NURSING CARE IN MRS.
R WITH MULTIPLE FRACTURES IN
CENDANA ROOM 1 RSUP DR. SARDJITO YOGYAKARTA
Apriliani1, Harmilah2, Ida Mardalena3
123
Jurusan Keperawatan Poltekkes Kemenkes Yogyakarta
Jl. Tatabumi No. 3 Banyuraden, Gamping, Sleman, Yogyakarta 55293
Email : Lianiaprill90@[Link]
ABSTRACT
Background: A fracture is a change in the shape of a bone caused by direct or
indirect pressure on the bone surface. The incidence of fracture in Cendana 1 RSUP
dr. Sardjito as many as 61 cases. One of the physical damage that occurs is fracture,
which is a break in the continuity of the bone either due to trauma, pressure or
pathological abnormalities. Surgery that can be performed on fracture patients is
OREF or ORIF.
Objective: a real picture and experience in carrying out nursing care with multiple
fractures using the nursing process method based on evidence based practice.
Methods: This nursing care uses a case study method in 1 patient managed with a
nursing process approach with the stages of assessment, diagnosis formulation,
planning, implementation, evaluation, and discussion of case analysis based on
problems found in patients with multiple fractures.
Results: After the assessment, 6 nursing diagnoses were obtained, namely acute pain,
risk of infection, impaired physical mobility, impaired texture integrity, impaired
body image, and self-care deficit. The interventions were pain management, music
therapy, infection prevention, mobilization support, wound care, body image
promotion, coping and self-care support. Implementation is carried out based on an
intervention for 6 days and evaluation is carried out at the end of each
implementation.
Conclusion: After the patient was given nursing care for 6 days, the results showed
that the pain level decreased, the infection rate decreased, physical mobility
increased, wound healing increased, body image improved and self-care increased.
Keywords: nursing care for multiple fractures in cendana room 1
1
Student of Nursing Profession Education Poltekkes Ministry of Health Yogyakarta
2
Lecturer of Nursing Department Poltekkes Ministry of Health Yogyakarta
3
Lecturer of Nursing Department Poltekkes Ministry of Health Yogyakarta
ASUHAN KEPERAWATAN PADA NY. R DENGAN MULTIPLE
FRAKTUR DI RUANG CENDANA 1 RSUP DR. SARDJITO
YOGYAKARTA
Apriliani1, Harmilah2, Ida Mardalena3
123
Jurusan Keperawatan Poltekkes Kemenkes Yogyakarta
Jl. Tatabumi No. 3 Banyuraden, Gamping, Sleman, Yogyakarta 55293Email :
Lianiaprill90@[Link]
INTISARI
Latar Belakang: Fraktur adalah perubahan bentuk pada suatu tulang yang
disebabkan oleh tekanan langsung atau tidak langsung pada permukaan tulang.
Kerusakan fisik yang terjadi salah satunya yaitu fraktur yang adalah terputusnya
kontinuitas tulang baik karena trauma, tekanan maupun kelainan patologis.
Tindakan pembedahan yang dapat dilakukan pada pasien fraktur yaitu dengan
OREF maupun ORIF.
Tujuan:Memperoleh gambaran dan pengalaman nyata dalam melaksanakan
asuhan keperawatan dengan multiple fraktur menggunakan metode proses
keperawatan berdasarkan evidance based practice.
Metode: Asuhan keperawatan ini menggunakan metode studi kasus pada 1 pasien
kelolaan dengan pendekatan proses keperawatan dengan tahapan pengkajian,
perumusan diagnosa, perencanaan, implementasi, evaluasi, dan pembahasan
analisis kasus berdasarkan permasalahan yang ditemukan pada pasien dengan
multiple fraktur.
Hasil: Setelah pengkajian didapatkan 6 diagnosa keperawatan yaitu nyeri akut,
risiko infeksi, gangguan mobilitas fisik, gangguan integritas jaringan, gangguan
citra tubuh, dan defisit perawatan diri. Intervensi yang dilakukan yaitu manajemen
nyeri, terapi musik, pencegahan infeksi, dukungan mobilisasi, perawatan luka,
promosi citra tubuh koping serta dukungan perawatan diri. Implementasi
dilakukan berdasarkan intervensi selama 6 hari dan evaluasi dilaksanakan setiap
akhir implementasi.
Kesimpulan: Setelah pasien diberikan tindakan asuhan keperawatan selama 6 hari
didapatkan hasil tingkat nyeri menurun, tingkat infeksi menurun, mobilitas fisik
meningkat, penyembuhan luka meningkat, citra tubuh meningkat dan perawatan
diri meningkat.
Kata Kunci: asuhan keperawatan multiple fraktur di ruang cendana 1
1
Mahasiswa Pendidikan Profesi Ners Poltekkes Kemenkes Yogyakarta2Dosen
Jurusan Keperawatan Poltekkes Kemenkes Yogyakarta
3
Dosen Jurusan Keperawatan Poltekkes Kemenkes Yogyakarta