Aplikasi Model Adaptasi Roy pada Anak dengan Ruam Popok
Abstract
This study aims to provide an overview of the application of Roy's adaptation model to children who experience skin integrity damage in the form of diaper rash. The research method used was a case study on five pediatric patients. Based on Roy's adaptation model, nursing care begins with a behavioral assessment of physiology, self-concept, role function, and interdependence. The evaluation is continued with a stimulus assessment consisting of focal, contextual, and residual stimuli. After obtaining data based on the review, the authors formulate nursing problems that arise based on whether the child's response is adaptive or ineffective. Nursing interventions and evaluations are based on the Indonesian Nursing Diagnosis Standards (IDHS) nursing care. The results showed that Roy's adaptation model was recommended for providing nursing care to children with damaged skin integrity through diaper rash. In conclusion, nursing care using the Roy adaptation model can be implemented in pediatric patients with problems with impaired skin integrity in the form of diaper rash.
Keywords: Children, Impaired Skin Integrity, Model Roy, Diaper Rash
References
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Diana, I. A., Gondokaryono, S. P., Sugito, T. L., Lokanata, M. D., Agustin, T., Rahmayunita, G., Maharani, I., Shoraya, N., Toyoshima, H., & Yunaidi, D. A. (2020). A Randomized, Controlled, Cross-Over Study of the Safety and Efficacy of Superabsorbent Diaper for Babie with Mild-to-Moderate Diaper Rash. Medical Journal of Indonesia, 29(3), 283–289. https://doi.org/https://doi.org/10.13181/mji.oa.203630
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Gustin, J., Bohman, L., Ogle, J., Fadayel, G., Mitchel, M. C., Narenran, V., Visscher, M. O., & Carr, A. N. (2021). Improving Newborn Skin Health: Effects of Diaper Care Regimens on Skin pH and Erythema. Pediatric Dermatology, 1–7. https://doi.org/http://dx.doi.org/10.1111/pde.14602
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Kurniawan, F. A., & Alfiyanti, D. (2022). Pemberian Virgin Coconut Oil (VCO) Menurunkan Skor Diaper Dermatitis pada Bayi. Jurnal Ners Muda, 3(3), 277–283. https://doi.org/https://doi.org/10.26714/nm.v3i3.9115
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Manav, D. (2023). The Severity of Diaper Dermatitis and the Effects of Caregivers’s Habits on Infants’ Behaviors. Turkish Journal of Dermatology, 15(2), 34–39. https://doi.org/10.4103/tjd.tjd_17_21
Melati, R., Allenidekania, A., & Hayati, H. (2020). Effectiveness of Roy Adaptation Model in Management Case of Future Neutropenia in Children in Cipto Mangunkusumo Hospital. Jurnal Ilmiah Keperawatan Altruistik, 3(1), 1–9. https://doi.org/10.48079/Vol3.Iss1.49
Mustaqimah, M., Nurhayati, N., Roselina, E., Caswini, N., Efendi, M., Dessyria, E., & Rusana. (2021). Penggunaan Virgin Coconut Oil (VCO) Efektif Mencegah Ruam Popok Bayi Baru Lahir. Jurnal Ilmu Keperawatan Anak, 4(1), 1–6. https://doi.org/10.32584/jika.v4i1.958
Petek, T. H., Petek, M., Petek, T., & Varda, N. M. (2022). Emerging Links between Microbiome Composition and Skin Immunology in Diaper Dermatitis: A Narrative Review. Children, 9(1), 1–11. https://doi.org/10.3390/children9010112
Rashki, Z., & Hojjati, H. (2020). The Effect of Roy Adaptation Model on Maternal Resilence of 7-19 Year Old Children with Thalassemia in Gonbadkavous City. Journal of Pediatric Nursing, 7(1), 41–49. http://jpen.ir/article-1-459-en.htm
Shao, L., & Yu, Y. (2023). The Development of A Nomogram Model for The Individualized Prediction of Diaper Dermatitis Risk in Pediatric Hospitalized Children Aged 1-36 Months. Journal of Tissue Viability, 32(3). https://doi.org/10.1016/j.jtv.2023.01.002
Suebsarakam, P., Chaiyarit, J., & Techasatian, L. (2020). Diaper Dermatitis: Prevalence and Associated Factors in 2 University Daycare Centers. Journal of Primary Care & Community Health, 1, 1–5. https://doi.org/10.1177/2150132719898924
Ursavas, F. E., & Karayurt, O. (2021). Effects of A Roy’s Adaptation Model-Guided Support Group Intervention on Sexual Adjusment, Body Image, and Perceived Social Support in Women with Breast Cancer. Cancer Nursing Journal, 44(6), 382–394. https://doi.org/10.1097/ncc.0000000000000854
Wang, Y., & Wu, D. (2022). A New Approach for Measuring The Air Gap between Diaper and Baby Skin. Textile Research Journal, 93(9–10), 2202–22015. https://doi.org/10.1177/00405175221142249
Aldayel, A. S., Aldayel, A. A., Almutairi, A. M., Alhussain, H. A., Alwehaibi, S. A., & Almutairi, T. A. (2020). Parental Knowledge of Children’s Developmental Milestones in Riyadh, Saudi Arabia. International Journal of Pediatrics (United Kingdom), 2020, 1–8. https://doi.org/10.1155/2020/8889912
