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All Journal Journal of Telenursing (JOTING) MAHESA : Malahayati Health Student Journal
Nabila Nur Fadilah Hidayat
Universitas Padjadjaran
Dentistry Health Professions Nursing Public Health

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Studi Kasus Manajemen Nyeri pada Anak Post Laparotomi dengan Masalah Keperawatan Nyeri Akut Nabila Nur Fadilah Hidayat; Ema Arum Rukmasari; Gusgus Ghraha Rhamdanie
MAHESA : Malahayati Health Student Journal Vol 3, No 7 (2023): Volume 3 Nomor 7 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.682 KB) | DOI: 10.33024/mahesa.v3i7.10703

Abstract

ABSTRACT Peritonitis is a condition when the peritoneum or serous membrane that separates the abdominal cavity and organs becomes inflamed. Laparotomy is a surgical procedure that is often performed as a management of peritonitis. The main nursing problem that arises in post-laparotomy patients is acute pain. This case study describes pain management in an 8 years old child with a medical diagnosis of Post Laparotomy e.c Peritonitis, and the main nursing diagnosis of acute pain. This study used a descriptive case study method with a nursing care process approach. The primary data collection method was carried out by physical assessment, observation, and interviews, and secondary through medical records. Nursing interventions are carried out in the form of non-pharmacological pain management (deep breathing relaxation techniques) and pharmacological management. The implementation was carried out for 4 days (28-31 October 2022). The results of the evaluation after 4 days of complaints of decreased pain, sound sleep, no grimacing, and appetite in the process of adaptation. Pain management with the management of deep breathing relaxation techniques affects the pain of post-laparotomy pediatric patients. Keywords: Children, Laparotomy, Peritonitis, Pain  ABSTRAK Peritonitis merupakan keadaan dimana peritoneum atau selaput serosa yang membatasi antara rongga perut dan organ perut mengalami peradangan. Laparotomi merupakan salah satu tindakan pembedahan yang kerap dilakukan sebagai penatalaksanaan kejadian peritonitis. Masalah keperawatan utama yang muncul pada pasien pasca tindakan laparotomi merupakan nyeri akut. Studi kasus ini memaparkan terkait manajemen nyeri pada anak berusia 8 tahun dengan diagnosa medis Post Laparotomy e.c Peritonitis dan diagnosa keperawatan utama nyeri akut. Penelitian ini menggunakan metode studi kasus deskriptif dengan pendekatan proses asuhan keperawatan. Metode pengumpulan data secara primer dilakukan dengan pengkajian fisik, observasi dan wawancara, serta secara sekunder melalui rekam medis. Intervensi keperawatan yang dilaksanakan berupa manajemen nyeri penatalaksanaan non farmakologi (teknik relaksasi napas dalam) dan farmakologi. Implementasi dilaksanakan selama 4 hari (28-31 Oktober 2022). Hasil evaluasi setelah 4 hari keluhan nyeri menurun, tidur nyenyak, tidak meringis dan nafsu makan dalam proses adaptasi. Manajemen nyeri dengan penatalaksanaan teknik relaksasi napas dalam berpengaruh terhadap nyeri pasien anak post operasi laparotomi. Kata Kunci:  Anak, Nyeri, Laparotomi, Peritonitis
Intervensi Non Farmakologi untuk Mencegah Hipotermi pada Pasien Post Operasi Henny Yulianita; Kurniawan Yudianto; Firman Sugiharto; Novia Rahmawati; Nabila Nur Fadilah Hidayat
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7481

Abstract

This study aims to determine non-pharmacological interventions to prevent hypothermia in post-operative patients. The method used is a narrative review with the keywords nonpharmacologic hypothermia management, post-operative patients, non-pharmacologic hypothermia management, and post-operative patients. The databases used include PubMed, EBSCO, Taylor & Francis, and Garuda Portal. The research results showed that there were 14 articles comprising various non-pharmacological interventions to prevent hypothermia in post-operative patients, including forced-air warmers, warm intravenous fluids, electric blankets, and hot packs. In conclusion, several interventions, such as administering warm intravenous fluids using forced-air warmers, electric blankets, and hot bags, can help prevent hypothermia in post-operative patients in central surgical installation rooms. Keywords: Hypothermia, Intervention, Non-Pharmacological, Post-Operation
Co-Authors Ema Arum Rukmasari Firman Sugiharto Gusgus Ghraha Rhamdanie Henny Yulianita Kurniawan Yudianto Novia Rahmawati