VARIATIONS OF NURSING DIAGNOSIS LANGUAGE IN STROKE PATIENTS BASED ON SDKI (STANDARD DIAGNOSIS NURSING INDONESIAN)
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Introduction: The nursing system in Indonesia has an SDKI (Standard Diagnosis Nursing Indonesia) as the basis for determining nursing diagnoses. Inappropriate enforcement of nursing diagnoses based on the SDKI causes the objectives of the SDKI to not be fully achieved. Stroke is a state of cerebrovascular disease that can occur due to death in brain tissue caused by a lack of blood flow and oxygen flow to the brain. This study aims to find out the description of variations in writing nursing diagnoses in stroke patients based on the SDKI in Hospital RSUD Dr. Soegiri Lamongan. Methods: This research method is a documentation study, of 125 medical records of stroke patients at Hospital RSUD Dr. Soegiri Lamongan from August 2021 to February 2022, totaling 125 medical records. The data collection used consecutive sampling. The research was carried out in the working area of Hospital RSUD Dr. Soegiri Lamongan in March 2022. Results: The results showed that nursing diagnoses in patients with hemorrhagic stroke and non-hemorrhagic stroke were based on the SDKI Hospital RSUD Dr. Soegiri Lamongan, which are mostly written by nurses are impaired physical mobility (63%), variations in writing nursing diagnoses according to the SDKI (66%) and not according to the SDKI (34%), signs and symptoms in patients with hemorrhagic stroke and non-hemorrhagic stroke are mostly experienced weakness in moving the right extremity (31%). Conclusions: Nurses in establishing nursing diagnoses are appropriate based on the SDKI.
Bertocchi, L., Dante, A., La Cerra, C., Masotta, V., Marcotullio, A., Caponnetto, V., Ferraiuolo, F., Jones, D., Lancia, L., & Petrucci, C. (2024). Nursing Diagnosis Accuracy in Nursing Education: Clinical Decision Support System Compared With Paper-Based Documentation - A Before and After Study. CIN - Computers Informatics Nursing, 42(1), 44–52. https://doi.org/10.1097/CIN.0000000000001066
Company-Sancho, M. C., Estupinan-Ramirez, M., Sanchez-Janariz, H., & Tristancho-Ajamil, R. (2017). Relacion entre diagnósticos de enfermería y uso de recursos sanitarios. Enfermería Clínica, 27(4), 214–221. https://doi.org/10.1016/j.enfcli.2017.04.002
Duarte-Climents, G., Mauricio, T. F., Gomez-Salgado, J., Moreira, R. P., Romero-Martin, M., & Sanchez-Gomez, M. B. (2021). Assessment of cardiovascular risk factors in young adults through the nursing diagnosis: A cross-sectional study among international university students. Healthcare (Switzerland), 9(1), 1–14. https://doi.org/10.3390/healthcare9010091
Kim, T. Y., Coenen, A., & Hardiker, N. (2012). Semantic mappings and locality of nursing diagnostic concepts in UMLS. Journal of Biomedical Informatics, 45(1), 93–100. https://doi.org/10.1016/J.JBI.2011.09.002
Oliveira-Kumakura, A. R. de S., Sousa, C. M. F. M., Biscaro, J. A., Silva, K. C. R. da, Silva, J. L. G., Morais, S. C. R. V., & Lopes, M. V. de O. (2021). Clinical Validation of Nursing Diagnoses Related to Self-Care Deficits in Patients with Stroke. Clinical Nursing Research, 30(4), 494–501. https://doi.org/10.1177/1054773819883352
Patricia, H., Kembuan, M. A. H. N., & Tumboimbela, M. J. (2015). Karakteristik Penderita Stroke Iskemik Yang Di Rawat Inap Di Rsup Prof. Dr. R. D. Kandou Manado Tahun 2012-2013. E-CliniC, 3(1). https://doi.org/10.35790/ecl.3.1.2015.7402
Puspita, M. R., & Putro, G. (2008). Hubungan Gaya Hidup terhadap Kejadian Stroke di Rumah Sakit Umum daerah Gambiran Kediri. Buletin Penelitian Sistem Kesehatan, 11(3), 263–269.
Rofii, M., Warsito, B. E., Santoso, A., & Ulliya, S. (2018). Diagnosa Keperawatan yang Sering Ditegakkan Perawat Pada Pasien Tuberkulosis Paru di Rumah Sakit. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 1(2), 1. https://doi.org/10.32584/jkmk.v1i2.139
Selvia, D. (2015). Batasan Karakteristik Dan Faktor Yang Berhubungan (Etiologi) Diagnosa Keperawatan: Hambatan Mobilitas Fisik Pada Pasien Stroke. Universitas Lambung Mangkurat, 3(1).
Simatupang, D. R., & Samaria, D. (2019). Kajian Literatur: Hubungan Antara Tingkat Pengetahuan Tanda Awal Gejala Stroke Dengan Keputusan Mencari Bantuan Kesehatan Pada Individu Dengan Risiko Stroke. Jurnal Keperawatan Widya Gantari Indonesia, 3(1). https://doi.org/10.52020/jkwgi.v3i1.1082
Suryono, & Nugroho, C. (2020). Kompetensi Perawat Mendokumentasikan Diagnosis Keperawatan Berdasarkan Standar Diagnosis Keperawatan Indonesia (SDKI). Jurnal ILKES (Jurnal Ilmu Kesehatan), 11(1), 233–238.
Tim Pokja SDKI DPP PPNI. (2017). Standar Diagnosis Keperawatan Indonesia Definisi dan Indikator Diagnostik, Edisi 1. Jakarta: Dewan Pengurus PPNI. 53(9).
Toral, L. (2021). BE FAST to recognize stroke. Nursing2024, 51(2). https://journals.lww.com/nursing/fulltext/2021/02000/be_fast_to_recognize_stroke.13.aspx
Zakel, J., Chae, J., & Wilson, R. D. (2024). Innovations in Stroke Recovery and Rehabilitation: Poststroke Pain. Physical Medicine and Rehabilitation Clinics of North America, 35(2), 445–462. https://doi.org/https://doi.org/10.1016/j.pmr.2023.06.027
Zhao, Y., Xu, Y., Ma, D., Fang, S., Zhi, S., He, M., Zhu, X., Dong, Y., Song, D. P., Yiming, A., & Sun, J. (2024). The impact of education/training on nurses caring for patients with stroke: a scoping review. BMC Nursing, 23(1), 1–18. https://doi.org/10.1186/s12912-024-01754-x
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