SDKI (Standar Diagnosis Keperawatan Indonesia)

Minggu, 25 Desember 2022

D.0046

Inkontinensia Urin Stres

Kategori         :  Fisiologis

Subkategori   :  Eliminasi


Definisi

Kebocoran urin mendadak dan tidak dapat dikendalikan karena aktivitas yang meningkatkan tekanan intraabdominal.

Penyebab

1. Kelemahan intrinsik spinkter uretra

2. Perubahan degenerasi/non degenerasi otot pelvis

3. Kekurangan estrogen

4. Peningkatan tekanan intraabdomen

5. Kelemahan otot pelvis

Gejala dan Tanda Mayor

Subjektif

1. Mengeluh keluar urin <50 ml saat tekanan abdominal meningkat (mis saat berdiri, bersin, tertawa, berlari atau mengangkat benda berat)

Objektif

(tidak tersedia)

Gejala dan Tanda Minor

Subjektif

1. Urin tidak tuntas

2. Urgensi miksi

3 Frekuensi berkemih meningkat

Objektif

1. Overdistensi abdomen

Kondisi Klinis Terkait

1. Obesitas

2. Kehamilan/melahirkan

3. Menopose

4. Infeksi saluran kemih

5. Operasi abdomen

6. Operasi prostat

7. Penyakit Alzheimer

8. Cedera medula spinalis


Referensi

Ackley, B J., Ladwig, G. B., & Makic, M. B. F. (2017) Nursing Diagnosis Handbook, An Evidence-Based Guide to Planning Care. 11" Ed. St. Louls. Elsevier, Carpernito-Moyet, L. J. (2013) Nursing Diagnosis Application to Clinical Practice. 14 Ed. Philadelphia: Lippincott Williams & Wilkins.

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

Herdman, T. H., & Kamitsuru, S. (2014) Nursing Diagnosis Definitions and Classification 2015-2017 10" Ed. Oxford: Wiley Blackwell Keyock, K., & Newman, D. (2011) Understanding stress urinary incontinence. The Nurse Practitioner, 36(10), 24-36.

Nowfield, S. A., Hinz, M. D., Tiley, DS, Sridaromont, 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: FA Davis Companny.

Sparks & Taylor (2011) Nursing Diagnosis Pocket Guide Philadelpla Lippincott Willian & Wilkins.

Strothers, L, & Friedman, B (2011) Risk factors for the development of stress urinary Incontinence in women Current Urology Reports, 12, 363-369.

Woodtli, A. (1995) Stress incontinence: clinical identification and validation of defining characteristics Nursing Diagnosis ND: The Official Journal Of The North American Nursing Diagnosis Association, 6(3), 115-122.



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