ASUHAN KEPERAWATAN GANGGUAN RASA NYAMAN DENGAN INTERVENSI SLOW STROKE BACK MASSAGE PADA IBU HAMIL TRIMESTER III

Dewi, Ni Putu Diah Trisna (2025) ASUHAN KEPERAWATAN GANGGUAN RASA NYAMAN DENGAN INTERVENSI SLOW STROKE BACK MASSAGE PADA IBU HAMIL TRIMESTER III. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2025.

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Abstract

ASUHAN KEPERAWATAN GANGGUAN RASA NYAMAN DENGAN INTERVENSI SLOW STROKE BACK MASSAGE PADA IBU HAMIL TRIMESTER III Studi Dilakukan di Praktik Mandiri Bidan Tahun 2025 Ni Putu Diah Trisna Dewi Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email: niputudiahtrisnadewi@gmail.com ABSTRAK Nyeri punggung merupakan salah satu gejala ketidaknyamanan bagi ibu hamil trimester III karena pusat keseimbangan badan bergeser maju searah dengan tulang belakang dan beban rahim berada diatas daerah pelvis, sehingga pinggang menjadi melengkung dan menyebabkan ketidaknyamanan. Penelitian ini bertujuan untuk mengetahui asuhan keperawatan gangguan rasa nyaman pada ibu hamil trimester III yang mengalami nyeri punggung di Praktik Mandiri Bidan. Metode penelitian yang digunakan adalah studi kasus, menggunakan dua responden ibu hamil trimester III. Hasil pengkajian diperoleh bahwa ibu hamil mengeluh tidak nyaman karena nyeri punggung, tampak gelisah, pola eliminasi meningkat dan postur tubuh tampak lordosis. Melalui data pengkajian diagnosis keperawatan yang ditegakan yaitu gangguan rasa nyaman berhubungan dengan gangguan adaptasi kehamilan. Rencana keperawatan meliputi intervensi utama terapi pemijatan (slow stroke back massage) dan intervensi pendukung berupa perawatan kehamilan trimester kedua dan ketiga, dengan luaran yang diharapkan adalah status kenyamanan meningkat. Implementasi keperawatan dilakukan sesuai intervensi keperawatan yang sudah direncanakan selama tiga kali pertemuan selama 30 menit dalam seminggu. Evaluasi keperawatan menunjukkan tujuan tercapai, yaitu status kenyamanan meningkat dibuktikan dengan tercapainya seluruh luaran yang sudah ditetapkan. Kesimpulan dari hasil penelitian pemberian slow stroke back massage sebagai intervensi yang dapat meningkatkan kenyamanan pada ibu hamil trimester III yang mengalami gangguan rasa nyaman. Kata Kunci : Ibu hamil, rasa nyaman, slow stroke back massage NURSING CARE FOR DISCOMFORT DISORDERS WITH SLOW STROKE BACK MASSAGE INTERVENTION IN PREGNANT WOMEN IN THE THIRD TRIMESTER Study Conducted in Midwifery Independent Practice in 2025 ABSTRACT Back pain is one of the symptoms of discomfort for pregnant women in the third trimester because the center of balance shifts forward in the direction of the spine and the load of the uterus is above the pelvic area, so that the waist becomes curved and causes discomfort. This study aims to determine the nursing care of discomfort disorders in pregnant women in the third trimester who experience back pain in the Midwife's Independent Practice. The research method used was a case study, using two respondents of pregnant women in the third trimester. The results of the study were obtained that pregnant women complained of discomfort due to back pain, seemed restless, elimination patterns increased and posture appeared lordosis. Through the data of the assessment of nursing diagnoses that are established, namely discomfort disorders are related to pregnancy adaptation disorders. The nursing plan includes the main intervention of massage therapy (slow stroke back massage) and supportive interventions in the form of second and third trimester pregnancy treatments, with the expected outcome being an increased comfort status. The implementation of nursing is carried out according to the nursing intervention that has been planned for three meetings for 30 minutes a week. The nursing evaluation shows that the goal is achieved, namely the status of comfort increases, as evidenced by the achievement of all the outputs that have been set. The conclusion of the results of the study is that the administration of slow stroke back massage as an intervention that can improve comfort in third trimester pregnant women who experience discomfort. Keywords: Pregnant women, comfort, slow stroke back massage

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