LAPORAN PENDAHULUAN PRAKTIK PROFESI KEPERAWATAN MATERNITAS PROGRAM STUDI ILMU KEPERAWATAN UNIVERSITAS RIAU
Nama mahasiswa
: SEPRINAWA SEPRINAWATI
Nim
: 08114!"4" 08114!"4"
Ta#$$a%
: 0& Ma'() &00*
R+a#$ P'a,)i,
: -ama' III
Dia$#.sa m(/i (/is
: His)( s)('(,).mi ai mi.m i.ma +)('i
I. Definisi dan Klasifikasi
Mi.ma +)('i a/a%ah )+m.' i#a, +)('+s 2a#$ )('/i'i /a'i .).) 3.%.s /a# a'i#$a# i,a) /a'i +)('+s S('i#$ /is(5+) s(5a$ai mi.ma6 7i5'.i/6 7i5'.mi.ma I#si/(#s &0&!9 3a/a wa#i)a 5('+sia /i a)as ! )ah+# ;Sa'w.#.6 &00!< =('/asa',a# %()a,#2a6 mi.ma +)('i /i5a$i m(#a/i :
mi.ma i#)'am+'a : )+m5+h /i /a%am /i#/i#$ +)('+s ;%a3is mi.m()'i+m<
mi.ma s+5s('.s+m: /i 5awah %a3isa# s('.sa +)('+s 3('i).#(+m6 )+m5+h ,( 'ah '.#$$a 3('i).#(+m
mi.ma s+5m+,.s+m : /i 5awah %a3isa# m+,.sa +)('+s (#/.m()'i+m6 )+m5+h ,( a'ah ,a>+m +)('i ;/a3a) 5(')a#$,ai /a# ,(%+a' ,( >a$i#a m(%a%+i ,a#a%is s('>i,a%is6 /is(5+) m2.ma $(5+')<
mi.ma 3a'asi)i, : mi.ma 2a#$ )('%(3as /a'i a'i#$a# i#/+,#2a6 ,(m+/ia# m(%(,a) 3a/a a'i#$a# %ai# ;misa%#2a .m(#)+m %i$am(#)+m< ,(m+/ia# m(#/a3a) >as,+%a'isasi /a# )+m5+h 3a'asi)i,
mi.ma 3(/+#?+%a'is : mi.ma 2a#$ )+m5+h m(#a/i massa s(#/i'i /i /a%am '.#$$a 3('+) P(#$a'+h mi.ma 3a/a ,(hami%a# /a# 3('sa%i#a#
A
M(#$+'a#$i ,(m+#$,i#a# wa#i)a m(#a/i hami%6 )('+)ama 3a/a mi.ma +)('i s+5m+,.s+m
=
K(m+#$,i#a# a5.')+s 5(')am5ah
-
K(%ai#a# %()a, a#i# /a%am 'ahim )('+)ama 3a/a mi.ma 2a#$ 5(sa' /a# %()a, s+5s('+s
D
M(#$ha%a#$ha%a#$i %ahi'#2a 5a2i6 )('+)ama 3a/a mi.ma 2a#$ %()a,#2a /i s('>i@
E
M(m3('s+%i) %(3as#2a 3%as(#)a
His)('(,).mi a/a%ah .3('asi 3(#$a#$,a)a# +)('+s 2a#$ /i%a,+,a# +#)+, m(#$a)asi ,.#/isi ma%i$#a a)a+ #.# ma%i$#a#) +#)+, m(#$.#)'.% 3('/a'aha# 2a#$ m(#$a#?am ,(hi/+3a# /a# i#7(,si 3(%>i? 2a#$ )i/a, /a3a) /i,(#/a%i,a# a)a+ '+3)+'( 2a#$ )i/a, /a3a) /i3('5ai,i ;Sa'w.#.6 &00!<
II. Etiologi
