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LAPORAN PENDAHULUAN GANGGUAN SISTEM REPRODUKSI ( MANAJEMEN ASUHAN FIBRO ADENOMA MAMAE) Mata Kuliah : Kepea!ata" Me#i$al %e#ah D&'e" $&&#i"at&& : N' hi'*e" Da+a"i$ SKep, M Kep

Oleh :  

Maiati Ni+ -./012

PROGRAM STUDI PROFESI NERS STIKES 3I4ATA HUSADA SAMARINDA 5/-1

1

HALAMAN PEMGESAHAN GANGGUAN SISTEM REPRODUKSI ASUHAN KEPERA3ATAN FIBRO ADENOMA MAMAE

/leh :  

Maiati Ni+  P-./012

Telah Di'etu6ui Oleh D&'e" Pe+%i+%i"7 #a" Pe8ept& Pa#a Ta"77al, -9 Fe%uai 5/-1

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+e"#eita pe"*a$it pa#a pa*u#aa Ste'' Ste'' %eat #apat +e"i"7$at$a" p&#u$'i h&+&" e"#&7e" e't&7e" *a"7 6u7a a$a" +e"i"7$at$a" i"'i#e" FAM Be#a'a$a" pe"elitia" Bi#7&li, et all #i$etahui &a"7 *a"7 +e"7ala+i 'te'' +e+ili$i i'i$& le%ih ti"77i +e"#eita FAM (OR-9 I 2--0>-.0) ati"*a &a"7 *a"7 +e"7ala+i 'te'' +e+ili$i i'i$& -,9 $ali +e"#eita FAM #i%a"#i"7$a" #e"7a" &a"7 *a"7 ti#a$ 'te''

7

Fi%&a#e"&+a +eupa$a" tu+& 6i"a$ pa*u#aa *a"7 'ei"7 #ite+u$a" pa#a +a'a ep&#u$'i *a"7 #i'e%a%$a" &leh %e%eapa $e+u"7$i"a" *aitu a$i%at 'e"'iti=ita' 6ai"7a" 'ete+pat *a"7 %ele%iha" teha#ap h&+&" e't&7e" 'ehi"77a $elai"a" i"i 'ei"7 #i7&l&"7$a" #ala+ +a+a* #i'pla'ia Fi%&a#e"&+a %ia'a"*a #ite+u$a" pa#a $ua#a" lua ata', +eupa$a" l&%u' *a"7 %e%ata' 6ela', +u#ah #i7ea$$a" #ai 6ai"7a" #i 'e$ita"*a Fi%&a#e"&+a +a++ae %ia'a"*a ti#a$ +e"i+%ul$a" 7e6ala #a" #ite+u$a" 'e8aa $e%etula" Fi%&a#e"&+a %ia'a"*a #ite+u$a" 'e%a7ai %e"6&la" tu"77al, tetapi 'e$ita -/>-2 !a"ita *a"7 +e"#eita ;i%&a#e"&+a +e+ili$i %e%eapa %e"6&la" pa#a $e#ua pa*u#aa Pe"*e%a% +u"8ul"*a %e%eapa ;i%&a#e"&+a pa#a pa*u#aa %elu+ #i$etahui 'e8aa 6ela' #a" pa'ti Hu%u"7a" a"taa +u"8ul"*a %e%eapa ;i%&a#e"&+a #e"7a" pe"77u"aa" $&"ta'ep'i &al %elu+ #apat #ilap&$a" #e"7a" pa'ti Selai" itu a#a"*a $e+u"7$i"a" pat&7e"e'i' *a"7 %ehu%u"7a" #e"7a" hipe'e"'iti=ita' 6ai"7a" pa*u#aa l&$al teha#ap e't&7e", ;a$t& +a$a"a" #a" ;a$t& i!a*at $elua7a atau $etuu"a" Ke+u"7$i"a" lai" a#alah %ah!a ti"7$at ;i'i&l&7i e't&7e" pe"#eita ti#a$ +e"i"7$at tetapi 'e%ali$"*a 6u+lah e'ept& e't&7e" +e"i"7$at Pe"i"7$ata" $epe$aa" teha#ap e't&7e" #apat +e"*e%a%$a" h*pepla'ia $ele"6a 'u'u #a" a$a" %e$e+%a"7 +e"6a#i $a'i"&+a

8

'aktor predisposisi dan resiko nggi teradin%a '(" )usia* genek* pola makan* stres* pekeraan+

&angguan produksi hormon esterogen

#elemahan genes sel$sel %ang men%ertai

,erbentukn%a sel$sel neoplask

!iperplasi pada sel mammae

"endesak  aringan sekitar

"ensuplai nutrisi ke aringan tumor

"enekan aringan pada mammae

Pembedahan

0nterupsi sel s%ara. 

(liran darah terhambat

iskonnuitas  aringan

Pengeluaran transmier

Peningkatan konsistensi mammae "ammae memben kak "assa tumor mendesak ke aringan luar

-erat badan

"endesak pembuluh darah

h%poia uka terkontaminasi bakeri patogen

N%eri

!ipermetabolis ke aringan

Suplai nutrisi ke  aringan lain

"endesak sel s%ara.

Nerosa aringan

/kuran mammae abnormal

"ammae asimetrik

-akteri patogen

#urang pengetahuan

&3 bod% image Nurisi kurang dari kebutuhan tubuh

(nietas

Per.usi aringan terganggu

0nltrasi pleuro parietale /lkus kspansi paru menurun

&3 keboksigenasi

&3 integritas kulit dan 9  aringan

0n.eksi

a%a tahan tubuh menurun

a Bi&p'i % Pe+%e#aha" 8 H&+&"al # PET ( P&'it&" E+i'i&" T&+&7a;i ) e Ma++&7a;i ; A"7i&7a;i 7 MRI h T C S8a" i F&t& R&"te" ( < C a* )  6 Bl&&# Stu#*

