BAB 1 PENDAHULUAN
1.1. Latar Latar Belak Belakang ang
Remaja dan anak sekolah telah mulai mengenal dan menikmati rokok di usia belia. Fenomena ini terjadi di salah satu wilayah kota Surabaya Surabaya yaitu RW II yang didalamnya termasuk RT 4, RT 5, dan RT 6 elurahan !edokan Semam"ir. #ari hasil wawan$ara se$ara langsung ketika dilakukan dilakukan door to door , bebera"a remaja mengaku telah merokok dan sebagian besar remaja mengaku memulai merokok merokok saat masih duduk di bangku bangku S!%. S!%. &erdasarkan &erdasarkan "engamatan "engamatan dan data sekunder yang di"eroleh selama "engum"ulan data, dijum"ai bebera"a remaja merokok di tem"at'tem"at umum se"erti warung dan tem"at dimana remaja biasa berkum"ul, serta ada"ula yang merokok di belakang "agar kom"lek yang jauh dari "engamatan "engamatan orang tua mereka. mereka. Sebagaimana Sebagaimana kita ketahui ketahui bersama bersama bahwa
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!elihat !elihat kondisi kondisi tersebut, maka "erlu diberikan diberikan moti)asi moti)asi bagi remaja untuk untuk meng mengik ikut utii kegi kegiat atan an yang yang "osi "ositi ti se"ert se"ertii ara arang ng Taruna runa serta serta memb memberi erika kan n kesadaran tentang bahaya merokok bagi kesehatan remaja itu sendiri. &erdasarkan "ermasalahan
tersebut,
mun$ul
diagnosa
ke"erawatan
komunitas
yaitu
"emeliharaan kesehatan yang tidak eekti dan kurangnya "emberdayaan "otensi remaja. /ika hal tersebut tersebut dibiarkan dibiarkan akan mengakibatkan mengakibatkan mun$ulnya mun$ulnya "enyakit' "enyakit yang diakibatkat oleh "erilaku merokok se"erti "enyakit jantung, stroke, "aru'"aru dan lain'lain. Tidak aktinya organisasi karang taruna juga da"at mengganggu "roses belajar remaja untuk bermasyarakat, mengingat kede"annya
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. #a"at menga"likas menga"likasikan ikan konse" konse" ke"erawatan ke"erawatan kesehatan kesehatan komunit komunitas as "ada remaja 1. !ening !eningkat katkan kan kemam"u kemam"uan an berikir berikir kritis kritis,, analiti analitiss dan bijaksan bijaksanaa dalam memberikan asuhan ke"erawatan "ada remaja +. !am"u !am"u menga"li menga"likas kasika ikan n model model "roessio "roessional nal dalam menera" menera"kan kan asuhan ke"erawatan komunitas "ada remaja 1.3.2. 1.3.2. Manfa Manfaat at !agi !agi remaj remaja a . !engak !engaktik tikan an kembali kembali dan mengetah mengetahui ui manaat manaat yang di"erol di"eroleh eh dari kegiatan karang taruna 1. !end !enda" a"atk atkan an kesem kesem"at "atan an selua seluas'l s'lua uasny snyaa untu untuk k ber" ber"er eran an akti akti dalam dalam u"aya u"aya "ening "eningkata katan n keseha kesehatan tan dan nal, nal, menger mengerti, ti, dan
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1.). *istematik *istematika a Penulisan Penulisan Sitematika "enulisan dimulai dengan "engkajian data ke"erawatan, analisis
data, data, "ena"i "ena"isan san masalah masalah,, "enent "enentuan uan "riori "rioritas tas diagno diagnosa sa ke"eraw ke"erawata atan, n, ren$an ren$anaa ke"erawatan, im"lementasi, e)aluasi ke"erawatan dan sim"ulan.
