Manajemen Asuhan Keperawatan Pada Ny.M dengan Masalah Nyeri Akut Post Sectio Caesarea

  • Cholilatur Rohmania Universitas Padjadjaran
  • Ati Surya Mediawati Universitas Padjadjaran
  • Dyah Setyorini Universitas Padjadjaran

Abstract

This study aims to describe the nursing management of acute pain problems in optimal one-day care in the Central Surgical Installation Room (IBS) RSUD using a 3M problem-based analysis (man, method, materials). The results of the research show that by carrying out optimal pain management, starting from assessment to evaluation of pain to optimizing non-pharmacological interventions (music therapy and deep breathing relaxation), patient pain complaints show improvement from moderate to mild scale (NRS) as well as the role of nurses in independent intervention also better. Problems studied in the room include the lack of optimal management of acute postoperative pain (from assessment to evaluation of pain, sometimes it is not done in the room), there is no SOP for pain intervention, there is no guideline for handling pain in the room, and the implementation of independent nurse intervention related to pain has not been implemented. In conclusion, with optimal assessment and evaluation of pain, including non-pharmacological technical interventions that are relatively easy to learn and apply independently by nurses, the results obtained are that the client's pain level is reduced from moderate pain on a scale of 5 to low pain on a scale of 3 on the NRS scale.

 

Keywords: Central Surgical Installation, Nursing Care Management, Acute Pain

References

Atthayasai, J., Chatchumni, M., Eriksson, H., & Mazaheri, M. (2023). Surgical Nurses’ Perceptions of Strategies to Enhance Pain Management Proficiency: A Qualitative Study. Nursing Reports, 13(2), 923–933. https://doi.org/10.3390/nursrep13020081

Bielewicz, J., Daniluk, B., & Kamieniak, P. (2022). VAS and NRS, Same or Different? Are Visual Analog Scale Values and Numerical Rating Scale Equally Viable Tools for Assessing Patients after Microdiscectomy? Pain Research and Management, 2022. https://doi.org/10.1155/2022/5337483

Borges, N. C., de Deus, J. M., Guimarães, R. A., Conde, D. M., Bachion, M. M., de Moura, L. A., & Pereira, L. V. (2020). The incidence of chronic pain following Cesarean section and associated risk factors: A cohort of women followed up for three months. PLoS ONE, 15(9 september). https://doi.org/10.1371/journal.pone.0238634

Chatchumni, M., Eriksson, H., & Mazaheri, M. (2022). Core Components of an Effective Pain Management Education Programme for Surgical Nurses: A Delphi study. International journal of qualitative studies on health and well-being, vol 17. https://doi.org/10.1080/17482631.2022.2110672

Darmawati,Diana Febrita, Aida Fitri,Fithria, Masyithah Audina (2022). Efektivitas Edukasi Manajemen Nyeri pada Pasien yang Menjalani Sectio Caesarea terhadap Kepuasan Pelayanan di Rumah Sakit Umum Daerah dr. Zainoel Abidin. Journal of Medical Science, 2(2), 54–63. https://doi.org/10.55572/jms.v2i2.58

Demelash, G., Berhe, Y. W., Gebregzi, A. H., & Chekol, W. B. (2022). Prevalence and Factors Associated with Postoperative Pain After Cesarean Section at a Comprehensive Specialized Hospital in Northwest Ethiopia: Prospective Observational Study. Open Access Surgery, Volume 15, 1–8. https://doi.org/10.2147/oas.s347920

Devi, F. (2021). Manajemen Nyeri Neuropatik. Jurnal Penelitian Perawat Profesional, 3(1), 179-188. https://doi.org/10.37287/jppp.v3i1.370

Hussen, I., Worku, M., Geleta, D., Mahamed, A. A., Abebe, M., Molla, W., Wudneh, A., Temesgen, T., Figa, Z., & Tadesse, M. (2022). Post-operative pain and associated factors after cesarean section at Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia: A cross-sectional study. Annals of Medicine and Surgery, 81. https://doi.org/10.1016/j.amsu.2022.104321

Iamlaor, U. (2022). A Multifaceted Review Journal in the Field of Pharmacy Guidelines for Regulating the Pain in Post-Operative Patients at Recovery Room of Angthong Hospital. https://doi.org/10.31858/0975-8453.13.4.279-283

Imeraj, Z., Veseli (Bego), D., & Pirushi, R. (2022). The Role of Nursing Staff in Pain Management of Patients with Cancer. Open Access Macedonian Journal of Medical Sciences, 10(G), 455–460. https://doi.org/10.3889/oamjms.2022.9386

Lin, R., Lu, Y., Luo, W., Zhang, B., Liu, Z., & Xu, Z. (2022). Risk Factors for Postpartum Depression in Women Undergoing Elective Cesarean Section: A Prospective Cohort Study. Frontiers in Medicine, 9. https://doi.org/10.3389/fmed.2022.1001855

Nawangsari, H., & Pratiwi, L. (2021). Pengaruh Terapi Pemberian Musik terhadap Intensitas Nyeri pada Pasien dengan Luka Post Seksio Sesaria Hari Pertama di Rumah Sakit Ibu dan Anak. Jurnal Kesehatan Karya Husada, 9(2), 133-137. https://doi.org/10.36577/jkkh.v9i2.482

Nedeljkovic, S. S., Kett, A., Vallejo, M. C., Horn, J. L., Carvalho, B., Bao, X., Cole, N. M., Renfro, L., Gadsden, J. C., Song, J., Yang, J., & Habib, A. S. (2020). Transversus Abdominis Plane Block With Liposomal Bupivacaine for Pain After Cesarean Delivery in a Multicenter, Randomized, Double-Blind, Controlled Trial. Anesthesia and Analgesia, 131(6), 1830–1839. https://doi.org/10.1213/ANE.0000000000005075

Nugroho, R., & Suyanto, S. (2023). Meta-Analisis Pengaruh Pemberian Teknik Relaksasi Napas Dalam terhadap Rasa Nyeri pada Pasien Post Operasi. Jurnal Penelitian Perawat Profesional, 5(3), 1039-1048. https://doi.org/10.37287/jppp.v5i3.1698

Sonneborn, O., & Miller, C. (2021). The Pain Nurse Practitioner and Pain Nurse’s Role and Views on Opioid Management in Australia: A National Questionnaire Survey. Pain Management Nursing, 22(6), 740–746. https://doi.org/10.1016/j.pmn.2021.05.002

Wiryanto Waang, W., & Dewi Kusumawati, P. (2022). Analysis of Deep Breath Relaxation Techniques to Post SC Patients with Pain. Journal Of Health Science Community,3(2). https://doi.org/10.30994/jhsc.v3i2.155

Yudhsitira Tan, J. (2021). Effect of Instrumental Music Therapy on Pain Scale of Patient Post Major Surgery. Advances in Social Science, Education and Humanities Research, volume 521. https://doi.org/ 10.2991/assehr.k.210415.040

Zhai, W., Liu, H., Yu, Z., Jiang, Y., Yang, J., & Li, M. (2023). Bibliometric Analysis of Research Studies on Postoperative Pain Management of Cesarean Section. Journal of Pain Research, 16, 1345–1353. https://doi.org/10.2147/JPR.S404659
Published
2023-09-28
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