Pe"8e7aha" pi+e +eupa$a" upa*a u"tu$ +e+petaha"$a" &a"7 *a"7 'ehat a7a tetap 'ehat atau +e"8e7ah &a"7 *a"7 'ehat +e"6a#i 'a$it K&"'ep #a'a #ai pe"8e7aha" pi+e a#alah u"tu$ +e"uu"$a" i"'i#e" pe"*a$it52 aa *a"7 #ila$u$a" a#alah #e"7a" +e"7hi"#ai ;a$t&> ;a$t& tete"tu *a"7 #apat +ea"7'a"7 petu+%uha" 'el>'el tu+& a"taa lai":

-

Me"8e7ah tepapa"*a #e"7a" at atau %aha" *a"7 #apat +e+i8u %e$e+%a"7"*a 'el>'el tu+& ;i%&a#e"&+a, 'epeti +e"7$&"'u+'i +a$a"a" *a"7 te$&"ta+i"a'i #e"7a" %aha" atau at>at h&+&"al, +e"7hi"#ai pe+a$aia" pil $&"ta'ep'i #e"7a" $&+p&"e" uta+a e't&7e" Pe"77u"aa" at te'e%ut 6i$a #ipa$ai teu' +e"eu' a$a" +e"*e%a%$a" te6a#i"*a peu%aha" 6ai"7a" pa#a pa*u#aa *a"7 +e"i"7$at$a" a"7$a $e6a#ia" FAM5 Selai" itu +e"7hi"#ai tepapa #e"7a" at P&l*8*8li8 a&+ati8 h*#&8a%&"' (PAH') *a"7 %e'i;at

-

-

$a'i"&7e"i$ Me"77u"a$a" atau +e"7$&"'u+'i at #a" %aha" *a"7 #apat +e"uu"$a" $e6a#ia" FAM a"taa lai" #e"7a" +e"7$&"'u+'i %uah #a" 'a*ua" Pe"77u"aa" alat $&"ta'ep'i &al 6u7a #apat +e"uu"$a" i'i$& te6a#i"*a FAM Pe+ei$'aa" Pa*u#aa Se"#ii (SADARI) Pe+ei$'aa" teha#ap pa*u#aa 'e"#ii #ila$u$a" 'etiap %ula" 'e8aa teatu De"7a" +ela$u$a" pe+ei$'aa" 'e"#ii 'e8aa teatu +a$a

-

$e'e+pata" u"tu$ +e"e+u$a" tu+& #ala+ u$ua" $e8il le%ih %e'a, 'ehi"77a #apat #e"7a" 8epat #ila$u$a" ti"#a$a" pe"7&%ata"

1

Fi%&a#e"&+a #apat #i#ia7"&'a #e"7a" ti7a 8aa, *aitu #e"7a" pe+ei$'aa" ;i'i$ (phi'*8al elu$a pa#a #aeah pa#at pa*u#aa u'ia +u #a $ae"a ;i%&a#e"&+a pa#a !a"ita +u#a te%al, 'ehi"77a ti#a$ telihat #e"7a" %ai$ 6i$a +e"77u"a$a" +a++&7a;i Pe+ei$'aa" i"i ha"*a +e+%e#a$a" a"taa le'i atau tu+& *a"7 '&li# #a" $i'ti$ Pe+ei$'aa" 7a%u"7a" a"taa USG #a" +a++&7a;i +e+%ei$a" $etepata" #ia7"&'a *a"7 ti"77i

Teapi u"tu$ ;i%&a#e"&+a te7a"tu"7 #ai %e%eapa hal 'e%a7ai %ei$ut: a U$ua" % Te#apat a'a "*ei atau ti#a$ 8 U'ia pa'ie" # Ha'il %i&p'i Kae"a ;i%&a#e"&+a +a++ae a#alah tu+& 6i"a$ +a$a pe"7&%ata" *a"7 #ila$u$a" ti#a$ pelu #e"7a" pe"7a"7$ata" +a++ae 4a"7 pelu #ipehati$a" a#alah %e"tu$ #a" u$ua""*a 'a6a Pe"7a"7$ata" +a++ae hau' +e+pehati$a" %e%eapa ;a$t& *aitu ;a$t& ;i'i$ #a" 11

p'i$&l&7i pa'ie" Apa%ila u$ua" #a" l&$a'i tu+& te'e%ut +e"*e%a%$a" a'a 'a$it #a" ti#a$ "*a+a" pa#a pa'ie" +a$a #ipelu$a" pe"7a"7$ata" Teapi pe"7a"7$ata" tu+& i"i #i'e%ut #e"7a" %i&p'i e$'i'i *aitu pe+%e#aha" #e"7a" +e"7a"7$at 'eluuh 6ai"7a" tu+& %e'eta 'e#i$it 6ai"7a" 'ehat #i'e$ita"*a Teapi #e"7a" &pea'i pe"7a"7$ata" tu+& i"i ti#a$ a$a" +eu%ah %e"tu$ pa*u#aa tetapi ha"*a a$a" +e"i"77al$a" 6ai"7a" paut *a"7 a$a" #i7a"ti$a" 6ai"7a" "&+al 'e8aa pelaha"

a

Si'te+ I"te7u+e" -) Pehati$a" : "*ei, %e"7$a$, ;le%iti', ul$u' 5) I"'pe$'i $e+eaha"  7atal, eite+a ) Pehati$a" pi7+e"ta'i $ulit 9) K&"#i'i 7u'i, 7i7i, +u$&'a  li#ah

%

Si'te+ Ga't&i"te'ti"ali' -) Ka6i ;e$!e"'i, +ulai, #ua'i, %eat i"7a""*a +ual  +u"tah 'etelah pe+%eia" $e+&theapi 5) O%'e=a'i peu%aha" $e'ei+%a"7a" 8aia"  ele$t&lit ) Ka6i #iae  $&"'tipa'i 9) Ka6i a"&e$'ia 2) Ka6i : 6au"#i8e, "*ei a%#&+e" $ua#a" ata' $a"a"

8

Si'te+ He+at&p&eti$ -) Ka6i Net&pe"ia Ka6i ta"#a i";e$'i Au'$ulta'i pau Pehati$a" %atu$ p&#u$ti;  "a;a' #i'p"&e Ka6i 'uhu 5) Ka6i T&+%&'it&pe"ia :  2////@+ C +e"e"7ah,  5////@+ C %eat ) Ka6i A"e+ia 3a"a $ulit, 8apila* e;ill Di'p"&e, le+ah, palpita'i, =eti7&