P(#2(5a5 mi.ma +)('i 5(%+m (%as6 )()a3i /i/+$a ,a'(#a h.'m.#( (s)'.$(# Es)'.$(# 5('3(#$a'+h a)as )im5+%#2a mi.ma +)('i Pa/a a'i#$a# mi.ma6 )('/a3a) +m%ah '(s(3).' (s)'.$(# 2a#$ %(5ih )i#$$i /i5a#/i#$,a# a'i#$a# mi.m()'i+m s(,i)a'#2a Ka'(#a a/a h+5+#$a# a#)a'a mi.ma /(#$a# h.'m.# (s)'.$(# ma,a: mi.ma +)('i m(m5(sa' 3a/a +sia '(3'./+,si /a# '($'(si 3a/a 3as?am(#.3a+s( mi.ma +)('i sa#$a) '(s3.#si7 )('ha/a3 )('a3i .5a) G#RH a#a%.$
III. Patofisiologi
IV. Manifestasi klinis B. P('/a'aha# m(#.'ha$ia6 ,a'(#a 3('m+,aa# ,a>+m +)('i 2a#$ %(5ih %+as
/a# a/a#2a $a#$$+a# ,.#)'a,si +)('+s a,i5a) massa )+m.' C. P(#(,a#a# 3a/a ,a#/+#$ ,(mih6 +'()('6 '(,)+m a)a+ .'$a# '.#$$a 3a#$$+%
%ai##2a D. N2('i : a,i5a) /($(#('asi mi.ma a)a+ ,.#)'a,si +)('+s 5('%(5iha# 3a/a
mi.ma s+5m+,.s+m E. I#7(')i%i)as : /a3a) /is(5a5,a# /is).'si )+5a6 $a#$$+a# im3%a#)asi 3a/a
(#/.m()'i+m6 .,%+si ,a#a%is (#/.s('>i,s6 /a# s(5a$ai#2a
V. Pemeriksaan Penunjang
A H2s)('.$'a7i a)a+ H2s)('.s,.3i: a,a# )('%iha) $am5a'a# 5(#)+, /a# %()a, mi.ma 3a/a +)('+s = S.#/a$(: 5(#)+, ,a>+m +)('i 2a#$ 5(sa' /a# 'a)a
VI. Penatalaksanaan
P(')im5a#$a# )('a3i mi.ma +)('i 5i%a : )+m.' 5(sa' m(#$isi '.#$$a 3(%>is6 /iam()(' m(%(5ihi 8 ?m 3('/a'aha# a5#.'ma% 2a#$ )i/a, )(',(#/a%i /(#$a# m(/i,am(#).sa 3(')+m5+ha# )+m.' ?(3a) ;?+'i$a /($(#('asi $a#as mi.sa',.ma< )+m.' m(m5(sa' /a# )i/a, m(#$(?i% 3a/a 3.s)m(#.3a+s(
o
P(m5(/aha# : his)('(,).mi ;i,a )i/a, a/a '(#?a#a hami% %a$i<6 a)a+ mi.m(,).mi ;3a/a +sia '(3'./+,si masih '(#?a#a hami%< Nam+# i,a massa )+m.' )('%a%+ 5(sa' a)a+ %+as6 ,a/a#$ )i/a, m(m+#$,i#,a# ha#2a /i%a,+,a# 3(#$a#$,a)a# massa )+m.'6 s(hi#$$a )()a3 /i%a,+,a# his)('(,).mi
o
P(#$(?i%a# )+m.' s(m(#)a'a /(#$a# .5a).5a)a# G#RH a#a%.$6 m(/'.@23'.$(s)('.#6 /a#a.% ;)(s).s)('.#<
o
Ma,'.s,.3i, 3as?a.3('asi : mi.ma m(mi%i,i %a3isa# ,a3s+% 2a#$ )($as6 /a3a) /i3isah,a# /i,+3as /a'i massa )+m.'#2a
