Khoirunnisa Khoirunnisa, Allenidekania Allenidekania, Hayati Happy
Faculty of Nursing, Universitas Indonesia.
Akademi Keperawatan RSPAD Gatot Soebroto Jakarta.
Pediatr Rep. 2020 Jun 25;12(Suppl 1):8697. doi: 10.4081/pr.2020.8697.
Febrile neutropenia is a complication of chemotherapy that occurs in children with cancer. This paper aimed to provide an overview of the application of the Levine Energy Conservation Model for treating fever neutropenia in children with cancer. The method involved a case study of five children with cancer treated for febrile neutropenia using the nursing process approach. The nursing process, according to the Levine Energy Conservation Model, focuses on increasing the body's adaptability through four forms of conservation, namely, the conservation of energy, personal integrity, structural integrity, and social integrity. Trophicognosis in the five cases under management identified hyperthermia and the risk of infection transmission. Other nursing problems were nutritional imbalances that were less than the body's needs and the risk of bleeding. These problems can hinder the process of adapting children with cancer to the challenges of disease and the treatment of side effects in achieving self-integrity.
发热性中性粒细胞减少是癌症患儿化疗过程中出现的一种并发症。本文旨在概述莱文能量守恒模型在治疗癌症患儿发热性中性粒细胞减少中的应用。方法是对五名接受发热性中性粒细胞减少治疗的癌症患儿进行案例研究，采用护理程序方法。根据莱文能量守恒模型，护理程序侧重于通过四种守恒形式提高身体的适应性，即能量守恒、个人完整性守恒、结构完整性守恒和社会完整性守恒。对五例受治病例的营养诊断发现了体温过高和感染传播风险。其他护理问题包括营养失衡，即营养低于身体需求以及出血风险。这些问题可能会阻碍癌症患儿适应疾病挑战以及应对副作用治疗以实现自我完整性的过程。
