Studi Kasus : Manajemen Nyeri pada Pasien dengan Post Operasi Low Anterior Resection (LAR) di Ruangan Irina A Bawah RSUP. Prof.Dr.R.D Kandou Manado

  • Imelda Sirait Fakultas Kedokteran, Program Studi Ilmu Keperawatan, Universitas Sam Ratulangi, Manado.
Keywords: Pain management, Low Anterior Resection

Abstract

Background: Rectal cancer is one of the malignancies in the colon and rectum that specifically attacks the rectum that occurs due to the onset of the mucosa / epithelium where over time necrose and ulcers arise. Management of rectal cancer consists of surgical management and medical management. Surgery performed on rectum cancer is with low anterior resection (LAR) surgery.  Low anterior resection (LAR) is an operation performed to treat rectum cancer. Method: This study is a case study, the sample of this study is patients with rectum cancer postoperative low anterior resection (LAR) at the Central General Hospital Prof. Dr. R.D Kandou Manado. Data collection was carried out using interviews, observations, and review of patient medical records.
Result: the client experienced acute pain as the main nursing problem in this case. Furthermore, establish nursing interventions by referring to the Indonesian Nursing Intervention Standards (SIKI), namely: Pain Management 1) Identify the location, characteristics, duration, frequency, quality, and intensity of pain, 2) Identify pain scales, 3) Identify non-verbal pain responses, 4) Identify factors that relieve and aggravate pain, 5) Provide non-pharmacological techniques to reduce pain, 6) Environmental control that aggravates pain,  7) Facilitation of rest and sleep, 8) Explain pain relief strategies, 9) Collaboration ; administration of analgesics if necessary.
Conclusion: Breathing relaxation techniques can affect the intensity of pain in postoperative patients because there is a significant difference between before and after breathing relaxation techniques.

References

Agustin, Loese, J.D., (2001). Peripheral Pain Mechanism and Nociceptic Plasticity, In Bonica’s Management of Pain, Lippicott Williams and Wilkins

Vadivelu N, Mitra S, Narayan D. (2010). Recent Advances in Postoperative Pain Management. Yale Journal of Biology and Medicine, 83 pp. 11-25.

Mampuk, V.S & Mokoagow, F. (2017). Pengaruh Teknik Relaksasi Nafas Dalam terhadap Penurunan Intensitas Nyeri Post Operasi Sectio Caesare di Ruangan Maria RS Pancaran Kasih GMIM Kota Manado. Journal of Community & Emergency. Vol.5 No.1 1-10

Asman, A & Maifita, Y. (2019). Effect of Deep Breathing Relaxation Techniques for Reducing Pain after Hernia Surgery in Inpatient of Regional Hospital Pariaman West Sumatera Indonesia. International Journal of Research & Review. Vol.6 No.8 (444-447)

Prasetyo, S.N., (2010). Konsep dan Proses Keperawatan Nyeri. Yogyakarta : Graha Ilmu

Potter & Perry. (2010). Fundamental of Nursing 7th Edition. Jakarta : Salemba Medika

Ernawati. (2010). Terapi Relaksasi terhadap Nyeri Dismenore pada Mahasiswi Universitas Muhammadiyah Semarang. Jurnal Unimus

Saragih, I. S., Rupang, E. R., Tampubolon, L., Ginting, A. A. Y., & Simorangkir, L. (2022). Correlation of Pain Intensity and Pain Interference in Post Operation Patients. Indonesian Journal of Global Health Research, 4(4), 759-768.

Savitri, E. W. (2021). Sebuah Study Kasus tentang Asuhan Keperawatan pada Pasien Dengan Gangguan Sistem Persyarafan: Cedera Kepala Ringan. Elisabeth Health Jurnal, 6(2), 157-159.

Patasik, C.K., (2013). Efektivitas Teknik Relaksasi Nafas Dalam dan Guided Imagery terhadap Penurunan Nyeri pada Pasien Post Operasi Sectio Caesare di Irina D RSUP.Prof.Dr. R.D. Kandou Manado. Ejournal Keperawatan. Vol.1 (1)R. (2018). Kamus Lengkap Bahasa Indonesia. Surabaya: Serba Jaya.

Published
2023-06-30
How to Cite
Sirait, I. (2023). Studi Kasus : Manajemen Nyeri pada Pasien dengan Post Operasi Low Anterior Resection (LAR) di Ruangan Irina A Bawah RSUP. Prof.Dr.R.D Kandou Manado. Elisabeth Health Jurnal, 8(1), 60-64. https://doi.org/10.52317/ehj.v8i1.526