VII. Asuhan Keperawatan . PE!"KA#IA!
a I/(#)i)as Pasi(# M(%i3+)i #ama6 +m+'6 3(#/i/i,a#6 s+,+ 5a#$sa6 3(,('aa#6 a$am6 a%a ma)6 s)a)+s 3(',awi#a#6 a%ama) 5 Da)a Riwa2a) K(s(ha)a# 1< Riwa2a) ,(s(ha)a# s(,a'a#$
M(%i3+)i ,(%+ha# a)a+ 2a#$ 5('h+5+#$a# /(#$a# $a#$$+a# a)a+ 3(#2a,i) /i'asa,a# saa) i#i /a# ,(%+ha# 2a#$ /i'asa,a# s()(%ah 3asi(# .3('asi &< Riwa2a) K(s(ha)a# Dah+%+ M(%i3+)i 3(#2a,i) 2a#$ %ai# 2a#$ /a3a) m(m3(#$a'+hi 3(#2a,i) s(,a'a#$6 Ma,s+/#2a a3a,ah 3asi(# 3('#ah m(#$a%ami 3(#2a,i) 2a#$ sama ( Mi.ma +)('i ). < Riwa2a) K(s(ha)a# K(%+a'$a M(%i3+)i 3(#2a,i) 2a#$ /i/('i)a 3asi(# /a# a3a,ah ,(%+a'$a 3asi(# a/a +$a m(m3+#2ai 'iwa2a) mi.ma +)('i 4< Riwa2a) P('sa%i#a# M(%i3+)i (#is 3('sa%i#a#: s3.#)a#6 S-6 )i#/a,a# ;(,s)'a,si 7.'s(36 (,s)'a,si >a,+ma$i#a E,s)'(mi)as : ,(%iha)a# %(mah E%imi#asi : ,(5iasaa# =A==AK6 s('i#$ 5(',(mih Is)i'aha) /a# ,(#2ama#a# : 3.%a )i/+'6 $a#$$+a# )i/+' N+)'isi /a# ?ai'a#: #a7s+ ma,a#6 as+3a# #+)'isi /a# ?ai'a# ( Da)a Psi,.%.$is 1< Pasi(# 5iasa#2a /a%am ,(a/aa# s(/ih6 ,(?(wa6 'asa 5('sa%ah )('ha/a3 /i'i s(#/i'i6 m('asa )($a#$ /a# )i/a, 5isa )i/+'
&< Pasi(# 5iasa#2a ?(mas a,a# ,(a/aa# s(,s+a%i)as#2a < Ha'$a /i'i 3asi(# )('$a#$$+
7
Da)a P(m('i,saa# P(#+#a#$ H2s)('.s,.3i /a# USG +#)+, m(%iha) a/a#2a mi.ma +)('i
$. Diagnosa Keperawatan
A Ga#$$+a# 'asa #2ama#: #2('i a,+) 5/ %+,a i#sisi 3.s) .3('asi = Ga#$$+a# 3(m(#+ha# ,(5+)+ha# #+)'isi 5/ i#)a,( i#a/(,+a) - Ga#$$+a# ,.#s(3 /i'i: $am5a'a# /i'i 5/ 3('+5aha# s)'+,)+' )+5+h: his)('(,).mi D A#si()as 5/ ,+'a#$#2a 3(#$()ah+a# )(#)a#$ 3(#2a,i)#2a E Ha'$a /i'i '(#/ah 5/ 3('asaa# )i/a, 5('$+#a
%. Inter&ensi Keperawatan dan 'asional
A
Ga#$$+a# 'asa #2ama#: #2('i a,+) 5/ %+,a i#sisi 3.s) .3('asi T++a# : S()(%ah /i%a,+,a# )i#/a,a# @ ! am #2('i /a3a) 5(',+'a#$ /a# )('a)asi K'i)('ia hasi% :
K%i(# m(#$+#$,a3,a# #2('i 5(',+'a#$
K%i(# /a3a) )(#a#$
K%i(# mam3+ m(#$.#)'.% #2('i
