D.0056
Intoleransi Aktivitas
Kategori : Fisiologis
Subkategori : Aktivitas/Istirahat
Definisi
Ketidakcukupan energi untuk melakukan aktivitas sehari-hari.
Penyebab
1. Ketidakseimbangan antara suplai dan kebutuhan oksigen
2. Tirah baring
3. Kelemahan
4. Imobilitas
5. Gaya hidup monoton
Gejala dan Tanda Mayor
Subjektif
1. Mengeluh lelah
Objektif
1. Frekuensi jantung meningkat >20% dari kondisi istirahat
Gejala dan Tanda Minor
Subjektif
1. Dispnea saat/setelah aktivitas
2. Merasa tidak nyaman setelah beraktivitas
3. Merasa lemah
Objektif
1. Tekanan darah berubah >20% dari kondisi istirahat
2. Gambaran EKG menunjukkan aritmia saat/setelah aktivitas
3. Gambaran EKG menunjukkan iskemia
4. Sianosis
Kondisi Klinis Terkait
1. Anemia
2. Gagal jantung kongestif
3. Penyakit jantung koroner
4. Penyakit katup jantung
5. Aritmia
6. Penyakit paru obstruktif kronis (PPOK)
7. Gangguan metabolik
8. Gangguan muskuloskeletal
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. Louis Elsevier Carperito-Moyat, LJ. (2013). Nursing Diagnosin Application to Clinical Praction, 14 Ed. Philadelphia: Lippincott Williams & Wilkins. de Souza, V. Zeitoun, S. S., Lopes, C. T., de Oliveira, A. D., Lopes, J. L. & de Barros,AL (2015) Clinical usefulness of the definitions for defining characteristics of activity intolerance, excess fluid volume and decreased cardiac output in decompensated heart failure: a descriptive exploratory study Journal of Clinical Nursing, 24(17-18). 2478-2487. doi:10.1111/jocn. 12832 Doenges, M. E., Moorhouse, M. F., & Murr, 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. Hur, H. K., Park, S. M., Kim, S. S., et al. (2005). Activity intolerance and impaired physical mobility in elders. Int J of Nursing Terminologies and Newfield, S.Classifications, 16(3-4), 47-53. A., Hinz, M. D., Tiley, D. S., Sridaromont, K. L, Maramba, P. J (2012) Cox's Clinical Applications of Nursing Diagnosis Adult, Child, Women's, Mental Health, Gerontic, and Home Health Considerations. 6 Ed. Philadelphia: FA. Davis Company Rodrigues,C. G., Moraes, M. A., Sauer, J. M., Kalil, R. K., & de Souza, E. N. (2011). Nursing diagnosis of activity intolerance: clinical validation in patients with refractory angina International Journal Of Nursing Terminologies And Classifications: The Official Joumal Of NANDA International, 22(3), 117- 122. doi:10.1111/j.1744-618X.2011.01182.x
