MANUSCRIPTS

THE CARE OF NURSING A FAMILY WITH THE IMBALANCE NUTRITION NEEDS LESS
THAN THE BODY NEEDS IN MR.S WITH PULMONARY TUBERCULOSIS IN HAMLET
CENDINI VILLAGE TANJUNG IN BRINGIN DISTRICT SEMARANG

By :
LUTFI LAILAH
0141861

DIPLOMA III OF NURSING

PROGRAM FACULTY
NGUDI WALUYO UNIVERSITY
2017

The care of nursing a family with the imbalance nutrition needs less than the body needs in Mr.S
with Pulmonary Tuberculosis in hamlet Cendini village Tanjung in Bringin district Semarang
THE CARE OF NURSING A FAMILY WITH THE IMBALANCE NUTRITION NEEDS
LESS THAN THE BODY NEEDS IN MR.S WITH PULMONARY TUBERCULOSIS IN
HAMLET CENDINI VILLAGE TANJUNG IN BRINGIN DISTRICT SEMARANG.

Lutfi Lailah*, Ahmad Kholid**, Suwanti***

Nursing Faculty of Ngudi Waluyo University
[email protected]

ABSTRACT

Tuberculosis is an infection caused by mycobacterium tuberculosis which can strike in the

various organs a body starting from the and organs from outside the as the skin, the, , joints the
membranes of the brain, the and kidney often called. ekstrapulmonal tuberculosisThe care of
nursing a family with the imbalance nutritional needs less than the body needs in tn.s in family
tn.t with pulmonary tuberculosis in hamlet cendini desa tanjung in bringin district semarang
Methods used is giving the care of nursing needs nutrition in disease pulmonary
tuberculosis.The care of nursing was done for 4 days on family used technique interviews and
observation to family and clients.
The results obtained imbalance management nutritional needs less than the body needs
in some pulmonary tuberculosis measures on the families re explaining what is the, of
tuberculosis how to handle, and treatment in family members in accordance with these
problems.Advice for health services in the regions should be more intensive visited community
and many providing information health.

Key words : Pulmonary tuberculosis, The imbalance nutrients

literature : 36 (2008-2016)

The care of nursing a family with the imbalance nutrition needs less than the body needs in Mr.S
with Pulmonary Tuberculosis in hamlet Cendini village Tanjung in Bringin district Semarang
INTRODUCTION is a pile of two or more individuals connected
Based on the world health by marriage, adoption and birth intended to
organisation ( WHO ) in 2015 there are 9,6 create and to preserve culture is in family is
new million cases of tb in the world and 1,5 evident from the interaction interdependence
million people died of tb in 2014.The each other to achieve a joint purpose
prevalence of tb in indonesia and other (Friedman, 1998 dalam Achjar 2010).
developing negara-negara high.Indonesia Of families were two or more
occupy position three big countries by the individuals who joined because of cognation,
number of cases tuberculosis most after china marriage or adoption in one of households
and india. interact with each other in the role of masing-
Cases in the central java based on the masing and create and benchmark culture
report eradication program infectious (Bailon dan Maglaya 1978 dalam Jhonson &
diseases in 2011 the prevalence of Leny 2010).
tuberculosis per inhabitant of the province Based on the discussion baground in strike
100.000 central java of 74,52.Tuberculosis is over discusses the pulmonary tuberculosis, so
prevalence highest in pekalongan district writer intereted discuss the case study by
(205,5 100.000 per inhabitant of and the tittle about “The care of nursing a family with
lowest in magelang with 20,06 per 100.000 the imbalance nutrition needs less than the
population) (Puspita, n.d.). body needs in Mr.S with Pulmonary
Pulmonary tuberculosis is infectious Tuberculosis in hamlet cendini village Tanjung
disease attack the paru-paru, can be found in Bringin district Semarang.
way through droplet airborne.Pulmonary .”
tuberculosis pulmonary tuberculosis is an
infection in lungs and levels of on struktur- METHOD
struktur around, caused by mycobacterium Methods used an author in a piece of
tuberculosis (Saputra, 2010). writing this is with the descriptive by taking
Tuberculosis is an infection caused by care of nursing academies in “The care of
mycobacterium tuberculosis which can strike nursing a family with the imbalance nutrition
in the various organs a body starting from the needs less than the body needs in Mr.S with
and organs from outside the as the skin, the, , Pulmonary Tuberculosis in hamlet cendini
joints the membranes of the brain, the and village Tanjung in Bringin district Semarang”
kidney often called ekstrapulmonal Starting from doing assessment, the
tuberculosis (Chandra, 2012). determination of the diagnosis nursing,
A person suffering from of intervention, the implementation of, and
tuberculosis will decrease weight, because the evaluation. Deskritif method is the method is
disappearance appetite.While buy food for methods descriptive events important that
the one nutrition, every human life need occurred in the present.Description of events
nutrients to meet the needs in his done systematically and emphasizes more on
body.Nutrition is the process of entering and factual file from conclusion
management of food substances by the body Engineering data collection will be
which aims to produce energy and used in done with technique, interview observation,
bodily activity (Hidayat dan Uliyah, 2015). physical examination, and implementation of
Nutrition is shaping zat-zat important the act of nursing, intervention nursing and
food (nancy nuwer konstantinides) or amount evaluation nursing.
of all interaction between organisms and food
consumed by in other words nutrition is what RESULT ASSESSMENT
people eat and the way the body of use it From the research done on
(Haryono, 2012). independence day on 09 may 2017, from
The role of family for someone who assessment obtained the patient named Mr.S
had tuberculosis very need, the family was the with the data subjective Mr.S said that he not
first support during the treatment.The family know of tuberculosis lungs as, sense cause,