I#)('>(#si : 1 Kai )i#$,a) ,()i/a,#2ama#a# m(%a%+i is2a'a) >('5a% /a# #.#>('5a%6 3('ha)i,a# 3(#$a'+h 5+/a2a )('ha/a3 '(s3.# #2('i Rasional : M('+3a,a# 3(#$a%ama# s+52(,)i7 /a# ha'+s /i(%as,a# .%(h 3asi(# a)a+ i/(#)i7i,asi ,a'a,)('is)i, #2('i /a# 7a,).' 2a#$ 5('h+5+#$a# /(#$a# m('+3a,a# s+a)+ ha% 2a#$ ama) 3(#)i#$ +#)+, m(mi%ih i#)(#si)as 2a#$ ?.?., +#)+, m(#$(>a%+asi ,((7(,)i7a# /a'i )('a3i 2a#$ /i5('i,a#6 m(mahami 3('+5aha# 7isi.%.$is /a# %a)a' 5(%a,a#$ 5+/a2a & Aa',a# )(,#i, '(%a,sasi #a7as /a%am +#)+, m(#$.#)'.% #2('i
Rasional : Da3a) m(m5%., im3+%s #2('i /a%am ,.')(,s s('(5'a%
La,+,a# '(3.sisi s(s+ai i#/i,asi6 misa%#2a mi'i#$6 s(mi7.w%(' Rasional : Da3a) m(#i#$,a),a# si',+%asi /a# m(#$+'a#$i 'asa sa,i) P.sisi s(mi7.w%(' /a3a) m(#$+'a#$i )($a#$a# .).) a5/.mi#a% /a# .).) 3+#$$+#$ a')'i)is6 s(/a#$,a# mi'i#$ m(#$+'a#$i )(,a#a#
/.'sa%
4 =('i,a# )i#/a,a# ,(#2ama#a#6 mis6 3ia)a# 3+#$$+#$6 '(%a,sasi Rasional : M(#i#$,a),a# '(%a,sasi /a# m(#i#$,a),a# ,.3i#$ 3asi(# /(#$a# m(m7.,+s,a# ,(m5a%i 3('ha)ia# ! K.%a5.'asi 3(m5('ia# a#a%$(si, Rasional : M(#$+'a#$i 'asa #2('i
=
Ga#$$+a# 3(m(#+ha# ,(5+)+ha# #+)'isi 5/ i#)a,( i#a/(,+a)
T++a# : S()(%ah /i%a,+,a# )i#/a,a# ,(3('awa)a# @ &4 am as+3a# #+)'isi a/(,+a) K'i)('ia hasi% :
K%i(# m(#+#+,,a# 3(#i#$,a)a# #a7s+ ma,a#
K%i(# /a3a) m(m3(')aha#,a# m(#i#$,a),a# ==
K%i(# m(#+#+,,a# )i#$,a) (#('$i 5iasa#2a
I#)('>(#si: 1 Kai 3(mas+,a# /i() Rasional : M(m5a#)+ m(#$i/(#)i7i,asi /(7isi(#si /a# ,(5+)+ha# /i() & I/(#)i7i,asi ma,a#a# 2a#$ /is+,ai/i,(h(#/a,i )('mas+, ,(5+)+ha# ()#i,,+%)+'a% Rasional : Ci,a ma,a#a# 2a#$ /is+,ai 3asi(# /a3a) /imas+,,a# /a%am 3('(#?a#aa# ma,a#6 ,('asama i#i /a3a) /i+3a2a,a# s()(%ah 3+%a#$ A+s,+%)asi 5isi#$ +s+sB 3a%3asi a5/.m(# Rasional : M(#(#)+,a# ,(m5a%i#2a 3('is)a%)i, 4 Li5a),a# ,(%+a'$a 3asi(# 3a/a 3('(#?a#aa# ma,a# s(s+ai i#/i,asi