Borodicaite, N., Jasionyte, G., & Kisieliene, I. (2020). Diaper Dermatitis in Lithuania: Prevelance, Methods of Prevention and Treatment and Parents’ Knowledge. Journal of Medical Science, 8(13), 252–263. https://www.researchgate.net/publication/340264658_Diaper_dermatitis_in_Lithuania_prevalence_methods_of_prevention_and_treatment_and_parents’_knowledge
Collins, G., Inusah, A.-W., Asumah, M., Kwarteng, P., Ziblim, S.-D., & Dzomeku, P. (2022). Knowledge of Mothers with Children Age 1 to 24 Months on Diaper Dermatitis Management and Associated Practice in A Referral Hospital in Northern Ghana: A Cross Sectional Study. The Pan African Medical Journal, 8(5), 1–15. https://doi.org/http://dx.doi.org/10.11604/pamj-oh.2022.8.5.34112
Diana, I. A., Gondokaryono, S. P., Sugito, T. L., Lokanata, M. D., Agustin, T., Rahmayunita, G., Maharani, I., Shoraya, N., Toyoshima, H., & Yunaidi, D. A. (2020). A Randomized, Controlled, Cross-Over Study of the Safety and Efficacy of Superabsorbent Diaper for Babie with Mild-to-Moderate Diaper Rash. Medical Journal of Indonesia, 29(3), 283–289. https://doi.org/https://doi.org/10.13181/mji.oa.203630
Dib, R., Kazzi, A. A., Windle, M. L., Wolfram, W., Bechtel, K. A., & Balentine, J. R. (2021). Diaper Rash Treatment & Management. Medscape. https://emedicine.medscape.com/article/801222-treatment
Dunk, A. M., Broom, M., Fourie, A., & Beeckman, D. (2022). Clinical Signs and Symptoms of Diaper Dermatitis in Newborn, Infants, and Young Children: A Scoping Review. Journal of Tissue Viablity, 31(3), 404–415. https://doi.org/https://doi.org/10.1016/j.jtv.2022.03.003
Gustin, J., Bohman, L., Ogle, J., Fadayel, G., Mitchel, M. C., Narenran, V., Visscher, M. O., & Carr, A. N. (2021). Improving Newborn Skin Health: Effects of Diaper Care Regimens on Skin pH and Erythema. Pediatric Dermatology, 1–7. https://doi.org/http://dx.doi.org/10.1111/pde.14602
Hosseini, M., & Soltanian, M. (2022). Application of Roy’s Adaptation Model in Clinical Nursing: A Systematic Review. Journal of Iranian Medical Council, 4(5), 540–556. https://doi.org/https://doi.org/http://dx.doi.org/10.18502/jimc.v5i4.11327
Kurniawan, F. A., & Alfiyanti, D. (2022). Pemberian Virgin Coconut Oil (VCO) Menurunkan Skor Diaper Dermatitis pada Bayi. Jurnal Ners Muda, 3(3), 277–283. https://doi.org/https://doi.org/10.26714/nm.v3i3.9115
Lebsing, S., Chaiyarit, J., & Techasatian, L. (2020). Diaper Rashes can Indicate Systemic Conditions Other than Diaper Dermatitis. BMC Dermatology, 20(7). https://doi.org/https://doi.org/10.1186/s12895-020-00104-z
Manav, D. (2023). The Severity of Diaper Dermatitis and the Effects of Caregivers’s Habits on Infants’ Behaviors. Turkish Journal of Dermatology, 15(2), 34–39. https://doi.org/10.4103/tjd.tjd_17_21
Melati, R., Allenidekania, A., & Hayati, H. (2020). Effectiveness of Roy Adaptation Model in Management Case of Future Neutropenia in Children in Cipto Mangunkusumo Hospital. Jurnal Ilmiah Keperawatan Altruistik, 3(1), 1–9. https://doi.org/10.48079/Vol3.Iss1.49
Mustaqimah, M., Nurhayati, N., Roselina, E., Caswini, N., Efendi, M., Dessyria, E., & Rusana. (2021). Penggunaan Virgin Coconut Oil (VCO) Efektif Mencegah Ruam Popok Bayi Baru Lahir. Jurnal Ilmu Keperawatan Anak, 4(1), 1–6. https://doi.org/10.32584/jika.v4i1.958
Petek, T. H., Petek, M., Petek, T., & Varda, N. M. (2022). Emerging Links between Microbiome Composition and Skin Immunology in Diaper Dermatitis: A Narrative Review. Children, 9(1), 1–11. https://doi.org/10.3390/children9010112
Rashki, Z., & Hojjati, H. (2020). The Effect of Roy Adaptation Model on Maternal Resilence of 7-19 Year Old Children with Thalassemia in Gonbadkavous City. Journal of Pediatric Nursing, 7(1), 41–49. http://jpen.ir/article-1-459-en.htm
Shao, L., & Yu, Y. (2023). The Development of A Nomogram Model for The Individualized Prediction of Diaper Dermatitis Risk in Pediatric Hospitalized Children Aged 1-36 Months. Journal of Tissue Viability, 32(3). https://doi.org/10.1016/j.jtv.2023.01.002
Suebsarakam, P., Chaiyarit, J., & Techasatian, L. (2020). Diaper Dermatitis: Prevalence and Associated Factors in 2 University Daycare Centers. Journal of Primary Care & Community Health, 1, 1–5. https://doi.org/10.1177/2150132719898924
Ursavas, F. E., & Karayurt, O. (2021). Effects of A Roy’s Adaptation Model-Guided Support Group Intervention on Sexual Adjusment, Body Image, and Perceived Social Support in Women with Breast Cancer. Cancer Nursing Journal, 44(6), 382–394. https://doi.org/10.1097/ncc.0000000000000854
Wang, Y., & Wu, D. (2022). A New Approach for Measuring The Air Gap between Diaper and Baby Skin. Textile Research Journal, 93(9–10), 2202–22015. https://doi.org/10.1177/00405175221142249
Published
2023-06-30
Section
Articles
Copyright (c) 2023 Susiana Jansen, Elfira Awalia Rahmawati
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
