajae tbrnaoieya kaekkrbe

1 > rbeoaj 0 > sboaek < > tiekki

1 > rbeoaj 0 > sboaek < > tiekki

<

<

<

9

<

0

1

7

<

0

0

;

\asarae

Fbthob

duca

B. ]BPBELAEAAE

Oiakehsa cbpbrawatae

1) Cbtioacpatujae tbrjaoap oibt oi P_ 2

_unuae

h

Ietbrvbesi

_unua 1.

@i1e. a

e naekca

P[ < cbdurajae Farkh 0=

Cao1.

CIB

br cbsbjatae 1.

Lbr

 

 

h

 pbeobc>

Pucue `brju`uekae obekae ]bekbtajuae yaek curaek oitaeoai obekae > oata

\btbdaj oidacucae asujae cbpbrawatae sbdafa 1 fiekku oijarapcae 1.  pbeobrita OF patuj tybrjaoap  pbekh`atae tbrjaoap oiit

fbeyb`utcae `ajwa tiekcat pbeoioicae \O sb`aeyac 1 cb`iasaae cb`iasa ae fasyar fasyaracat acat faca fa cae e faca facaeae eae ya yaek ek faei fa eiss sb`ae b`aeya yac c 01= 01= Fasyaracat fbekbtajui hraek (;=%) tbetaek oiit uetuc  pbeobrita OF Fasyaracat fbekbtajui tbetaek  pbetiekeya cbpatuajae  pbekh`atae 0) Pbsich  pbeiekcatae pbeobrita kaekkrbe oi P_ 2 P[ < cbdurajae Farkh Pucue `brju`uekae

ju`uekae

\bfua  pbeobrita OF oi P_ 2 P[ < @bricae  pbeyuduja cbdurajae e tb tbet etae aek k farkhrucue  pbetiekeya cbpatujae  pbekh`ata e tbrjaoap OF

oiit `aki  pbeobrita OF

1. @b1r. \btbdaj oidacucae icae jbadtj asujae cbpbrawatae boulatihe oadaf wactu  paoa 01

 

\bdu1.

CIB

ruj

,

 pbeobrita

obfhestras

OF oi P_2

i, oae

 

h

obfhestras

Cbdurajae

i

 pbeobrita 1 fiekku tioac tbrnaoi OF  pbeiekcatae tbetaek  pbeobrita OF obekae lara kaekkrbe _unua  pbelbkaja1.

 pbeobrita OF obekae

e naekca

e

ruj

 nawa`,

kaekkrbe sb`aeyac

 pbeobc >

tbrnaoieya

 pbeobrita

oiscusi

duca

OF oae

kaekrbe,

cbduarka oi

oacae

oae

P_2 P[ <

daeksuek

 nufdaj h

- ]beobrita OF fbekbtajui lara  pbelbkajae tbrnaoieya duca kaekkrbe

cb`iasa cb`ia saae ae sb sbja jari ri jari jari e naekca  pbeobrita OF yaek sbti sbtiap ap sa saat at fbfa fbfaca caii  paenaek> adass caci ada caci sb`aey sb`aeyac ac ?2 hraek (12%),saat \btbdaj oidauar rufaj ;2 hraek

Pucue

1.

_ie

1.

Lbr afaj,

duca

taeya

kaekrbeb

 nawa`, oiscusi

Ana rcae

Dapthp, DLO, fatbri, slrbbe, slrbb e, oae dbagdbt

cbpaoa  pbeobrita OF faupue cbduarkaey a tbetaek  pbrawatae duca kaekrbeb @br icae  pbeyuduja

 

 

taeya

tbrnaoieya

1.

00

Lbr afaj,

\bdu

 pbeyb`a`

\O >?2% (10=% (7= hraek) duca kaekkrbe  ]brkuruae tiekki>2%(12 - ]beobrita hraek) OF fbekbtajui sb`aeyac 01=  pbeyb`a` hraek (;=%) pbeobrita tbrnaoieya duca OF tioac ljblc up kaekkrbe sblara rutie h _unua

1.

Farkh

 

 

e tbetaek (02%) oae naraek oidacucae fbfa fb faca caii 1:= 1:= hrae hraek k asujae (7=%) cbpbrawatae sbdafa 1 fiekku oijarapcae sbfua fasyaracat  pbeobrita OF oapat 1.  patuj oadaf fbdacsaeaca e ljblc up kuda oaraj

 pbetiekeya ljblc up kuda oaraj  `aki  pbeobrita OF Da cucae Ljblc up kuda oaraj kratis paoa  pbeobrita OF

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0. @b0r. - Fasyaracat fbdacsaeaca tbetaek e ljblc up cbtioacpat kuda oaraj sb`aeyac 01= ujae hraek naraek ljblc  pbeobrita up/`udae OF dudusae \O tbetaek sb`aeyac 1 BKL. Larpbeith, Dyeoa Nuadd. (199;). @ucu \acu Oiakehsa Cbpbrawatae boisi 7 adij `ajasa YasfieAsij. Nacarta > BKL \fbdtzbr, \uzaeeb L, @rbeoa K `arb. (0==0). @ucu Anar Cbpbrawatae Fboicad @boaj @rueebr & \uooartj Boisi : Whd 0 adij `ajasa J. Y. Cuelara, Aeory Jartheh, Fheila Bstbr, Yasfie asij. Nacarta > BKL

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