Optimalisasi Intervensi Terapi Non-Farmakologis Pada Nyeri Akut Post Operasi Di Ruang Bimasakti RSUD Bandung Kiwari

Ismah Amalia; Irman Somanri; Hana Rizmadewi

doi:10.51771/jintan.v4i1.660

Authors

Ismah Amalia Universitas Padjadjaran
Irman Somanri Universitas Padjdjaran
Hana Rizmadewi Universitas Padjadjaran

DOI:

https://doi.org/10.51771/jintan.v4i1.660

Keywords:

edukasi, manajemen nyeri non farmakologi, perawat

Abstract

Pasien yang melakukan operasi mengalami kerusakan jaringan akibat tindakan operasi dan menimbulkan nyeri. Nyeri yang dialami termasuk ke dalam jenis nyeri akut. Penanganan nyeri merupakan hal yang penting diperhatikan karena dapat memiliki dampak, seperti stres, kecemasan, depresi, serta menghambat penyembuhan. Perawat sebagai pemberi asuhan bertugas untuk memberikan intervensi secara optimal kepada pasien untuk melakukan manajemen nyeri. Penanganan nyeri utamanya menggunakan terapi farmakologis, Adapun terapi non farmakologis seringkali tidak digunakan dan dianggap bukan merupakan intervensi yang penting padahal terapi tersebut memiliki banyak manfaat. Di ruang bedah bimasakti, banyak pasien mengeluhkan nyeri karena tindakan pembedahan. Perawat ruangan lebih berfokus kepada penatalaksanaan manajemen nyeri secara farmakologis, sedangkan terapi non farmakologis belum dilakukan secara optimal. Selain itu, pemantauan nyeri belum dilakukan secara komprehensif. Meninjau penatalaksanaan terapi non farmakologis yang dilakukan oleh perawat di ruangan dan mengoptimalkannya. Pertama, pengadaan sosialisasi terkait manajemen nyeri, penggunaan alat pengkajian nyeri kepada perawat di ruangan menggunakan bahan ajar yang telah disusun. Kedua, pembuatan media leaflet yang informatif serta video edukasi terkait manajemen nyeri non farmakologi. Ketiga, pelaksanaan pendidikan kesehatan manajemen nyeri non farmakologi kepada pasien. Pemberian sosialisasi terkait manajemen nyeri non farmakologi dan penggunaan alat pengkajian nyeri kepada perawat ruangan meningkatkan pengetahuan dan meningkatkan kesadaran untuk menerapkan kedua hal tersebut. Bahan ajar membantu perawat dalam kegiatan pendidikan kesehatan serta memperbaharui ilmu berdasarkan EBP

References

ANA. (2019). The ethical responsibility to manage pain and the suffering it causes. Journal of Issues in Nursing, 24(1). https://doi.org/10.3912/OJIN.Vol24No01PoSCol01

Anekar, A. A., Hendrix, J. M., & Cascella, M. (2023). WHO Analgesic Ladder. Treasure Island (FL): StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK554435/

Asmuji. (2011). Manajemen keperawatan: konsep dan aplikasi. February.

Banda, Z., Simbota, M., & Mula, C. (2022). Nurses’ perceptions on the effects of high nursing workload on patient care in an intensive care unit of a referral hospital in Malawi: a qualitative study. BMC Nursing, 21. https://doi.org/10.1186/s12912-022-00918-x

Bayoumi, M., Mohamed, M., Khonji, L. M. A., & Gabr, W. F. M. (2021). Are nurses utilizing the non-pharmacological pain management techniques in surgical wards? PloS One, 16(10), e0258668. https://doi.org/10.1371/journal.pone.0258668

Brunner & Suddarth. (2017). Keperawatan Medikal Bedah. EGC.

Carpenter, J. J., Hines, S. H., & Lan, V. M. (2016). Guided Imagery for Pain Management in Postoperative Orthopedic Patients: An Integrative Literature Review. Https://Doi.Org/10.1177/0898010116675462, 35(4), 342–351. https://doi.org/10.1177/0898010116675462

Cleveland. (2021). Pain Management. Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/21514-pain-management

Coll, A.-M., & Jones, R. (2020). Role of the nurse in the assessment and management of post-operative pain. Nursing Standard, 35(4), 53–58.

Deming, E. (1986). Out Of The Crisis. Massachusetts.

Faisol. (2022). Manajemen Nyeri. Kementerian Kesehatan Republik Indonesia. https://yankes.kemkes.go.id/view_artikel/1052/manajemen-nyeri

Glowacki, D. (2015). Effective Pain Management and Improvements in Patients’ Outcomes and Satisfaction. Critical Care Nurse, 35(3), 33–41. https://doi.org/10.4037/CCN2015440

IASP. (2020). IASP Announces Revised Definition of Pain. International Association for the Study of Pain. https://www.iasp-pain.org/publications/iasp-news/iasp-announces-revised-definition-of-pain/

İlgin, V., & Yayla, A. (2023). Effect of the 4-7-8 Breathing Technique on Pain Level and Sleep Quality of Patients After Laparoscopic Bariatric Surgery: A Randomized Controlled Study. Bariatric Surgical Practice and Patient Care. https://doi.org/10.1089/bari.2022.0044

International Council of Nurses. (2021). The ICN Code of Ethics for Nurses: Revised 2021. In International Council of Nurses. https://www.icn.ch/sites/default/files/inline-files/2012_ICN_Codeofethicsfornurses_ eng.pdf

Jaleta, D. T., Tuji, T. S., & Wake, A. D. (2021). Knowledge and associated factors towards post-operative pain management among nurses working at referral hospitals, Ethiopia. Open Journal of Pain Medicine, 5(1), 1–7.