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1. !enurut !enurut (( %erkawinan %erkawinan 2o 2o tahun tahun :;4, :;4, diangga" diangga" remaja remaja bila $uku" $uku" untuk untuk menikah yaitu umur 6 tahun untuk anak "eremuan dan : tahun untuk anak laki'laki +. !enuru !enurutt (( "erburu "erburuhan han,, dikatakan dikatakan remaja remaja bila telah men$a"ai men$a"ai tahun tahun atau sudah menikah dan mem"unyai tem"at untuk tinggal 4. !enuru !enurutt (( 2o 4 tahun tahun :;: :;: mengenai mengenai kesejaht kesejahteraa eraan n anak, remaja remaja adalah adalah indi)idu yang belum men$a"ai 1 tahun dan belum menikah 2.1.1 2.1.1
'emaj 'emaja a se!ag se!agai ai kel&m# kel&m#&k &k resik resik& &
Remaja meru"akan taha" seseorang dimana ia berada di antara ase anak
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masa masa dewa dewasa sa *W *Wid idya yastu stuti ti,, Rahm Rahmaw awat ati, i, %urn %urnam aman anin ingr grum umAA 1: 1:-. -. %ube %uberta rtass *"uberty- ialah suatu "eriode di mana kematangan kerangka dan seksual terjadi se$ara "esat terutama "ada awal masa remaja. 3kan teta"i, "ubertas bukanlah suatu "eristiwa tunggal yang tiba'tiba terjadi. %ubertas adalah bagian dari suatu "roses yang terjadi berangsur'angsur *gradual- *Santro$k, 11-. 11-. %ubertas %ubertas adalah "eriode dalam rentang rentang "erkembanga "erkembangan n ketika ketika anak'anak anak'anak berubah dari mahluk aseksual menjadi mahluk seksual. ata "ubertas berasal dari kata kata latin latin yang yang berarti berarti =usia =usia kedewa kedewasaan saan>. >. ata ini lebih lebih menunj menunjukk ukkan an "ada "ada "erubahan isik dari"ada "erubahan "erilaku yang terjadi "ada saat indi)idu
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2.1. 2.1.2 2
Tugas gas Perke Perkem! m!an anga gan n 'emaj 'emaja a
%erkembangan menurut %otter ? %erry *15- meru"akan as"ek "rogresi ada"t ada"tasi asi terha terhada da" " lingk lingkun unga gan n yang yang bersi bersia att kuali kualita tati ti. . #jiw #jiwan ando dono no *1 *111-
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6. !engembangk !engembangkan an konse" konse" dan keteram" keteram"ilan ilan intelektu intelektual al yang sangat sangat di"erluka di"erlukan n untuk melakukan "eran sebagai anggota masyarakat ;. !emahami !emahami dan mengint menginternalis ernalisasikan asikan nilai'ni nilai'nilai lai orang orang dewasa dan orang orang tua B. !enge !engemb mban angk gkan an "eri "erila laku ku tangg tanggun ung g jawa jawab b sosia sosiall yang yang di"e di"erlu rluka kan n untu untuk k
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masa remaja itu, terjadilah suatu "ertumbuhan isik yang $e"at disertai banyak "erubahan, termasuk di dalamnya "ertumbuhan organ'organ re"roduksi *organ seksualseksual- sehingga sehingga ter$a"ai ter$a"ai kematangan kematangan yang ditunjukkan ditunjukkan dengan dengan kemam"uan kemam"uan
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ulit, se"erti halnya laki'laki juga menjadi lebih kasar, lebih tebal, "ori'"ori membesar. 3kan teta"i berbeda dengan laki'laki kulit "ada wanita teta" lebih lembut.
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%erkem %erkemban bangan gan kognit kogniti i adalah adalah "eruba "erubahan han kemam" kemam"uan uan mental mental se"erti se"erti belajar, memori, menalar, ber"ikir, dan bahasa */ahja, 11-. !enurut %iaget *dalam Santro$k, 1A dalam /ahja, 11-, seorang remaja termoti)asi untuk
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Organisasi Ak$i'
Tidak
31% 31%
6&% 6&%
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.
&agaimanakah
#i RW 1 ini sudah terbentuk remaja "osyandu,
kegiatan "osyandu
salah salah satu satu kegi kegiata atann nnya ya yaitu yaitu "eny "enyulu uluha han n $u$i $u$i
remaja di RW 1J 1J
tangan dan gosok gigi. 3nggota sudah terbentuk yaitu dari karang taruna sendiri dan kas juga sudah teris terisi, i, namu namun n untu untuk k kegi kegiata atan n "osy "osyan andu du remaj remajaa
1.