#

Si'te+ Re'piat&i$  Ka#i&=a'$ula -) Ka6i teha#ap ;i%&'i' pau *a"7 #ita"#ai : Di'p"&e, $ei"7, %atu$ "&" p&#u$ti; C teuta+a %le&+i'i" 5) Ka6i ta"#a HF 12

) La$u$a" pe+ei$'aa" EKG e

Si'te+ Neu&+u'$ula -) Pehati$a" a#a"*a peu%aha" a$ti;ita' +&t&i$ 5) Pehati$a" a#a"*a pae'te'ia ) E=alua'i e;le$' 9) Ka6i ata$'ia, le+ah, +e"*eet $a$i 2) Ka6i 7a"77ua" pe"#e"7aa" 0) Di'$u'i$a" ADL

;

Si'te+ 7e"it&ui"ai -) Ka6i ;e$!e"'i BAK 5) Pehati$a" %au, !a"a, $e$euha" ui"e ) Ka6i : he+atuia, &li7uia, a"uia 9) M&"it& BUN, $eati"i"

a N*ei a$ut %ehu%u"7a" #e"7a" $eu'a$a" 6ai"7a" '*aa;, 'upla* =a'$ulai'a'i atau e;e$ 'a+pi"7 theap*@ti"#a$a", #ita"#ai #e"7a" : DS : 

Klie" +e"7eluh$a" a'a "*ei



Mei"7i' $ae"a "*ei (;a8ial +a'$ &; pai")



Le+ah #a" i'tiahat $ua"7

DO : 

Ga"77ua" t&"u' &t&t



Ga"77ua" pila$u



Re'p&" aut&"&+i8

N*ei %e$ua"7@#apat teata'i #e"7a" $iteia : 

Melap&$a" a'a "*ei *a"7 'u#ah teata'i (a'a "*ei %e$ua"7)



Dapat +&"7&"t&l ADL' 'e+i"i+al +u"7$i"



Dapat +e"#e+&"ta'i$a" $etea+pila" ela$'a'i #a" a$ti=ita' #i=e'i&"al 'e'uai 'itua'i i"#i=i#u

I"#epe"#e"t : -)

Ka6i i!a*at "*ei 'epeti l&$a'i ;e$!e"'i  #ua'i #a" i"te"'ita' ('$ala - C -/) #a" upa*a u"tu$ +e"7ua"7i "*ei

5)

Bei $e"*a+a"a" #e"7a" +e"7atu p&'i'i $lie" #a" a$ti=ita' #i=e'i&"al

13

)

D&&"7 pe"77u"aa" 'te'' +a"a7e+e"t 'epeti teh"i$ ela$'a'i, =i'uali'a'i, $&+u"i$a'i theapeuti$ +elalui 'e"tuha"

9)

E=alua'i@K&"t&l %e$ua"7"*a a'a "*ei Se'uai$a" pe+%eia" +e#i$a'i 'e'uai $e%utuha""*a

K&la%&a'i : -)

Ke+%a"7$a" e"8a"a +a"a7e+e"t pe"a"7a"a" 'a$it #e"7a" $lie" #a" #&$te

5)

Bei a"al7eti$ 'e'uai i"#i$a'i #a" #&'i' *a"7 tepat

% Ga"77ua" 7a"%aa" #ii (%&#* i+a7e) %ehu%u"7a" #e"7a" ti"#a$a" pe+%e#aha" #ita"#ai #e"7a" : DS : 

?e%ali'a'i peu%aha" p&la hi#up



Rea$'i $eta$uta" #a" +e"&la$ peu%aha" pa#a %a7ia" tu%uh



Ti#a$ #apat +e"ei+a peu%aha" 'tu$tu #a" ;u"7'i tu%uh



Pea'aa"@pa"#a"7a" "e7ati; teha#ap tu%uh



Me"7u"7$ap$a" $eputu'a'aa"



Me"7u"7$ap$a" $eta$uta" #it&la$



Me"7u"7$ap$a" $ele+aha"

DO : 

Me"&la$ u"tu$ +elihat #a" +e"*e"tuh %a7ia" tu%uh *a"7 %eu%ah



Me"7ua"7i $&"ta$ '&'ial



Pe &$upa'i #e"7a" %a7ia" tu%uh@;u"7'i tu%uh *a"7 hila"7



Me"&la$ pe"6ela'a" peu%aha" tu%uh



Ti#a$ +au tuut %eta"77u"7 6a!a% #ala+ pea!ata" #ii

Ga+%aa" #ii %e$e+%a"7 'e8aa p&'iti; #e"7a" $iteia : 

Me"7eti te"ta"7 peu%aha" pa#a tu%uh



Me"ei+a 'itua'i *a"7 te6a#i pa#a #ii"*a



Mulai +e"7e+%a"7$a" +e$a"i'+e $&pi"7 pe+e8aha" +a'alah



Me"u"6u$$a" pe"*e'uaia" teha#ap peu%aha"



Dapat +e"ei+a ealita



Hu%u"7a" i"tepe'&"al a#e$uat

I"#epe"#e"t : -)

Di'$u'i #e"7a" $lie" te"ta"7 #ia7"&'a #a" ti"#a$a" 7u"a +e+%a"tu $lie" a7a #apat a$ti;  $e+%ali 'e'uai ADL'

5)

Re=ie!@a"ti'ipa'i e;e$ 'a+pi"7 $aita" #e"7a" ti"#a$a" *a"7 #ila$u$a" te+a'u$ e;e$ *a"7 +e"77a"77u a$ti=ita' 'e$'ual

)

D&&"7 u"tu$ +ela$u$a" #i'$u'i #a" +e"ei+a pe+e8aha" +a'alah #ai e;e$ *a"7 te6a#i 14

9)

Bei i";&+a'i@$&"'eli"7 'e'ei"7 +u"7$i"

2)

Bei #&&"7a"@'upp&t p'i$&l&7i'

0)

Gu"a$a" 'e"tuha" pea'aa" 'ela+a +ela$u$a" i"tea$'i (petaha"$a" $&"ta$ +ata)

K&la%&a'i :