Kemenkes RI. (2019). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/Menkes/481/2019 Tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Nyeri. Kementerian Kesehatan RI.

Kemenkes RI. (2020). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK 01.07/Menkes/425/2020 Tentang Standar Profesi Perawat. Kementrian Kesehatan Republik Indonesia.

Kozier. (2010). Buku Ajar Praktik Keperawatan Klinis (5th ed.). EGC.

Mhesin, D., Nazzal, H., Amerah, J., Azamtta, M., Ismail, Y., Daralammouri, Y., Abdalla, M. A., Jaber, M. M., Koni, A. A., & Zyoud, S. H. (2022). Prevalence of pain and its association with quality of life of patients with heart failure in a developing country: findings from a multicenter cross-sectional study. BMC Cardiovascular Disorders, 22(1), 426.

Mordecai, L., Leung, F. H. L., Carvalho, C. Y. M., Reddi, D., Lees, M., Cone, S., Fox, Z., Williams, A. C. de C., & Brandner, B. (2016). Self-Managing Postoperative Pain with the Use of a Novel, Interactive Device: A Proof of Concept Study. Pain Research and Management, 2016, 9704185. https://doi.org/10.1155/2016/9704185

Pardede, M. J., Fitriani, A. D., & Hadi, A. J. (2020). Analisis Implementasi Manajemen Asuhan Keperawatan Di Ruang Rawat Inap RSU. Mitra Sejati Medan. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 3(2), 93–99.

Prawesthi, E., Valencia, G., Marpaung, L., & Mujiwati, M. (2021). Perbandingan Leaflet Dan Video Animasi Sebagai Media Edukasi Dalam Meningkatkan Pengetahuan Terhadap Pentingnya Penggunaan Gigi Tiruan Pada Mahasiswa Poltekkes Jakarta II. Cakradonya Dental Journal, 13, 144–150. https://doi.org/10.24815/cdj.v13i2.23536

Rachmawati, D. S., Nursalam, N., Amin, M., Hargono, R., Rustam, M. Z. A., & Riestiyowati, M. A. (2022). The impact of family resilience interventions on individual beliefs and medication adherence in pulmonary TB patients. International Journal of Health Sciences, 6(S8 SE-Peer Review Articles), 4656–4668. https://doi.org/10.53730/ijhs.v6nS8.13269

Samarkandi, O. A. (2018). Knowledge and attitudes of nurses toward pain management. Saudi Journal of Anaesthesia, 12(2), 220. https://doi.org/10.4103/SJA.SJA_587_17

Sapri, N. D., Ng, Y. T., Wu, V. X., & Klainin-Yobas, P. (2022). Effectiveness of educational interventions on evidence-based practice for nurses in clinical settings: A systematic review and meta-analysis. Nurse Education Today, 111, 105295. https://doi.org/10.1016/j.nedt.2022.105295

Schatman, M. (2012). Interdisciplinary chronic pain management: International perspectives. Pain: Clin Updates, 20, 1–5.

Slemmons, K., Anyanwu, K., Hames, J., Grabski, D., Mlsna, J., Simkins, E., & Cook, P. (2018). The Impact of Video Length on Learning in a Middle-Level Flipped Science Setting: Implications for Diversity Inclusion. Journal of Science Education and Technology, 27, 1–11. https://doi.org/10.1007/s10956-018-9736-2

Small, C., & Laycock, H. (2020). Acute postoperative pain management. British Journal of Surgery, 107(2), e70–e80. https://doi.org/10.1002/bjs.11477

Smeltzer & Bare. (2013). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddart Edisi 8 (A. Waluyo (ed.); 8th ed.). EGC.

Sunadi, A., Ifadah, E., & Syarif, M. N. O. (2020). The effect of deep breathing relaxation to reduce post operative pain in lower limb fracture. Enfermería Clínica, 30, 143–145. https://doi.org/10.1016/J.ENFCLI.2019.12.045

Suyanto, S., & Bangsawan, M. (2017). Efek Kombinasi Bacaan Al Quran Dan Terapi Farmakologis Terhadap Penurunan Intensitas Nyeri Pada Pasien Fraktur Ekstremitas. Jurnal Ilmiah Keperawatan Sai Betik, 9(1), 57–62.

Terry, G. R. (1977). Principles of management (5th ed.). Illinois.

Tim Pokja SDKI DPP PPNI. (2016). Standar Diagnosis Keperawatan Indonesia (SDKI) (I). Persatuan Perawat Indonesia.

Triwibowo. (2013). Manajemen pelayanan keperawatan di rumah sakit. TIM.

Whibley, D., AlKandari, N., Kristensen, K., Barnish, M., Rzewuska, M., Druce, K. L., & Tang, N. K. Y. (2019). Sleep and Pain: A Systematic Review of Studies of Mediation. The Clinical Journal of Pain, 35(6), 544–558. https://doi.org/10.1097/AJP.0000000000000697

Yuniasti, R. D., Upoyo, A. S., Taufik, A., & Yuniasti, R. D. (2021). The Effect of Hypnotherapy on Pain Intensity in Postoperative Patients: A Systematic Review. IJNP (Indonesian Journal of Nursing Practices), 5(2), 112–122. http://journal.umy.ac.id/index.php/ijnp