The care of nursing a family with the imbalance nutrition needs less than the body needs in Mr.S
with Pulmonary Tuberculosis in hamlet Cendini village Tanjung in Bringin district Semarang
signs and, symptoms complication a suffered, less interest in the food (Haerdman,
preventive manner, and how to overcome 2015).
nutrition. intakeThe objective tn.s currently Determination to develop diagnose
weight 47 kg, height cm, 165 with the body nursing using analysis SWOT Which includes an
mass index 17,2. effort to recognize force, weakness, ,
opportunities and threats (Nisa 2010). Strength
DISCUSSION is within the community on health is the area
Based on the management of cases in health puskesmas in that power family has a
Mr.S with pulmonary tuberculosis for 3 days, weakness one clients rarely if the drug control
there were several problems that emerged in over their clients mengambilkannya to
cases and will be discussed in this section.As hospitals.Opportunities for communities
for discussion on assessment, diagnose, main namely the provision of information through
intervention, implementation and the mass media and electronic, from the data
evaluation.Studies on Mr.S found some in be family never received counseling
problems nursing include: the seimbangan resulting in a threat to tahuan in treating the
nutritional needs: less than the body needs good of tuberculosis in family and
from the study authors get files as follows: environment.
found subjective said data patients do not
know what caused the, of tuberculosis signs INTERVENTION
and, symptoms complication, how to prevent, Intervention to deal with imbalance
meet intake of nutrition and handling. wayThe nursing about nutritional needs: less than the
main complaint currently tn.s said it was often body needs, then on tuesday, 09 May 2017
coughing, suffocation, and no appetite.Weight Writer formulate intervention nursing
tn.s currently has decreased weight currently according to the diagnosis. Planning nursing
47 kg height BMI 17,2. 165. community care arranged based on the
The imbalance nutrition less than the diagnosis nursing set.The nursing compiled
body the intake nutrients are not be enough must cover the formulation, purposes nursing
to cover the metabolism of the body (Riyadi, specific action plan to be performed and
2010). While in the body we need energy to criteria results to assess reaching its objectives.
activity so it needs intake the right and (Widyanto 2014)
providing.Nutrition is important element in In preparing the intervention, nurses
the process and the functioning of the must be able to think critically with careful
body.Nutrition itself mencangkup consideration to determine how to help
carbohydrates, proteins, fat, vitamin, minerals clients in solve the problems related to the
and water (Saryono dan Widiati, 2010). health.
For the past, health obtained data that Writer formulate intervention nursing
Mr.S said never had hospital is batuk-batuk made over 3 days aimed at helping patients in
usual, tn.s a smoker active in a day tn.s spent doing actions has independent by coughing
11-12 lintingan tobacco, in the family no one effective, and cleanliness the breath can be
had disease keturunn as asthma, stroke, reduced.
hypertension, diabetes militus and others
IMPLEMENTATION
NURSING DIAGNOSE Implementation is the fourth stage of
Writer going to talk about the nursing. processThis stage emerge if planning
diagnosis priority in Mr.S namely the made apply to clients.The probably the same,
imbalance nutrition needs: less than the body may also differs from order made in planning
needs, associated with less food intake this is (Debora, 2012). To deal with the mr.S
supported by restrictions characteristics implementation done on wednesday, 10 pm
namely: weight % 20 or more under a normal may 2017 12.10 wit, is: get the learning
weight, uninformed about disease is on experience previous: family and the family
knowledge about diseases. pulmonary

The care of nursing a family with the imbalance nutrition needs less than the body needs in Mr.S
with Pulmonary Tuberculosis in hamlet Cendini village Tanjung in Bringin district Semarang
tuberculosisThe goal is to know how many
experience and the knowledge dimilki by the CONCLUDE
so far and give an opportunity for families to In the care of nursing this, writers had
ask, the goal is expected to family to increase worked hard to achieve a goal appropriate
their knowledge. The family mr.s said did not expected as were at the writer submit a
know, counseling or counseling: give proposal and when on the assessment
education health for the tn.s, identify change functional and physical examination.The writer
appetite and akhir-akhir this activity, with do data analysis and found a problem with the
assessing the anthropometry weight tn.s 47 imbalance nursing nutrition less than the body
height 165 BMI 47: ( 1.65x1.65 ) = 17,2, needs
serving food that draws, give rest enough . The writer composing intervention or
The implementation of the latter on plan nursing will be, followed by doing
friday on may 12 2017 writer give the act like implementation include: do education health
was teaching: mr.s not confused and, giving of tuberculosis especially on. nutritional
education health of nutrition family mr.s to needsThen writer evaluate a result of what he
tell back. did, from the imbalance nutrition less than the
body needs.Because the patients with
EVALUATION tuberculosis will decrease appetite.The result
Evaluation nursing on wednesday, 10 is can occur weight loss constantly.After an
may. 2017But data subyektifnya mr.s and evaluation for 3 x 24 hours, problems have ter
family said did not understand what is it patients.
about pulmonary tuberculosis about the
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The care of nursing a family with the imbalance nutrition needs less than the body needs in Mr.S
with Pulmonary Tuberculosis in hamlet Cendini village Tanjung in Bringin district Semarang