ASUHAN KEPERAWATAN GANGGUAN MOBILITAS FISIK PADA PASIEN FRAKTUR TIBIA POST OPERASI ORIF DENGAN ROM FREE ACTIVE EXERCISE (FAE) DI RSD MANGUSADA

Adhiutami, I Gusti Ayu Made Lina (2024) ASUHAN KEPERAWATAN GANGGUAN MOBILITAS FISIK PADA PASIEN FRAKTUR TIBIA POST OPERASI ORIF DENGAN ROM FREE ACTIVE EXERCISE (FAE) DI RSD MANGUSADA. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2024.

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Abstract

NURSING CARE FOR PHYSICAL MOBILITY IMPAIRMENTS IN TIBIA FRACTURE PATIENTS POST ORIF OPERATION WITH ROM FREE ACTIVE EXERCISE (FAE) AT RSD MANGUSADA I Gusti Ayu Made Lina Adhiutami Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email: lina.adhiutami1204@gmail.com ABSTRACT Open fracture of the tibia is a complex injury with multifactorial outcomes and variable prognosis. This final scientific work by nurses aims to determine nursing care for physical mobility disorders with range of motion free active exercise in post-ORIF surgery tibia fracture patients at Mangusada Hospital. This scientific work uses a descriptive method with a case study approach which was carried out on 30 October – 02 November 2023. The results of the study showed data that the patient said he had pain in his left leg, did not dare to move his left leg, the back of his left leg was swollen. The nursing diagnosis of impaired physical mobility is related to pain. Nursing interventions are ambulation support, mobilization support and pain management with the criteria of increasing physical mobility. Innovation intervention range of motion free active exercise with 2 times the frequency of 2x8 steps. The nursing evaluation showed that physical mobility problems had decreased. Conclusion: range of motion free active exercise can increase range of motion, increase muscle strength, reduce complaints of pain, reduce anxiety when moving, and reduce edema. Suggestions for health workers can apply the results of non-pharmacological therapy research, especially range of motion free active exercise, to treat post-operative patients with complaints of physical mobility problems. Keywords: Nursing Care, Physical Mobility Impairments, Tibia Fracture, Post ORIF Operation, ROM Free Active Exercise ASUHAN KEPERAWATAN GANGGUAN MOBILITAS FISIK PADA PASIEN FRAKTUR TIBIA POST OPERASI ORIF DENGAN ROM FREE ACTIVE EXERCISE (FAE) DI RSD MANGUSADA I Gusti Ayu Made Lina Adhiutami Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email: lina.adhiutami1204@gmail.com ABSTRAK Fraktur terbuka os tibia adalah cedera kompleks dengan luaran multifaktorial dan prognosis variabel. Karya imliah akhir ners ini bertujuan mengetahui asuhan keperawatan gangguan mobilitas fisik dengan range of motion free active exercise pada pasien fraktur tibia post operasi ORIF di RSD Mangusada. Karya ilmiah ini menggunakan metode deskriptif dengan pendekatan studi kasus yang dilaksanakan pada 30 Oktober – 02 November 2023. Hasil pengkajian menunjukkan data bahwa pasien mengatakan nyeri pada kaki kiri, tidak berani menggerakkan kaki kiri, punggung kaki kiri membengkak. Diagnosis keperawatan gangguan mobilitas fisik berhubungan dengan nyeri. Intervensi keperawatan yaitu dukungan ambulasi, dukungan mobilisasi dan manajemen nyeri dengan kriteria hasil mobilitas fisik meningkat. Intervensi inovasi range of motion free active exercise dengan 2 kali frekuensi 2x8 hitungan. Evaluasi keperawatan didapatkan hasil bahwa gangguan mobilitas fisik menurun. Kesimpulan: range of motion free active exercise dapat meningkatan lingkup gerak, meningkatkan kekuatan otot, mengurangi keluhan nyeri, mengurangi kecemasan saat melakukan pergerakan, dan mengurangi odema. Saran bagi petugas Kesehatan dapat mengaplikasikan hasil penelitian terapi nonfarmakologi khususnya range of motion free active exercise untuk penanganan pasien post operasi dengan keluhan gangguan mobilitas fisik. Kata Kunci : Asuhan Keperawatan, Gangguan Mobilitas Fisik, Fraktur Tibia, Post Operasi ORIF, ROM Free Active Exercise

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