8

-)

Re;e $lie" pa#a $el&+p&$ p&7a+ tete"tu

5)

Re;e pa#a 'u+%e@ahli lai" 'e'uai i"#i$a'i

Re'i$& ti"77i 7a"77ua" i"te7ita' 6ai"7a"@$ulit %ehu%u"7a" #e"7a" e;e$ teat+e"t I"te7ita'  6ai"7a"@$ulit a#e$uat #e"7a" $iteia : 

I"#e"ti;i$a'i i"te=e"'i pa#a $&"#i'i>$&"#i'i $hu'u'



Pati'ipa'i a$ti; #ala+ teh"i$ 7u"a pe"8e7aha" $&+pli$a'i@ +e"i"7$at$a" pe"*e+%uha"

I"#epe"#e"t : -)

Ka6i $&"#i'i $ulit #ai e;e$ 'a+pi"7 : &%e$a", pe"*e+%uha" la+%at

5)

D&&"7 $lie" u"tu$ ti#a$ +e"77au$ aea *a"7 te$e"a 7a"77ua"

)

Saa"$a" $lie" u"tu$ +e"7hi"#ai pe+a$aia" 8ea+ $ulit, 'alep #a" p&!#e 6i$a %u$a" &#e@i6i" #ai #&$te atau pea!at"*a

9)

Atu p&'i'i 'e'uai $e%utuha"

K&la%&a'i : -)

A#+i"i'ta'i pe+%eia" a"ti#&te 'e'uai i"#i$a'i

5)

Bei$a" theapi $&+pe' ha"7at #a" #i"7i" 'e'uai petu"6u$

# Kua"7 pe"7etahua" ($e%utuha" %ela6a) te"ta"7 pe"*a$it, p&7"&'i' #a" ti"#a$a" *a"7 #i%utuh$a" %ehu%u"7a" #e"7a" i";&+a'i *a"7 $ua"7, i"tepeta'i *a"7 $eliu, #ita"#ai #e"7a" : DS : 

Beta"*a te"ta"7 +a'alah *a"7 #ia'a$a""*a



Me+i"ta i";&+a'i te"ta"7 $ea#aa" pe"*a$it"*a



Me"7ata$a" $&"'ep'i *a"7 $eliu te"ta"7 pe"*a$it"*a

DO : 

Ti#a$ +e"7e"al p&7"&'a #a" ti"#a$a" *a"7 #ila$u$a"



Ti#a$ tahu #a+pa$ %ila ti#a$ #ila$u$a" ti"#a$a" pe+%e#aha"

Klie" +e"7e"al #a" +e"7etahui i";&+a'i pe"*a$it, p&7"&'a, #a" ti"#a$a" *a"7 pelu #ila$u$a" #e"7a" $iteia : 

Me"7ata$a" $ea$uata" #ai i";&+a'i *a"7 #i#apat te"ta"7 #ia7"&'a, ti"#a$a" #a" $e'iapa" @pe"ei+aa" #ii ata' pea!ata"



Dapat +e+%e"a$a" p&'e#u *a"7 #i%utuh$a"



Me"6ela'$a" #a" +ee'p&" ti"#a$a" *a"7 #ila$u$a" 15



Me"7i"#e"ti;i$a'i @ +e"77u"a$a" 'u+%e @ahli #e"7a" tepat



Bepati'ipa'i pa#a $e7iata" pea!ata" #a" pe"7&%ata"

I"#epe"#e"t : -)

Re=ie! te"ta"7 hal>hal *a"7 $hu'u' +e"7e"ai #ia7"&'a, alte"ati; ti"#a$a" #a" haapa" +e"#ata"7 #e"7a" pe'ep'i *a"7 a#e$uat

5)

Jela'$a", %ei 7a+%aa" #a" $a6i pe'ep'i $lie" te"ta"7 "e&pla'+a #a" pe"a"7a"a""*a Kait$a" #e"7a" pe"7ala+a" #ai $lie" *a"7 'a+a

)

Jela'$a" #a" ta"*a $lie" u"tu$ $&+u"i$a'i (u+pa" %ali$) #a" +e"7$&e$'i $&"'ep'i *a"7 $eliu te"ta"7 pe"*a$it *a"7 #i#eita"*a

9)

Re=ie! +e#i$a'i 'e8aa $hu'u' #a" 8aa>8aa pe"77u"aa" &%at 2)

Jela'$a" 8aa pea!ata" $ulit $hu'u'"*a aea i"8i'i p&'t "e&pla'+a

0)

D&&"7 $lie" u"tu$ +e"77u"a$a" 'u+%e @ ahli 7u"a +e"7&"t&l 'tatu' $e'ehata""*a

.)

La$u$a" pe #i'8ha7e pla""i"7 'e'uai i"#i$a'i

(S#P P:S, :P '(" N(N( N0; N:;

NO

-

NANDA

NO ( TUJUAN )

NI ( INTER?ENSI )

N*ei a$ut (//-5)

NO :

NI :

D&+ai" -5 ($e"*a+a"a")

K&"t&l "*ei (-0/2)

Ma"a6e+e" "*ei (-9//)

Kela' - ($e"*a+a"a" ;i'i$) 16

De;i"i'i : Pe"7ala+a" 'e"'&i

De;i"i'i : Ti"#a$a" pi%a#i u"tu$

De;i"i'i : pe"7ua"7a" atau

#a" e+&'i&"al *a"7 ti#a$

+e"7&"t&l "*ei

e#u$'i "*ei 'a+pai pa#a

+e"*e"a"7$a" *a"7 +u"8ul a$i%at $eu'a$a" 6ai"7a" *a"7 a$tual atau p&te"'ial atau

N*ei te$&"t&l 'ela+a  6a+, #e"7a" $iteia ha'il

#i7a+%a$a" #ala+ hal

Me"7e"al ;a$t&>;a$t&

$eu'a$a"

pe"*e%a%

'e#e+i$ia" upa (I"te"ati&"al

(-, 5,,9,2)

atau la+%at #ai i"te"'ita' i"7a" hi"77a %eat #e"7a" a$hi *a"7 #apat #ia"ta'ipa'i

#itei+a &leh pa'ie"

