ASUHAN KEPERAWATAN PADA NY.E (51 TAHUN) POST OP HISTEREKTOMI TOTAL SALPINGOOVAREKTOMI BILATERAL LUMENTEKTOMI HARI KE-1 ATAS INDIKASI SUSPEK TUMOR GANAS OVARIUM DI RUANG ALAMANDA B RSUP Dr.HASAN SADIKIN BANDUNG
Daftar Isi:
- Di Indonesia, terdapat 10.238 (6,4%) insiden kanker ovarium dan angka kematian akibat penyakit ini mencapai 7.075 (7,7%). Kebanyakan pada kasus tumor ganas ovarium datang ke RS setelah memasuki stadium lanjut sehingga pasien harus dilakukan tindakan pembedahan Histerektomi, secara konsep masalah keperawatan yang mungkin muncul pada pasien setelah operasi adalah nyeri akut, resiko infeksi, konstipasi, gangguan citra tubuh, ketidakefektifan pola sexsualitas. Tujuan dari laporan tugas akhir ini yaitu mampu melaksanakan asuhan keperawatan pada pasien post Histerektomi Total Salpingoovarektomi Bilateral Lumentektomi Atas Indikasi Suspek Tumor Ganas Ovarium. Metode yang digunakan metode deskriptif dengan pendekatan studi kasus. Hasil pengkajian yang didapatkan yaitu pasien mengeluh nyeri luka operasi, nyeri dirasakan seperti disayat-sayat, skala nyeri 6 (0-10), nyeri dirasakan ketika pasien bergerak, nyeri hilang timbul, wajah pasien terlihat menahan nyeri, kebutuhan ADLs dibantu perawat dan keluarga, suhu tubuh 38,6°C, terdapat kemerahan pada area luka, pasien mengatakan ingin meningkatkan kespiritualnya. Diagnosa keperawatan yang penulis tegakkan adalah nyeri akut, resiko infeksi, kesiapan meningkatkan religiositas. Intervensi yang dilakukan pada pasien berfokus pada penanganan nyeri, mencegah resiko infeksi, memberikan penkes cara perawatan luka operasi dirumah, membimbing doa-doa kesehatan seperti doa menghadapi rasa sakit, doa mohon tenang dan sabar, doa sebelum dan sesudah minum obat. Hasil perawatan selama empat hari di RSHS masalah pada pasien dapat teratasi, nyeri tidak dirasakan lagi, pasien dapat beraktivitas seperti biasanya tanpa mengeluh nyeri, tidak ada tanda-tanda infeksi, menunjukan kepuasan dalam meningkatkan kespiritualnya dengan memberinya poanduan doa-doa kesehatan. Semua diagnosa yang diangkat teratasi.-- In Indonesia, there are 10,238 (6.4%) incidence of ovarian cancer and the death rate from this disease reaches 7,075 (7.7%). Most cases of malignant ovarian tumors come to the hospital after entering an advanced stage so that patients have to undergo hysterectomy surgery, the concept of nursing problems that may arise in patients after surgery are acute pain, risk of infection, constipation, body image disorders, ineffective sexuality patterns. The purpose of this final project report is to be able to carry out nursing care in post hysterectomy patients with Bilateral Salpingoovarectomy Total Lumentectomy on Indication of Suspected Ovarian Malignant Tumors. The method used is descriptive method with a case study approach. The results of the assessment obtained were patients complaining of surgical wound pain, pain felt like being sliced, pain scale 6 (0-10), pain was felt when the patient moved, the pain was intermittent, the patient's face seemed to withstand pain, the need for ADLs to be assisted by nurses and their families, body temperature 38.6 °C, there is redness in the wound area, the patient said he wanted to improve his spirituality. The nursing diagnoses that the authors enforce are acute pain, risk of infection, readiness to increase religiosity. Interventions carried out on patients focus on managing pain, preventing the risk of infection, providing medical advice on how to treat surgical wounds at home, guiding health prayers such as prayers for pain, prayers for calm and patience, prayers before and after taking medication. The results of the four-day treatment at RSHS, the problem in the patient can be resolved, the pain is no longer felt, the patient can carry out activities as usual without complaining of pain, there are no signs of infection, showing satisfaction in increasing his spirituality by giving him a guide to health prayers. All diagnoses that were appointed were resolved.