Rasional : M(#i#$,a),a# 'asa ,()('%i5a)a##2aB m(m5('i,a# i#7.'masi 3a/a ,(%+a'$a ! A#+',a# m(m5('i,a# ma,a# s(/i,i) /a# s('i#$ Rasional : M(mi#ima%,a# 'asa m+a% 2a#$ /ia%ami 3asi(# - Ga#$$+a# ,.#s(3 /i'i: $am5a'a# /i'i 5/ 3('+5aha# s)'+,)+' )+5+h: his)('(,).mi T++a# : S()(%ah /i%a,+,a# )i#/a,a# ,(3('awa)a# @ &4 am $am5a'a# /i'i ,i(# 5ai, K'i)('ia hasi% :
K%i(# ma+ 5('5i?a'a K%i(# /a3a) m(#('ima ,(a/aa##2a /a# 5('a/a3)asi /(#$a# /i'i#2a
Tim5+% 'asa 3('?a2a /i'i ,%i(# I#)('>(#si: 1 =(#)+, h+5+#$a# a)as /asa' sa%i#$ 3('?a2a /a# )('5+,a Rasional : M(m+%ai s+a)+ h+5+#$a# /(#$a# a)as /asa' sa%i#$ 3('?a2a a,a# m(m3('m+/ah /a%am m(#$(#a%i masa%ah 2a#$ )('a/i 3a/a ,%i(# & La,+,a# ,.m+#i,asi )('a+3()i, /(#$a# ?a'a m(#2(/ia,a# wa,)+ 2a#$ ?+,+3 +#)+, m(#/(#$a',a# ,(%+ha# /a# 'asa )a,+) 3asi(# Rasional : U#)+, m(m5i#a h+5+#$a# sa%i#$ 3('?a2a Dis,+si,a# 3('s(3si ,%i(# )(#)a#$ 3('+5aha# 3a/a /i'i#2a /a# 5a$aima#a /ia m(%iha) /i'i#2a s(5a$ai ma#+sia 5iasa Rasional : M(#i#$,a),a# 'asa 3('?a2a /i'i 3asi(# ,(m5a%i 4 C(%as,a# ,(3a/a ,%i(# a')i /a'i ,(hi%a#$a# 5ai, /a'i s($i 3.si)i7 ma+3+# #($a)i7 Rasional : M(#?($ah )('a/i#2a 'asa )a,+) 2a#$ 5('%(5iha# /a# )i#/a,a# m(#?(/('ai /i'i s(#/i'i ! =a#)+ 3asi(# m(#('ima 3('asaa# /a# 3i,i'a##2a Rasional : M(m5a#)+ /a%am m(m(?ah,a# masa%ah 3asi(#6 m(#?($ah 'asa 5('sa%ah 3a/a /i'i#2a
VIII. Daftar Pustaka(
=.5a,6 IM6 /,,;&00!< Keperawatan maternitas E/ 4 Ca,a')a: EG- D.(#$(s6 ME ;&000< R(#?a#a as+ha# ,(3('awa)a#: Pedoman untuk perencanaan dan pendokumentasian perawatan pasien E/isi Ca,a')a : EG- P'i?(6 S2%>ia A ;&00< Pa).7isi.%.$i: Konsep klinis proses-proses penyakit (/: Ca,a')a : EG- Sa'w.#.6 P ;&00!< Ilmu kebidanan. E/ Ca,a')a: a2asa# =i#a P+s)a,a Sa'w.#. P'awi'.ha'/. S2%>ia L.''ai#( ;1**!< Patofisiologi konsep klinis proses-proses penyakit ed: 4 Ca,a')a: EG-
ASUHAN KEPERAWATAN MATERNITAS POST HISTEREKTOMI ATAS INDIKASI MIOMA UTERI DI RUANG ANGGREK RSUD =ANUMAS
Di s+s+# .%(h :
HENING MUCI RAHARCO ;A0101"0<
PROGRAM STUDI DIIIVKEPERAWATAN SEKOLAH TINGGI ILMU KESEHATAN MUHAMMADIAH GOM=ONG &01!&01