La$u$a" pe"7$a6ia" "*ei 'e8aa $&+pehe"'i; te+a'u$ l&$a'i, $aa$tei'ti$, &"'et@#ua'i,

A''&8iati&" ;& the 'tu#* &; Pai") a!ita" *a"7 ti%a>ti%a

ti"7$at $e"*a+a"a" *a"7 #apat

Me"7e"al &"'et "*ei (-,5,,9,2)

;e$ue"'i, $ualita', i"te"'ita' #a" ;a$t& pe"8etu'

Ti"#a$a" pet&l&"7a" "&" ;a+a$&l&7i (-,5,,9,2)

+&"it& e'p&" $eti#a$"*a+a"a" 'e8aa =e%al

atau #i pe#i$'i #a"

Me"77u"a$a" a"al7eti$ *a"7

%ela"7'u"7 , 0 %ula"

#ie$&+e"#a'i$a" (-,5,,9,2)

#a" "&" =e%al Pa'ti$a" pa'ie" +e"ei+a

Bata'a" $aa$tei'ti$: Peu%aha" 'elea +a$a" Peu%aha" #ala+ paa+ete ;i'i&l&7i$ ( +i': TD, "a#i,

Melap&$a" 7e6ala>7e6ala "*ei

pea!ata" a"al7eti$ #e"7a"

$epa#a ti+ $e'ehata" (-,5,,9,2)

tepat

N*ei te$&"t&l (-,5,,9,2)

Gu"a$a" 'tate7i $&+u"i$a'i

I"#i$at& '$ala:

*a"7 e;e$ti; u"tu$ +e"7etahui e'p&" pe"ei+aa" pa'ie"

ti#a$ pe"ah +e"u"6u$$a"

teha#ap "*ei

 6aa"7 +e"u"6u$$a"

E=alua'i $ee;e$ti;a"

pe"apa'a", 'atua'i O5) Diap&e'i'

pe"77u"aa" $&"t&l "*ei $a#a"7>$a#a"7 +e"u"6u$$a"

Peila$u #i'ta$'i (+i': %e6ala" +&"#a +a"#i, a$ti=ita' %eula"7) Bu$ti "*ei +e"77u"a$a" 'ta"#a 8he8$li't peila$u "*ei

M&"it&i"7 peu%aha" "*ei 'ei"7 +e"u"6u$$a"

%ai$ a$tual +aupu" p&te"'ial

'e8aa $&"'i'te" +e"u"6u$$a"

Se#ia$a" li"7$u"7a" *a"7

Ti"7$at "*ei (5-/5)

u"tu$ +ee$a *a"7 ti#a$

De;i"i'i : $epaaha" "*ei *a"7

+a+pu %e$&+u"i$a'i 'e8aa

#ia+ati atau #ilap&$a"

=e%al N*ei %e$ua"7 'ela+a  6a+, Me"7e$pe'i$a" peila$u (+i':

#e"7a" $iteia ha'il

7eli'ah, +e"a"7i', !a'pa#a)

ta+pa$ $a8au, 7ea$a" +ata %epe"8a atau +e"etap pa#a

Kua"7i ;a$t&>;a$t& *a"7 #apat +e"a+%ah u"7$apa" "*ei A6a$a" pe"77u"aa" teh"i$ ela$'a'i 'e%elu+ atau 'e'u#ah

Melap&$a" "*ei (-,5,,9,2)

"*ei %ela"7'u"7 

Fe$ue"'i "*ei (-,5,,9,2)

K&la%&a'i #e"7a" ti+

E$'pe'i !a6ah teha#ap "*ei (+i': +ata $ua"7 %e8aha*a,

"*a+a"

$e'ehata" lai" u"tu$ +e+ilih La+a"*a epi'&#e "*ei (-,5,,9,2)

'atu ;&$u')

E$'pe'i "*ei !a6ah (-,5,,9,2)

Si$ap +eli"#u"7i

Peu%aha" e'pia'i ate (-,5,,9,2) 17

ti"#a$a" 'elai" &%at u"tu$ +ei"7a"$a" "*ei Ti"7$at$a" i'tiahat *a"7 a#e$uat u"tu$ +ei"7a"$a"

Ti#a$ a#a haapa" F&$u' +e"*e+pit (+i':pe'ep'i

Peu%aha" te$a"a" #aah (-,5,,9,2)

"*ei Ma"a6e+e" pe"7&%ata" (51/)

!a$tu, p&'e' %epi$i

Kehila"7a" "a;'u +a$a"

teha+%at)

(-,5,,9,2)

Si$ap +eli"#u"7i aea "*ei

I"#i$at& '$ala :

#a" &%at %e%a'

P&'i'i u"tu$ +e"7hi"#ai "*ei

Beat

Te"tu$a" &%at *a"7 #i%utuh$a"

Peila$u +eli"#u"7i

u$up %eat

Melap&$a" peila$u "*ei

Se#a"7

Pupil #ilata'i

Ri"7a"

pe"7&%ata"

F&$u' #ii 'e"#ii

Ti#a$ a#a

M&"it& ta"#a #a" 7e6ala 'eta

De;i"i'i : Fa'ilita'i pe"77u"aa" *a"7 a+a" #a" e;e$ti; e'ep

pa'ie" #a" 8aa +e"7el&la 'e'uai #e"7a" a"6ua"@ #&'i' M&"it& e;e$ teaupeti$ #ai

e;e$ 'a+pi"7 #ai &%at Lap&a" #ii +e"77u"a$a" M&"it& i"tea$'i &%at

'$ala "*ei *a"7 'ta"#at ( +i':'$ala !a6ah !&"7 %a$e,

A6a$a" pa#a pa'ie" $elua7a

'$ala "ilai "u+ei$, '$ala =i'ual

8aa +e"7ata'i e;e$ 'a+pi"7

a"al&7)

pe"7&%ata"

Lap&a" #ii +e"77u"a$a"

Pe"7el&laa" a"al7eti$

i'tu+e"t "*ei *a"7 'ta"#a ( +i': M8Gill Pai"

Pei$'a pei"tah +e#i' te"ta"7

ue'ti&""ae, %ie; Pai"

