Analysis of Nursing Care based on Self Care Orem’s Theory among Patients with Urinary Elimination Disorders

Abstract

Introduction : Nursing care in patients with urinary system disorders need to study based on the theory of nursing as an effort to improve the quality of nursing care. Implementation of nursing care in patients with urinary disorders using Self Care Orem’s theory provide an overview of the self-sufficiency level among patients to meet self-care needs independently. This analysis aims to provide an overview of the nursing care implementation based on Self Care Orem’s Theory among patients with urinary system disorders. Method: This case study used 40 respondents with descriptive explorative research design. Role of care provider had performed by implementing nursing care through applying nursing theory of Orem’s Self Care Deficit Theory on 40 patients with renal disease, obstruction urinary tract, carcinoma in urinary tract, and emergency of urinary system. Results: The results of the analysis showed that most of nursing problems are urinary elimination disorder (95%) for universal self-care requisites, lack of knowledge for developmental self-care requisites (82,5%), and anxiety for health deviation self-care requisites (67.5%). Partly compensatory was the most widely used nursing system in nursing diagnoses before evaluation of nursing care was performed (65%). Most patients were at supportive educative compensatory condition when evaluation of nursing care had performed (75%). Guidance, teaching, and directing were the most widely used methods of helping (85%). Conclusion: Nurses can apply the theory of Self Care Orem to improve nursing service quality especially for helping patient with urinary system disorders. Keywords: Self Care Orem’s Theory, Nursing Care, Urinary Elimination Disorder