SDKI (Standar Diagnosis Keperawatan Indonesia)

Minggu, 25 Desember 2022

D.0041

Inkontinensia Fekal

Kategori         :   Fisiologis

Subkategori   :   Eliminasi


Definisi

Perubahan kebiasaan buang air besar dari pola normal yang dengan pengeluaran feses secara involunter (tidak disadari).

Penyebab

1. Kerusakan susunan saraf motorik bawah

2 Penurunan tonus otot

3. Gangguan kogntif

4 Penyalahgunaan laksatif

5. Kehilangan fungsi pengendalian sfingter rektum

6. Pascaoperasi pulthrough dan penutupan kolosomi

7. Ketidakmampuan mencapai kamar kecil

8 Diare kronis

9 Stres berlebihan

Gejala dan Tanda Mayor

Subjektif

1 Tidak mampu mengontrol pengeluaran feses

2. Tidak mampu menunda defekasi

Objektif

1. Feses keluar sedikit-sedikit dan sering

Gejala dan Tanda Minor

Subjektif

(tidak tersedia)

Objektif

1. Bau feses

2. Kulit perianal kemerahan

Kondisi Klinis Terkalt

1. Spina bifida

2. Atresia ani

3. Penyakit Hirschsprung


Referensi

Ackley BJ. Ladwig, G. B., & Maki, M. B. F. (2017) Nursing Diagnosis Hand An Evidence-Based Guide to Planning Care 11 Ed. St. Louis: Elsevier.

Atola, P et al (2010) Prevalence of fecal incontinence in adults aged 30 years or more in general population Colorectal Disease, 12(7), 857-891.

Biss. D. Z., et al. (2000) Fecal incontinence in hospitalized clients who are outly Nursing Research, 40(2), 101-108.

Carpemito-Moyet, LJ. (2013). Nursing Diagnosis Application to Clinical Practice. 14" Ed. Philadelphia: Lippincott Williams & Wilkins.

Doenges, M. E, Moorhouse, M. F., & Mur, A. C. (2013) Nursing Diagnosis Manual Planning. Individualizing and Documenting Client Care 4 Ed. Philadelphia: F. A. Davis Company.

Herdman, T. H, & Kamitsuru, S. (2014) Nursing Diagnosis Definitions and Classification 2015-2017. 10" Ed Oxford: Wiley Blackwell.

Johanson, J. F., Irizarry, F., & Doughty, A. (1997). Risk factors for fecal incontinence in a nursing home population. Journal of Clinical Gastroenterology, 24,156.

Newfield, S. A., Hinz, M. D, Tiley, D. S. Snidaromont, K. L. Maramba, PJ (2012) Cox's Clinical Applications of Nursing Diagnosis Adult, Child, Women's Mental Health, Gerontic, and Home Health Considerations 6 Ed. Philadelphia F.A. Davis Company



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