&%at, #&'i'  ;e$ue"'i &%at

I"=e"t&*)

a"al7eti$ Pei$'a i!a*at ale7i pa'ie"

Fa$t& *a"7 %ehu%u"7a":

Pilih &%at %e#a'a$a" tipe #a" %eat"*a "*ei

A7e" 8e#ea %i&l&7i (+i': i";e$'i, i'8he+i8, "e&pla'+a)

Pilih 8aa pe+%eia" I? atau IM u"tu$ pe"7&%ata", 6i$a

A7e" 8e#ea $i+ia (+i':

+u"7$i"

te%a$a, 8ap'ai8i", +eth*le" 8hl&i#e, +u'ta# a7e")

M&"it& =ital 'i7" 'e%elu+ #a" 'e'u#ah pe+%eia" a"al7eti$

A7e" 8e#ea ;i'i$ ( +i': a%'e', a+puta'i, lu$a %a$a,

Kel&la 6a#!al pe+%eia"

tep&t&"7, p&'e#u &pea'i,

a"al7eti$ *a"7 'e'uai

tau+a, latiha" %ele%ih)

E=alua'i e;e$ti;ita' #&'i' a"al7eti$, &%'e=a'i ta"#a #a" 7e6ala e;e$ 'a+pi"7, +i'al #epe'i pe"a;a'a", +ual  +u"tah, +ulut $ei"7,  $&"'tipa'i

18

K&la%&a'i #7" #&$te u"tu$ &%at, #&'i'  8aa pe+%eia" *7 #ii"#i$a'i$a" Te"tu$a" l&$a'i "*ei, $aa$tei'ti$, $ualita', #a" $epaaha" 'e%elu+ pe"7&%ata" Bei$a" &%at #e"7a" pi"'ip 2 %e"a Pe+%eia" A"al7e'i$ (55-/) De;i"i'i : Me"77u"a$a" a7e" ;a+a$&l&7i$ u"tu$ +e"7hila"7$a" atau +e"7ua"7i "*ei Te"tu$a" l&$a'i, $aa$tei'ti$, $ualita', #a" #ea6at "*ei 'e%elu+ pe+%eia" &%at e$ i"'tu$'i #&$te te"ta"7  6e"i' &%at, #&'i', #a" ;e$ue"'i e$ i!a*at ale7i Pilih a"al7e'i$ *a"7 #ipelu$a" atau $&+%i"a'i #ai a"al7e'i$ $eti$a pe+%eia" le%ih #ai 'atu Te"tu$a" piliha" a"al7e'i$ te7a"tu"7 tipe #a" %eat"*a "*ei Te"tu$a" a"al7e'i$ piliha", ute pe+%eia", #a" #&'i' &pti+al Pilih ute pe+%eia" 'e8aa I?, IM u"tu$ pe"7&%ata" "*ei 'e8aa teatu M&"it& =ital 'i7" 'e%elu+ #a" 'e'u#ah pe+%eia" a"al7e'i$ peta+a $ali Bei$a" a"al7e'i$ tepat !a$tu teuta+a 'aat "*ei he%at E=alua'i e;e$ti=ita' a"al7e'i$, 19

ta"#a #a" 7e6ala (e;e$ 'a+pi"7

5

Re'i$& i";e$'i (////9)

NO :

NI :

D&+ai" -- ($ea+a"a" @

K&"t&l e'i$& (-/5)

K&"t&l I";e$'i (029/)

De;i"i'i : i"#a$a" i"#i=i#u u"tu$

De;i"i'i : +e+i"i+al$a"

+e"7eti, +e"8e7ah,

pe&leha" #a" ta"'+i'i #ai

+e"7eli+i"a'i atau +e"7ua"7i

a7e" i";e$'iu'

peli"#u"7a") Kela' - (i";e$'i)

a"8a+a" i";e$'i De;i"i'i : Pe"i"7$ata" e'i$& +a'u$"*a &7a"i'+e pat&7e"

Be'ih$a" li"7$u"7a" 'etelah Klie" #a" $elua7a +a+pu +e"u"6u$$a" $e+a+pua"

Fa$t&>;a$t& e'i$& :

+e"8e7ah i";e$'i #ala+ !a$tu  6a+ #e"7a"

P&'e#u I";a'i; 

u"tu$ +e"8u8i ta"7a" 'aat Me"7i#e"ti;i$a'i ;a$t& i'i$& i";e$'i -,5,,9,2

Tau+a Me"7etahui peila$u *a"7 Keu'a$a" 6ai"7a" #a"

%ehu%u"7a" #e"7a" i'i$&

pe"i"7$ata" papaa"

i";e$'i -,5,,9,2

li"7$u"7a" Me"7i#e"ti;i$a'i ta"#a #a" Ruptu +e+%a" a+"i&"

7e6ala i";e$'i -,5,,9,2

A7e" ;a+a'i (i+u"&'upe'a")

Me+petaha"$a" li"7$u"7a"

Pe"i"7$ata" papaa"

Bata'i pe"7u"6u"7 %ila pelu I"'tu$'i$a" pa#a pe"7u"6u"7

u"tu$ +e"7hi"#ai papaa"

Mal"uti'i

Petaha"$a" te$"i$ i'&la'i

$iteia ha'il :

Keti#a$8u$upa" pe"7etahua" pat&7e"

#ipa$ai pa'ie" lai"

*a"7 %e'ih -,5,,9,2 Me"8u8i ta"7a" -,5,,9,2

%e$u"6u"7 #a" 'etelah %e$u"6u"7 +e"i"77al$a" pa'ie" Gu"a$a" 'a%u" a"ti+i$&%ia u"tu$ 8u8i ta"7a" u8i ta"7a" 'etiap 'e%elu+ #a" 'e'u#ah ti"#a$a" $pea!ta" Gu"a$a" %a6u, 'au"7 ta"7a" 'e%a7ai alat peli"#u"7 Petaha"$a" li"7$u"7a" a'epti$ 'ela+a pe+a'a"7a" alat

li"7$u"7a" pat&7e" Ga"ti leta$ I? pei;e #a" li"e I+&"u'upe'i

I"#i$at& '$ala:

Keti#a$a#e$uata" i+u+

Ti#a$ pe"ah +e"u"6u$$a"

%uata" Jaa"7 +e"u"6u$$a" Ti#a$ a#e$uat petaha"a" 'e$u"#e (pe"uu"a" H%, Leu$&pe"ia, pe"e$a"a" e'p&" i";la+a'i)

8e"tal #a" #e''i"7 'e'uai #e"7a" petu"6u$ u+u+ Gu"a$a" $atete i"te+ite" u"tu$ +e"uu"$a" i";e$'i

Ka#a"7>$a#a"7 +e"u"6u$$a"

$a"#u"7 $e"8i"7

Sei"7 +e"u"6u$$a"

Ti"7$t$a" i"ta$e "uti'i Bei$a" teapi a"ti%i&ti$ %ila

2

Ti#a$ a#e$uat petaha"a"

Se8aa $&"'i'te" +e"u"6u$$a"

tu%uh pi+e ($ulit ti#a$ utuh,

pelu I";e8ti&" P&te8ti&" (p&te$'i

tau+a 6ai"7a", pe"uu"a"

teha#ap i";e$'i) (022/)

$e6a 'ilia, 8aia" tu%uh 'tati', peu%aha" 'e$e'i pH,

De;i"i'i : pe"8e7aha" #a"

peu%aha" pei'talti$)

#ete$'i +u#ah teha#ap i";e$'i pa#a pa'ie" *a"7 %ee'i$&

Pe"*a$it $&"i$

M&"it& ta"#a #a" 7e6ala i";e$'i 'i'te+i$ #a" l&$al M&"it& hitu"7 7a"ul&'it, 3B M&"it& $ee"ta"a" teha#ap i";e$'i Bata'i pe"7u"6u"7 Sai"7 pe"7u"6u"7 teha#ap pe"*a$it +e"ula Pataha"$a" te$"i$ a'pe'i' pa#a pa'ie" *a"7 %ee'i$& Petaha"$a" te$"i$ i'&la'i $@p Bei$a" pea!ata" $uliat pa#a aea epi#e+a I"'pe$'i $ulit #a" +e+%a" +u$&'a teha#ap $e+eaha", pa"a', #ai"a'e I'pe$'i $&"#i'i lu$a @ i"'i'i %e#ah D&&"7 +a'u$$a" "uti'i *a"7 8u$up D&&"7 +a'u$a" 8aia" D&&"7 i'tiahat I"'tu$'i$a" pa'ie" u"tu$ +i"u+ a"ti%i&ti$ 'e'uai e'ep A6a$a" pa'ie" #a" $elua7a ta"#a #a" 7e6ala i";e$'i A6a$a" 8aa +e"7hi"#ai i";e$'i

21

Lap&$a" $e8ui7aa" i";e$'i Lap&$a" $ultu p&'iti; 



Ga"77ua" 8ita tu%uh (//--1)

NO :

NI :

D&+ai" 0 : Pe'ep'i #ii

ita tu%uh (-5//)

Pe"7ua"7a" $e8e+a'a" (215/)

De;i"i'i : pe'ep'i teha#ap

De;i"i'i : Me"7ua"7i te$a"a",

pe"a+pila" #a" ;u"7'i tu%uh

$eta$uta", ;ia'at, +aupu"

'e"#ii

$eti#a$"*a+a"a" te$ait

Kela'  : 8ita tu%uh De;i"i'i : K&";u'i #ala+ 7a+%aa" +e"tal te"ta"7 #ii>;i'i$

#e"7a" 'u+%e>'u+%e %aha*a

i"#i=i#u

*a"7 ti#a$ tei#e"ti;i$a'i S$ala Out8&+e

Bata'a" $aa$tei'ti$ :

I"#i$at& :

Be;&$u' pa#a ;u"7'i +a'a lalu

Ga+%aa" i"te"al #ii -,5,,9,2

Be;&$u' pa#a pe"a+pila"

Ke'e'uaia" a"taa i#eal tu%uh,

+a'a lalu

ealita' tu%uh #e"7a"

Ga"77ua" ;u"7'i tu%uh Ga"77ua" 'tu$tu tu%uh Me"&la$ +e"ei+a peu%aha" Me"*e+%u"*i$a" %a7ia" tu%uh

A$ti=ita' :

pe"a+pila" tu%uh -,5,,9,2 De'$ip'i %a7ia" tu%uh *a"7 te$e"a -,5,,9,2 Kepua'a" #e"7a" ;u"7'i tu%uh -,5,,9,2 Si$ap teha#ap +e"*e"tuh %a7ia" tu%uh *a"7 te$e"a

tu%uh

-,5,,9,2

Peu%aha" 7a*a hi#up

Pe"*e'uaia" teha#ap peu%aha" ta+pila" ;i'i$

Fa$t& *a"7 %ehu%u"7a" :

-,5,,9,2

e#ea

Pe"*e'uaia" teha#ap

Pe"*a$it Peu%aha" ;u"7'i $&7"iti;  Peu%aha" ;u"7'i tu%uh P&7a+ pe"7&%ata" P&'e#u pe+%e#aha"

te"a"7 #a" +e*a$i"$a" N*ata$a" #e"7a" 6ela' haapa" teha#ap peila$u $lie" Paha+i 'itua'i $i'i' *a"7 te6a#i pa#a pe'pe$ti; $lie" D&&"7 $elua7a u"tu$ +e"#a+pi"7i $lie" #e"7a" 8aa

Pea'aa" "e7ati; te"ta"7

Ga"77ua" ;u"7'i p'i$&'&'ial

Gu"a$a" pe"#e$ata" *a"7

peu%aha" 'tatu' $e'ehata" Ketea"7a" : Ti#a$ pe"ah p&'iti;  Jaa"7 p&'iti;  Ka#a"7>$a#a"7 p&'iti;  Sei"7 p&'iti;  K&"'i'te" p&'iti;  22

*a"7 tepat De"7a$a" $lie" Peti+%a"7$a" $e+a+pua" $lie" u"tu$ +e"7a+%il $eputu'a"

Ta"'i'i pe$e+%a"7a" Tau+a

De;i'ie"'i pe"7etahua" 9

(//-50) D&+ai" 2 (pe'ep'i @ $&7"i'i)

