ASUHAN KEPERAWATAN PADA PASIEN DENGAN NYERI AKUT AKIBAT CA MAMMAE POST MRM (MODIFIED RADICAL MASTECTOMY) DI RUANG AYODYA RSUD SANJIWANI

Dewi, Putu Mitha Pramudya (2025) ASUHAN KEPERAWATAN PADA PASIEN DENGAN NYERI AKUT AKIBAT CA MAMMAE POST MRM (MODIFIED RADICAL MASTECTOMY) DI RUANG AYODYA RSUD SANJIWANI. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2025.

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Abstract

NURSING CARE FOR PATIENTS WITH ACUTE PAIN RELATED CA MAMMAE POST MRM (MODIFIED RADICAL MASTECTOMY) IN THE AYODYA ROOM OF SANJIWANI HOSPITAL ABSTRACT Carcinoma mammae is a malignant tumor that develops in breast tissue, both in the milk-producing glands and the surrounding connective tissue, with uncontrolled cell growth. One of the standard treatments for this condition is Modified Radical Mastectomy (MRM). However, this procedure often causes nursing problems in the form of acute pain that can interfere with the patient's comfort and recovery process. This case study aims to determine nursing care for acute pain in post-MRM patients. The research design used a descriptive method with the subject being a Ca mammae patient post-MRM who experienced acute pain nursing problems. Data were collected through interviews and direct observation to obtain a complete picture of the patient's condition. The results of the assessment showed that the patient complained of pain with a score of 5 (moderate pain) felt in the surgical area. The nursing diagnosis that was established was acute pain related to physical injury agents, namely wounds after the MRM surgical procedure. The nursing planning and interventions provided included pain management, analgesics, and guided imagery techniques for 5x24 hours. The evaluation results showed a significant decrease in pain scores from 5 to 1 (mild pain) after the intervention was carried out regularly. This decrease indicates that the nursing interventions provided were effective in reducing the level of pain in post-MRM patients. As a suggestion, nurses can apply non-pharmacological pain management methods, such as guided imagery techniques. In addition, further researchers are advised to conduct research with a larger sample size and longer observation time. Keywords: Acute Pain, Ca Mammae, Nursing Care ASUHAN KEPERAWATAN PADA PASIEN DENGAN NYERI AKUT AKIBAT CA MAMMAE POST MRM (MODIFIED RADICAL MASTECTOMY) DI RUANG AYODYA RSUD SANJIWANI ABSTRAK Carcinoma mammae merupakan tumor ganas yang berkembang pada jaringan payudara, baik di kelenjar penghasil susu maupun jaringan ikat sekitarnya, dengan pertumbuhan sel yang tidak terkendali. Salah satu penatalaksanaan standar untuk kondisi ini adalah Modified Radical Mastectomy (MRM). Namun, prosedur tersebut kerap menimbulkan masalah keperawatan berupa nyeri akut yang dapat mengganggu kenyamanan dan proses pemulihan pasien. Studi kasus ini bertujuan untuk mengetahui asuhan keperawatan terhadap nyeri akut pada pasien post MRM. Desain penelitian menggunakan metode deskriptif dengan subjek seorang pasien ca mammae post MRM yang mengalami masalah keperawatan nyeri akut. Data dikumpulkan melalui wawancara dan observasi langsung guna memperoleh gambaran lengkap mengenai kondisi pasien. Hasil pengkajian menunjukkan pasien mengeluh nyeri dengan skor 5 (nyeri sedang) yang dirasakan di area operasi. Diagnosis keperawatan yang ditegakkan adalah nyeri akut berhubungan dengan agen pencedera fisik yaitu luka pasca prosedur operasi MRM. Perencanaan dan intervensi keperawatan yang diberikan meliputi manajemen nyeri, pemberian analgesik, dan teknik imajinasi terbimbing selama 5×24 jam. Hasil evaluasi menunjukkan adanya penurunan skor nyeri secara signifikan dari skor 5 menjadi 1 (nyeri ringan) setelah intervensi dilakukan secara teratur. Sebagai saran, perawat dapat menerapkan metode manajemen nyeri non farmakologis, seperti teknik imajinasi terbimbing. Selain itu, peneliti selanjutnya disarankan melakukan penelitian dengan jumlah sampel lebih besar dan waktu observasi lebih panjang. Kata Kunci: Nyeri Akut, Ca Mammae, Asuhan Keperawatan

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