&era"akah jumlah
belum akti, Insyaallah akan akti setelah lebaran 3nggota karang taruna untuk RT 1 berjumlah 11
anggota karang taruna
remaja, RT 4 sekitar + remaja, RT 6 terda"at 1:
untuk RT 1, 4, 5,
remaja. remaja. (ntuk (ntuk RT 5 "erwak "erwakila ilanny nnyaa tidak tidak hadir hadir
dan 6J
dan juga untuk karang taruna selain RT 1, 4, dan
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teta"i belum "ernah tam"il di de"an umum. #an ada ada juga juga yang yang meny menyalu alurk rkan an baka bakatny tnyaa deng dengan an 5.
doodle art. &agaimanakah bentuk ebiasaan negati remaja di lingkungan RW 1 yaitu kebiasaan negati
mero meroko kok. k. emu emung ngki kina nan n kare karena na "eng "engar aruh uh dari dari
kelom"ok remajaJ
lingkungan se"erti orang tua atau"un saudara yang merokok. Teta"i untuk merokok di tem"at umum suda sudah h jaran jarang g setela setelah h ke"em ke"emim" im"in inan an ketu ketuaa RW "eriode lalu. #ulu masih banyak orang buka' bukaan dalam mengkonsumsi miras, setia" ada
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"ersuasi antara "engurus dengan remaja RW 1, yakni yakni dengan dengan mengha menghaal alkan kan nama nama setia" setia" remaja remaja RW 1, sehingga remaja tersebut merasa dihargai dan di"erhatikan dengan hara"an remaja tersebut mem" em"unya nyai
malu
atau
sun sungkan
jik jika
akan
melakukan "erbuatan negati. #i la"a la"ang ngan an teni teniss RW 1 ini ini juga juga ada ada rema remaja ja nongkrong, laki'laki dan "erem"uan. 2amun, tidak ada ada satu satu"u "un n rem remaja aja dari dari RW 1. 1. ara ara yang ang
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agar antar anggota da"at melakukan "emeriksaan tekanan
dara arah
se$a e$ara
mand andiri,
diberi erikan
"enyuluhan mengenai $ara "ertolongan terhada" $idera $idera di la"ang la"angan an ketika ketika bermain bermain utsal, utsal, u"aya u"aya "en$egahan
narkoba,
dan
dihara"kan
remaja
mam"u memanaatkan memanaatkan internet dengan baik baik se"erti .
&agaimana
melakukan bisnis online. %emeriksaan kesehatan dahulu dilakukan di masjid
"elaksanaan "osyandu
meli"uti mengukur tekanan darah dan menimbang
remaja dulu yang
berat badan dan ada "enyuluhan tentang kesehatan
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data kelurahan dan "uskesmas. #ata "engkajian dida"atkan dalam jangka waktu 4 a"ril D 1 !ei 1;. #ata yang telah dianalisa dianalisa akan menghasil menghasilkan kan masalah dan diag diagno nose se
ke"e ke"era rawa wata tan n
sela selanj njut utny nyaa
akan akan
dila dilaku kuka kan n
"ena "ena"i "isa san n
diag diagno nose se
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sehingga menyeru"ai teh 1. . Rema emaja men meng gataka akan sulit untuk
.Remaja RW 1 lebih banyak terlihat
esiagaan meningkatkan
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khususnya remaja yang akti utsal ;. Rema Remaja ja men menga gata taka kan n berminat untuk belajar
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1. %ena"isan %ena"isan !asalah !asalah e"erawat e"erawatan an #ari hasil analisa data, dida"atkan data yang kemudian dilakukan "ena"isan masalah untuk menentukan "rioritas masalah, ada"un "ena"isan tersebut da"at dilihat sebagai sebagai berikut8
N o
Diagnosa Keperawata n
Keterangan A
B
D
!
"
#
$
%
J
Jumla h K
&
Keterangan
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I. Tersed rsedia iany nyaa wakt waktu u /. Tersed rsedia iany nyaa #ana #ana . Tersedi Tersedianya anya asilitas asilitas <. Terse Tersedia dianya nya S#!
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