NO :

NI :

Pe"7etahua" : p&'e' pe"*a$it

Pe"7a6aa" : P&'e' Pe"*a$it

(-1/)

(20/5)

Kela' 9 ($&7"i'i)

De;i"i'i : Me+%a"tu pa'ie" De;i"i'i : ti"7$at pe+aha+a"

De;i"i'i : Ti#a$ a#a"*a atau $ua"7"*a

*a"7 #i'a+pai$a" te"ta"7 p&'e' pe"*a$it tete"tu #a"

Pe"7etahua" $lie" %eta+%ah 'ela+a  6a+ #e"7a" $iteia Bata'a" $aa$tei'ti$ :

ha'il $lie" atau $elua7a #apat

+e+=e%ali'a'i$a" a#a"*a

+e"*e%ut$a" #a" +e"7eti:

ti#a$ 'e'uai

Fa$t& *a"7 %ehu%u"7a" :

p&'e' pe"*a$it 'e8aa 'pe'i;i$

Bei$a" pe"ilaia" te"ta"7

#e"7a" t&pi8 'pe'i;i$

+e"7i$uti i"'tu$'i, peila$u

*a"7 %ehu%u"7a" #e"7a"

$&+pli$a'i"*a

i";&+a'i $&7"iti; 'ehu%u"7a"

+a'alah, $eti#a$a$uata"

u"tu$ +e+aha+i i";&+a'i

Fa$t& pe"*e%a% #a" ;a$t& *a"7 %e$&"ti%u'i (-,5,,9,2)

ti"7$at pe"7etahua" pa'ie" te"ta"7 p&'e' pe"*a$it *a"7 'pe'i;i$ Jela'$a" pat&;i'i&l&7i #ai pe"*a$it #a" %a7ai+a"a hal i"i %ehu%u"7a" #e"7a" a"at&+i #a" ;i'i&l&7i, #e"7a" 8aa *a"7

Fa$t& e'i$& (-,5,,9,2)

tepat

Ta"#a #a" 7e6ala (-,5,,9,2)

Ga+%a$a" ta"#a #a" 7e6ala *a"7 %ia'a +u"8ul pa#a

$ete%ata'a" $&7"iti;,

P&'e' pe6ala"a" pe"*a$it

pe"*a$it, #e"7a" 8aa *a"7

i"tepeta'i teha#ap i";&+a'i

(-,5,,9,2)

tepat

P&te"'ial $&+pli$a'i (-,5,,9,2)

Ga+%a$a" p&'e' pe"*a$it,

*a"7 'alah, $ua"7"*a $ei"7i"a" u"tu$ +e"8ai i";&+a'i, ti#a$ +e"7etahui

Ta"#a #a" 7e6ala $&+pli$a'i

'u+%e>'u+%e i";&+a'i

pe"*a$it (-,5,,9,2)

#e"7a" 8aa *a"7 tepat I#e"ti;i$a'i $e+u"7$i"a" pe"*e%a%, #e"7"a 8aa *a"7 tepat

I"#i$at& S$ala : Ti#a$ a#a pe"7etahua"

Se#ia$a" i";&+a'i pa#a pa'ie" te"ta"7 $&"#i'i, #e"7a" 8aa *a"7 tepat

Pe"7etahua" te%ata' Hi"#ai 6a+i"a" *a"7 $&'&"7 Pe"7etahua" 'e#a"7 Se#ia$a" %a7i $elua7a atau SO Pe"7etahua" %a"*a$

i";&+a'i te"ta"7 $e+a6ua" pa'ie" #e"7a" 8aa *a"7 tepat

23

Pe"7etahua" 'a"7at %a"*a$

Di'$u'i$a" peu%aha" 7a*a hi#up *a"7 +u"7$i" #ipelu$a" u"tu$ +e"8e7ah $&+pli$a'i #i +a'a *a"7 a$a" #ata"7 #a" atau p&'e' pe"7&"t&la" pe"*a$it Di'$u'i$a" piliha" teapi atau pe"a"7a"a" Du$u"7 pa'ie" u"tu$ +e"7e$'pl&a'i atau +e"#apat$a" 'e8&"# &pi"i&" #e"7a" 8aa *a"7 tepat atau #ii"#i$a'i$a" E$'pl&a'i $e+u"7$i"a" 'u+%e atau #u$u"7a", #e"7a" 8aa *a"7 tepat Ru6u$ pa'ie" pa#a 7up atau a7e"'i #i $&+u"ita' l&$al, #e"7a" 8aa *a"7 tepat I"'tu$'i$a" pa'ie" +e"7e"ai ta"#a #a" 7e6ala u"tu$ +elap&$a" pa#a pe+%ei pea!ata" $e'ehata", #e"7a" 8aa *a"7 tepat

DAFTAR PUSTAKA

ape"it&, L*"#a Juall (-)

 E#i'i 5 (te6e+aha")

Pe"e%it %u$u Ke#&$tea" EG Ja$aata ape"it&, L*"#a Juall (5///)

E#i'i 1 (te6e+aha") Pe"e%it %u$u

Ke#&$tea" EG Ja$ata 24

D&e"7e', Mail*"" E (-)

 E#i'i  (te6e+aha") Pe"e%it %u$u

Ke#&$tea" EG Ja$ata E"7a+, Ba%aa (-1)

 ?&lu+e 5, (te6e+aha") Pe"e%it

Bu$u Ke#&$tea" EG Ja$ata Ju"a#i, Pu"a!a" (-15)

, Ja$ata: Me#ia Ae'8ulapiu' Fa$ulta' Ke#&$tea"

U"i=e'ita' I"#&"e'ia L&"7, Ba%aa  (-0)

( ?&lu+e I (te6e+aha") 4a*a'a" I$ata" Alu+"i

Pe"#i#i$a" Kepea!ata" Pa6a6aa" Ba"#u"7 Ma"'6&e, Ai;, et all (-)

 

 Fa$ulta' Ke#&$tea" UI : Me#ia Ae'8ullapiu'

(-9)

 Fa$ulta' Ke#&$tea" U"ai  RSUD #

S&et&+& Sua%a*a

25